Higher temperatures are associated with increased hospitalization for patients with diabetes

The results of a new study should serve as a warning regarding the effect of elevated temperatures on the risk of adverse outcomes in affected patients diabeticAccording to the investigators.

With climate change continuing to affect every corner of the Earth, the results of the study, which drew on data from nationwide administrative databases in Japan from 2012-2019, suggest that extreme cores are associated with a more than 60% increase in risk of an emergency. for hyperglycemia over the following three days, which investigations indicate was consistent across different types of hyperglycemic emergencies and types of diabetes.

The relative risks of standard and severe thermal effect on emergency hospitalization for hypoglycemia were found to be 1.33 and 1.65, respectively, and similar risks for hyperglycemia were found. Principal investigator Takeo Fujiwara, MD, PhD, MPH, said: in the current situation.

With higher temperature associated with higher adverse health outcomes, and following recent data demonstrating this effect in diabetic patients, the current study was launched by investigators in the Department of Global Health Promotion at Tokyo Medical and Dental University. With the aim of estimating associations between heat exposure and hospitalization in patients with diabetes, the researchers designed the current study as an analysis of data from daily hospitalization extracted from a national administrative database in Japan correlated with temperature in each region from 2012-2019. The investigators note that a distributed nonlinear lag model was used to assess the nonlinear and lag effects of heat exposure on hospitalization, with the intriguing events defined as diabetic ketoacidosis, hyperglycemic state, and hypoglycemia.

From the dates, the researchers identified 45,482 hospital admissions for hyperglycemia and 62,042 hospital admissions for hypoglycemia during the study period. The most common emergency form of hyperglycaemia was diabetic ketoacidosis, which represented 84.9% of all hyperglycemic emergencies included in the trial. The investigators noted that 52.8% of hyperglycemic emergencies occurred in patients with type 2 diabetes and that the majority occurred among patients aged 15 years or older (94.6%). The investigators also noted that the majority of patients who experienced hospitalization (65.8%) were over 65 years of age.

When analyzed, the results indicated that the combined relative risk of thermal forcing (90th percentile of temperature vs. 75th percentile of temperature) and severe thermal forcing (99th percent of temperature versus 75th percentof temperature) of associated emergencies Hyperglycemia within 0-3 days delayed were 1.27 (95% CI, 1.16-1.39) and 1.64 (95% CI, 1.38-1.93), respectively. Additional analysis suggested that the combined relative risk of heat effect and severe heat effect on hospitalization for hypoglycemia was 1.33 (95% CI, 1.17–1.52) and 1.65 (95% CI, 1.29–2.10), respectively. The investigators also noted that these associations appear to be consistent by type of hyperglycemic emergency and type of diabetes.

“To our knowledge, this is the first study to demonstrate the association between ambient temperature and hyperglycemic and hypoglycemic emergencies using a distributed nonlinear lag model, which allows us to assess the nonlinear and lag effects of ambient temperature.” Previous studies evaluating the effects of ambient temperature on diabetic patients have been limited to all-cause mortality and all-cause hospitalization.”

this study, “The relationship between heat exposure and hospitalization for diabetic ketoacidosis, hyperglycemic state, and hypoglycemia in Japan,Posted in international environmental.