2024
Food Insecurity and Hypoglycemia among Older Patients with Type 2 Diabetes Treated with Insulin or Sulfonylureas: The Diabetes & Aging Study
Karter A, Parker M, Huang E, Seligman H, Moffet H, Ralston J, Liu J, Gilliam L, Laiteerapong N, Grant R, Lipska K. Food Insecurity and Hypoglycemia among Older Patients with Type 2 Diabetes Treated with Insulin or Sulfonylureas: The Diabetes & Aging Study. Journal Of General Internal Medicine 2024, 39: 2400-2406. PMID: 38767746, PMCID: PMC11436613, DOI: 10.1007/s11606-024-08801-y.Peer-Reviewed Original ResearchType 2 diabetes treated with insulinOlder patientsSevere hypoglycemiaFood insecurityAssociated with severe hypoglycemiaCharlson comorbidity scoreFood insecurity questionsCross-sectional studyComorbidity scoreSelf-reported reasonsMissed mealsHigh riskRisk factorsPatientsHypoglycemiaResultsFood insecurityFinancial strainDiabetesPrevention effortsAging StudySulfonylureaMedicationInsulinAgeRisk
2023
Glycemic control and diabetes complications across health status categories in older adults treated with insulin or insulin secretagogues: The Diabetes & Aging Study
Lipska K, Huang E, Liu J, Parker M, Laiteerapong N, Grant R, Moffet H, Karter A. Glycemic control and diabetes complications across health status categories in older adults treated with insulin or insulin secretagogues: The Diabetes & Aging Study. Journal Of The American Geriatrics Society 2023, 71: 3692-3700. PMID: 37638777, PMCID: PMC10872822, DOI: 10.1111/jgs.18565.Peer-Reviewed Original ResearchConceptsRisk of complicationsComplication riskPoor healthIntermediate healthOlder adultsGood healthRetrospective cohort studyEndocrine Society guidelinesIntegrated healthcare delivery systemType 2 diabetesProportional hazards modelHealth status categoriesHealthcare delivery systemMacrovascular eventsCohort studyGlycemic controlPrimary outcomeSevere hypoglycemiaSociety guidelinesClinical variablesInsulin secretagoguesHazards modelComplicationsCombined outcomeAging StudySevere hypoglycemia and falls in older adults with diabetes: The Diabetes & Aging Study
Moffet H, Huang E, Liu J, Parker M, Lipska K, Laiteerapong N, Grant R, Lee A, Karter A. Severe hypoglycemia and falls in older adults with diabetes: The Diabetes & Aging Study. Diabetes Epidemiology And Management 2023, 12: 100162. PMID: 37920602, PMCID: PMC10621321, DOI: 10.1016/j.deman.2023.100162.Peer-Reviewed Original ResearchSevere hypoglycemiaOlder adultsRisk of fallsCare-seeking behaviorLife-threatening eventsED visitsInpatient recordsPrevalence ratiosHypoglycemiaGreater prevalenceAge 65Clinical documentationDiabetesSample adultsAging StudyAdultsSurvey respondentsFallHospitalizationOutpatientsResearch designPrevalenceVisitsMonthsSeverity1356-P: Association of HbA1c with Diabetes Outcomes across Health Status Categories in Older Adults
LIPSKA K, HUANG E, LIU J, PARKER M, MOFFET H, GRANT R, LAITEERAPONG N, KARTER A. 1356-P: Association of HbA1c with Diabetes Outcomes across Health Status Categories in Older Adults. Diabetes 2023, 72 DOI: 10.2337/db23-1356-p.Peer-Reviewed Original ResearchComplication riskPoor healthIntermediate healthOlder adultsGood healthIntegrated healthcare delivery systemAssociation of HbA1cType 2 diabetesProportional hazards modelNational InstituteHealth status categoriesHealthcare delivery systemEligible patientsMacrovascular eventsSevere hypoglycemiaKidney diseaseClinical variablesDiabetes outcomesEndocrine SocietyAbbVie Inc.Hazards modelComplicationsHealth statusTwin healthPatients
2019
379-P: Changes in Diabetes Management after a Hospital Visit for Severe Hypoglycemia
VIJAYAKUMAR P, LIU S, KAHN P, MCCOY R, KARTER A, LIPSKA K. 379-P: Changes in Diabetes Management after a Hospital Visit for Severe Hypoglycemia. Diabetes 2019, 68 DOI: 10.2337/db19-379-p.Peer-Reviewed Original ResearchSevere hypoglycemic eventsType 2 diabetesDiabetes managementSevere hypoglycemiaHypoglycemic eventsNational InstituteGlucose-lowering medicationsGlucose-lowering therapyProportion of patientsThird of patientsEmergency department visitsPhysician office visitsContinuous glucose monitor useBaseline HbA1cED visitsDepartment visitsHospital admissionKidney diseaseOffice visitsMean ageHospital visitsClinical guidelinesMedication fillsHypoglycemiaDiabetes
2018
Does Initiation of Basal Insulin Analogs in Patients with Type 2 Diabetes Mellitus Confer Advantages over Neutral Protamine Hagedorn (NPH) for Severe Hypoglycemia and Glycemic Control?
LIPSKA K, PARKER M, MOFFET H, HUANG E, KARTER A. Does Initiation of Basal Insulin Analogs in Patients with Type 2 Diabetes Mellitus Confer Advantages over Neutral Protamine Hagedorn (NPH) for Severe Hypoglycemia and Glycemic Control? Diabetes 2018, 67 DOI: 10.2337/db18-1311-p.Peer-Reviewed Original ResearchNeutral protamine HagedornType 2 diabetesReal-world clinical practiceSevere hypoglycemiaGlycemic controlInsulin analoguesClinical practiceKaiser Permanente Northern CaliforniaDiabetes medication useInsulin analogue useBasal insulin analoguesClinical trial populationsType of insulinHealth plan coverageHazard ratioInsulin initiationNPH insulinPatient characteristicsBasal insulinHemoglobin A1cMedication useSulfonylurea treatmentTrial populationHypoglycemic eventsNocturnal hypoglycemiaHospitalization and Emergency Department Visits for Severe Hypoglycemia among U.S. Adults with Diabetes and Serious Comorbid Conditions
MCCOY R, VAN HOUTEN H, LIPSKA K, SHAH N. Hospitalization and Emergency Department Visits for Severe Hypoglycemia among U.S. Adults with Diabetes and Serious Comorbid Conditions. Diabetes 2018, 67 DOI: 10.2337/db18-381-p.Peer-Reviewed Original ResearchEnd-stage renal diseaseChronic kidney diseaseSevere hypoglycemiaChronic conditionsChronic obstructive pulmonary diseaseRate of hospitalSerious comorbid conditionsGlucose-lowering therapyNumber of comorbiditiesEmergency department visitsObstructive pulmonary diseaseStage renal diseaseEmergency department careRisk of hypoglycemiaLimited life expectancyOptumLabs Data WarehouseSpecific chronic conditionsHigh clinical complexityPrior hypoglycemiaDiabetes medicationsMultiple comorbiditiesGlycemic targetsHypoglycemia ratesUrinary incontinenceDepartment visits