Abstract

Association Between Serious Hypoglycemia and Calcium-Channel Blockers Used Concomitantly With Insulin Secretagogues

Highlights

  • Serious hypoglycemia is a major, potentially fatal adverse event caused by insulin secretagogues.[1]

  • Adjusted rate ratios (RRs) for serious hypoglycemia with concomitant calcium-channel blocker (CCB) use were reduced with glimepiride (0.79; 0.70-0.89), glipizide (0.86; 0.79-0.94), glyburide (0.81; 0.73-0.90), and metformin (0.91; 0.86-0.96)

  • Calcium-channel blockers used concomitantly with insulin secretagogues were associated with reduced rates of serious hypoglycemia compared with the use of insulin secretagogues without CCBs

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Summary

Introduction

Serious hypoglycemia is a major, potentially fatal adverse event caused by insulin secretagogues.[1]. Because insulin secretion by the pancreas is mediated by calcium influx in beta cells through calcium channels,[4] we conducted a population-based observational study on the hypothesis that concomitant use of CCBs may be associated with reduced rates of serious hypoglycemia in insulin secretagogue users

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