For persons 67 years of age and older with diabetes (types 1 and 2), the risk-adjusted ratio of observed to expected (O\/E) emergency department (ED) visits for hypoglycemia during the measurement period. Two rates are reported:<\/p>\n
The measure reports a total rate and a rate among members receiving insulin; both rates are stratified by dual eligibility status. Lower rates indicate better performance on this measure.<\/p>\n
Patients with diabetes who experience a hypoglycemic event are at significantly higher risk of repeat severe hypoglycemic episodes, as well as other negative outcomes such as cardiovascular events (1)<\/sup>.<\/strong> Common adverse events resulting from hypoglycemia include cardiovascular disease, falls and fractures, dementia, low health-related quality of life, potential risk of strokes and increased mortality (2,3,4)<\/sup>. Hypoglycemia may be influenced by a variety of factors, including malnutrition or food insecurity (5,6)<\/sup>, tight glycemic control and use of intensive antihyperglycemic medications (7,8)<\/sup>.<\/p>\n Analysis of the Nationwide Emergency Department Sample found that in 2011, 2.2% of all ED visits experienced by adults with diabetes were related to hypoglycemia (9)<\/sup>. Older adults with diabetes are at higher risk of hypoglycemia resulting from diabetes treatment than younger adults. A retrospective cohort study of over 160,000 patients with type 2 diabetes found the incidence rate of hypoglycemia among those 65\u201374 was almost twice as high compared to those 20\u201364, and over four times as high among those 75 and older. (11)<\/sup><\/sup><\/p>\n While the consequences of hypoglycemia can be devastating in older adults, it may be possible to reduce hypoglycemia risk through effective treatment management. Multiple clinical practice guidelines recommend adjusting treatment regimens in older adults to minimize hypoglycemia risk. For example, the American Diabetes Association (ADA) recommends routine monitoring of hypoglycemic episodes and adjusting glycemic targets and pharmacologic regimens to avoid hypoglycemia in older adults (12)<\/sup>. The Endocrine Society recommends that clinicians design outpatient diabetes regimens specifically to minimize hypoglycemia (13)<\/sup>. The AACE\/ACE \u00a0cites minimizing hypoglycemia as a guiding principle in its diabetes treatment algorithm and emphasizes that reducing risk of hypoglycemia should be a key consideration when selecting antihyperglycemic agents (14)<\/sup>.<\/p>\n Performance results for this measure are currently unavailable. <\/strong>Visit our Quality Compass<\/a>\u00a0page to explore data licensing options and gain access to detailed performance results for this measure.<\/p>\n \n<\/div>\n","protected":false},"excerpt":{"rendered":" For persons 67 years of age and older with diabetes (types 1 and 2), the risk-adjusted ratio of observed to expected (O\/E) emergency department (ED) visits for hypoglycemia during the measurement period. Two rates are reported: For persons 67 years of age and older with diabetes (types 1 and 2), the risk-adjusted ratio of O\/E […]<\/p>\n","protected":false},"author":45,"featured_media":0,"parent":733,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-41122","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"\nHistorical Results \u2013 National Averages<\/h2>\n
References<\/h3>\n
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