Article ; Online: Influence of glycemic control and hypoglycemia on the risk of fracture in patients with diabetes mellitus: a systematic review and meta-analysis of observational studies.
2021 Volume 32, Issue 9, Page(s) 1693–1704
Abstract: Individuals with diabetes mellitus (DM) have an increased risk of fracture. Glycemic control is crucial to the management of DM, but there are concerns pertaining to hypoglycemia development in the course of glycemic control target achievement. The ... ...
Abstract | Individuals with diabetes mellitus (DM) have an increased risk of fracture. Glycemic control is crucial to the management of DM, but there are concerns pertaining to hypoglycemia development in the course of glycemic control target achievement. The extent to which glycemic control may affect the risk of fracture remains less defined. Hypoglycemia-induced falls have been suggested to contribute to an elevated risk of fracture in DM patients. In this meta-analysis of observational studies, we aimed to investigate the relative contribution of glycemic control, as measured by glycated hemoglobin (HbA1c), and hypoglycemia to the risk of fracture in DM. The PubMed and Web of Science databases were searched for relevant studies. A random-effects model was used to generate summary relative risks (RRs) and 95% confidence intervals (CIs). Both increased HbA1c levels (RR |
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MeSH term(s) | Diabetes Mellitus, Type 2 ; Glycated Hemoglobin/analysis ; Glycemic Control ; Humans ; Hypoglycemia/chemically induced ; Hypoglycemia/epidemiology ; Hypoglycemic Agents/adverse effects ; Observational Studies as Topic |
Chemical Substances | Glycated Hemoglobin A ; Hypoglycemic Agents |
Language | English |
Publishing date | 2021-04-16 |
Publishing country | England |
Document type | Journal Article ; Meta-Analysis ; Review ; Systematic Review |
ZDB-ID | 1064892-6 |
ISSN | 1433-2965 ; 0937-941X |
ISSN (online) | 1433-2965 |
ISSN | 0937-941X |
DOI | 10.1007/s00198-021-05934-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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