People with diabetes, especially type 1 diabetes, are more likely to suffer from hypoglycemia if they receive too much treatment.
Based on a Mayo Clinic study from Rochester, published in the journal Mayo Clinic ProceedingsMany Americans with diabetes are receiving too much hypoglycemic treatment, which increases the risk of severe hypoglycaemia with abnormally low blood sugar levels.
"Hypoglycemia is one of the most common negative effects of diabetes treatment, with immediate and long-term health consequences," says lead author Rozalina McCoy, "Severe hypoglycemia is associated with mortality. higher and increased risk of cardiovascular disease, cognitive impairment, falls and fractures ".
Millions of patients would receive inadequate treatment
According to the results of the study, in the United States, people with diabetes often receive too much treatment compared to what their A1C hemoglobin levels require.
In the cohort of patients studied, these hypoglycaemic treatments, which were too intense, led to 4,774 hospitalizations and 4,804 emergency room visits over a two-year period.
More broadly, researchers estimated that 10.7 million adults with diabetes had A1C hemoglobin levels within the recommended range (less than 7%). Among them, 22% reach these levels thanks to an intense hypoglycemic treatment. This means that 2.3 million people with diabetes have received too much treatment between 2011 and 2014.
In France, 5% of the population takes drugs for diabetes
"There is a need to align treatment with the patient's clinical situation, psychosocial situation, and the reality of daily life to make sure they are aligned with their goals, preferences, and values," McCoy explains.
"It is also important first of all to ensure that we do not contract out our patients with diabetes but also to ensure that we do not over-treat them because under-treatment and overtreatment are bad. their health, "she continues.
In France, in 2016, 3.3 million people were treated pharmacologically for diabetes, or 5% of the population, according to figures from Public Health France.