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The consensus statement from the American Diabetes Association and the European Association for the Study of Diabetes published in both Diabetologia (1) and Diabetes Care (2) included the following statement concerning the incidence of hypoglycemia in insulin-treated type 2 diabetes: “In clinical trials aimed at normoglycemia and achieving a mean A1C of ∼7%, severe hypoglycemic episodes (defined as requiring help from another person to treat) occurred at a rate of between 1 and 3 per 100 patient-years.” This is not a balanced description of the published literature.The authors cited five publications to support the statement quoted (3–7). However, two of those do not include event rates for severe hypoglycemia as defined in the statement (5,6), and one was a review with …

diabetes care

Management of Hyperglycemia in Type 2 Diabetes: A Consensus Algorithm for the Initiation and Adjustment of Therapy: A Consensus Statement From the American Diabetes Association and the European Association for the Study of Diabetes: Response to Nathan et al.