When they drop below 70 mg/dL, this is called having low blood sugar. xx or ICD-10 of I50. 649 [convert to ICD-9-CM] Type 2 diabetes mellitus with hypoglycemia without coma. 64X E11. 0 Hypoglycemic coma 251. The major risk factors for severe hypoglycemia in people with type 1 diabetes include a prior episode of severe hypoglycemia , current low glycated hemoglobin (A1C) (<6. In contrast, hypoglycemia unrelated to exogenous insulin. However, the most important complication of this treatment is hypoglycemia. 1397. Y0149_UM011EN_109152022_C 225 W. Showing 1-25: ICD-10-CM Diagnosis Code E08. Gangrene* E10. ICD-10-CM Guideline: Use additional code to identify site and severity of ulcer. health care setting. However, the code 250. Search Results. Nondiabetic hypoglycemic coma. 7 episodes per patient per year ( 1 ). Loss of coordination. ICD-9-CM 251. Hypoglycemia remains a major concern for people with diabetes treated with insulin or insulin secretagogues and their families. As hypoglycemia worsens, signs and symptoms can include: Confusion, unusual behavior or both, such as the inability to complete routine tasks. Codes; Modifiers; License Data Files; Disclaimer; Search Results. ICD-10-CM Diagnosis Code E66. Hypoglycemia is a common occurrence in people with diabetes and most frequently it is the result of pharmacologic intervention. 2 million (12. 9 mmol/L) is considered clinically important (independent of the severity of acute hypoglycemic symptoms). For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 1. Severe hypoglycemia is less common in those with type 2 diabetes. The symptoms of Whipple's triad have been used to describe hypoglycemia since 1938. Decreased or impaired awareness of hypoglycemia, commonly referred to as HU, is the development of neuroglycopenic symptoms without first having autonomic. 2 should only be used for claims with a date of service on or before September 30, 2015. To make sense of the coding descriptions, the authors will explain them based on the way one might approach diabetes clinically. g. The novel finding is that patients with hypoglycemia unawareness were significantly less adherent to agreed. 2% and 10. 0 may differ. Hypo unawareness is used to describe a situation where people with diabetes, usually type 1 diabetes, are frequently unable to notice when they have low blood sugar, hypoglycemia. 6. This review provides a systematic approach to diagnosis and treatment based on the underlying pathophysiology. ICD-10-CM Diagnosis Code E11. Moreover, β-blockers are associated with an increased risk of hypoglycemia. Deficient autonomic responses were also observed to be associated with an increased. Due to anticipated differential use of carvedilol vs. ICD-10-PCS; New 2024 Codes; Codes Revised in 2024; Codes Deleted in 2024; HCPCS . Jan 19, 2015 #2The observation from early pioneering studies in T1D (10–12) that insulin sensitivity is higher after midnight until 3 a. Context: Post-bariatric hypoglycemia (PBH) is an increasingly encountered complication of upper gastrointestinal surgery; the prevalence of this condition is anticipated to rise given yearly increases in bariatric surgical procedures. New Code, effective from 10/1/2015 through 9/30/2016. 0 may differ. changes in personal routine or schedule. 2 should only be used for claims with a date of service on or before September 30, 2015. Recurrent episodes of iatrogenic hypoglycemia induce a state of hypoglycemia unawareness and defective counterregulation, which defines the syndrome of hypoglycemia-associated autonomic failure (HAAF). Hypoglycemia is in many ways the Achilles' heel of diabetes treatment. 618 [convert to ICD-9-CM] Type 2 diabetes mellitus with other diabetic arthropathy. Unawareness of hypoglycemia in type 1 diabetes mellitus; ICD-10-CM E10. Diabetes mellitus is one of the most common and increasing chronic health conditions in the U. [convert to ICD-9-CM]Hypoglycemia experience, including self-report of SH (hypoglycemia [<63 mg/dL/3. All studies examining the effects of rtCGM technology in people with diabetes and hypoglycemia problems yielded positive results on hypoglycemia-specific primary and secondary outcomes, except the HypoCOMPaSS study. 9 mmol/L). 649, E11. 5 mmol/L] that could not be self-treated, requiring assistance), over the preceding 12 months and moderate hypoglycemia (<63 mg/dL/3. 02), and independent of assignment to intensive therapy or conventional therapy. 64. other BB, heart failure was identified via the International Classification of Diseases (ICD), ICD-9 of 428. from publication: Hospitalization with hypoglycemia in patients without diabetes mellitus: A retrospective study using a. ICD-9-CM 251. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Hypoglycemia unawareness is not rare, occurring in 17 percent of those with Type 1 diabetes. From these studies, it is clear that a history. Showing 1-25: ICD-10-CM Diagnosis Code E13. Blood sugar levels change often during the day. doi: 10. The glucose level at which an individual becomes symptomatic is highly. 8–3. 2%). 9 years, BMI 22. xx). Acute hypoglycemia in patients with diabetes can lead to confusion, loss of consciousness, seizures, and even death, but how a particular patient responds to a drop in glucose appears to depend on how frequently that patient experiences hypoglycemia. ICD-10-CM Diagnosis Code E08. The goal of this review is to identify underlying mechanisms by which RYGB cause hypoglycemia and describe. 3 (diabetes with other coma) is used for DKA coma, as well as for coma caused by severe hypoglycemia. ICD-10-CM Guideline: Use additional code to identify site and severity of ulcer. Search Results. S. 1 [convert to ICD-9-CM] Other hypoglycemia. The International Classification of Diseases, 10th Revision—Clinical Modification (ICD-10) is designed to accurately classify and categorize all illnesses and diseases seen in the U. 42-) ICD-10-CM Diagnosis Code P72. Electronic address: pcryer@wustl. The management of hypoglycemia unawareness is challenging (24,25), and short of a pancreas or islet transplant, avoidance of episodes of hypoglycemia appears to carry the best chance of regaining some sensation of hypoglycemia (26–28). The symptoms of Whipple's triad have been used to describe hypoglycemia since 1938. Little is known, however, regarding how hypoglycemia is normally detected by the brain, much less how relative hypoglycemia develops in patients with diabetes. The 2024 edition of ICD-10-CM E15 became effective on October 1, 2023. Glucose is produced from the food you eat and from the liver, which stores a form of glucose called glycogen. 4239/wjd. As insulin secretion diminishes in type 2 diabetes, hypoglycemia becomes more frequent and limiting. ICD-10-CM Diagnosis Code E11. If your blood sugar is still low, eat or drink another 15 to 20 grams of carbohydrates. O99. Though low blood glucose symptoms may vary from person to person, here are some signs and symptoms to watch out for: Fast heartbeat. 810 is applicable to maternity patients aged 12 - 55 years inclusive. The major counter-regulatory hormone that causes glucose to be released by the liver to raise blood sugar. You may also see hypoglycemia unawareness in approximately 10 to 15% of people with type 2 diabetes that use insulin or sulfonylureas, and with the use of CGMs, it is becoming evident that this percentage may be higher. ICD-10-CM Diagnosis Code E09. 4 mmol/L. In addition to being life-threatening, hypoglycemia may cause hypoglycemia unawareness and compromised counterregulatory mechanisms. To be eligible for coverage of home blood glucose monitors and related accessories and supplies, the beneficiary must meet both of the following basic criteria (1)- (2): The beneficiary has diabetes (Refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses); and, Post bariatric surgery hypoglycemia (PBH), is a known complication of bariatric surgery (BS), but its' true prevalence and incidence remains uncertain and it seems to be related to the diagnostic criteria and type of evaluation. Persistent mood disorder. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus. codes for associated manifestations, such as: obesity (. Hypoglycemia remains a major concern for people with diabetes treated with insulin or insulin secretagogues and their families. Hypoglycemia in diabetes: An update on pathophysiology, treatment, and prevention. Cite. ICD-10-CM Diagnosis Code E11. The risk of hypoglycemia is higher with human insulin than with analog insulin such as Lantus and Novorapid , and therefore the preferred type of insulin in T1DM is analog insulin. Impairments in counterregulatory responses and hypoglycemia. Low blood sugar is especially common in people with type 1 diabetes. m. Showing 1-25: ICD-10-CM Diagnosis Code E10. however, this therapeutic strategy is also a major contributor to hypoglycemia and, eventually, hypoglycemia unawareness. 3 [convert to ICD-9-CM] Iatrogenic neonatal hypoglycemia. Fax +1 617-309-2593. 9 The potential mechanisms of chronic hypoglycemia unawareness, hypoglycemia-associated autonomic failure and. ICD-9-CM 251. In normal subjects concentration of IGFs in the serum is about 100. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. Look-Ups. i12. Hypoglycemia unawareness which is associated with a 3-6 times higher risk of severe hypoglycemia is prevalent in 25% to30% of adults with T1DM and increases with duration of insulin therapy. A wealth of evidence indicates that patients with diabetes mellitus are at increased risk of dementia. 95 kg/m 2, and five men, 33. Insulin acts on the liver, telling it to start building glycogen from that glucose. Recent revisions of hypoglycemia definitions also include glucose levels <54 mg/dL (i. 10 Tabel 2. 81 - other international versions of ICD-10 E88. But if it goes below the healthy range and is not treated, it can get dangerous. Insulinoma is a rare functioning pancreatic endocrine tumor, typically presenting as a sporadic solitary lesion causing hypoglycemia. To achieve good outcomes, the diagnosis and management of factitious hypoglycemia must be defined. Confusion or unconsciousness can create dangers in other ways too, for example, while. Hypoglycemia: May be life-threatening. In this article, we explore the role in hypoglycemia detection played by glucose-responsive sensory neurons supplying peripheral vascular beds and/or circumventricular organs. While these tumors can lead to marked autonomic and neuroglycopenic symptoms, the diagnosis is often delayed. In response to insulin-induced hypoglycemia, endogenous glucose production did not change from before to 6 months (0. as compared to the period 4–8 a. Recurrent episodes of hypoglycemia lead to both a decreased sympathoadrenal response to hypoglycemia and an impaired ability to recognize it (i. A search of Orphanet for “idiopathic ketotic hypoglycemia” and “ketotic hypoglycemia” yielded neither an Orpha number, an Online Mendelian Inheritance in Man (OMIM) geno- or phenotype reference number, or an ICD-10 number. 500 results found. [1] Hypoglycemia can be clinically classified according to its timing; it can be fasting, postprandial, or exercise-related. Hypoglycemia, especially severe. If you have hypoglycemia unawareness, you might develop these symptoms at dangerous times, like while driving or operating machinery, which could cause a serious accident. Blurry vision or tunnel vision. These individuals also show disturbed sleep, which may result from glycemic dysregulation. 174 results found. Periodontal disease due to diabetes type 2; Periodontal disease due to type 2 diabetes mellitus. E66 Overweight and obesity. 1 ± 0. Diabetes type 2 with arthropathy; Type 2 diabetes mellitus with arthropathy. Severe hypoglycemia had required emergency treatment in 7. Hypoglycemia causes substantial morbidity and some mortality in insulin-dependent diabetes mellitus (IDDM). Search Results. Even though it is not straightforward to set a single glucose level for defining hypoglycemia because glycemic thresholds for symptoms of hypoglycemia (and glucose counterregulation) are affected by the prevailing plasma glucose levels with the result of shifting to lower plasma glucose concentrations after recent antecedent hypoglycemia. This is because your brain needs a continuous supply of glucose to function properly. 64 became effective on October 1, 2023. Hypoglycemia is a fact of life for people with type 1 diabetes. When this happens, the risk of severe, life-threatening hypoglycemia increases. Clinically, transient loss of consciousness during hypoglycemia appears similar to vasovagal syncope. 10–250. Methods: Children and adolescents with a. 9 - other international versions of ICD-10 E13. 500 results found. Hypoglycemia can produce a variety of symptoms and effects but the principal problems arise from an inadequate. 641 [convert to ICD-9-CM] Other specified diabetes mellitus with hypoglycemia with coma. 2. This activity outlines the evaluation,. 649 is a billable diagnosis code used to specify a medical diagnosis of type 1 diabetes mellitus with hypoglycemia without coma. 2 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Conclusions. 1x (250. Showing 1-25: ICD-10-CM Diagnosis Code E13. ICD-10-CM Diagnosis Code E11. revealed that reduced compliance to changes in insulin regimen in hypoglycemia unawareness is consistent with hypoglycemic stress. , soon translated into use of more physiological replacement of basal insulin (CSII and the nearly peakless LA-IA as compared with NPH) to reduce risk of nocturnal hypoglycemia while. 500 results found. People with type 1 diabetes must take insulin to keep blood sugar in a healthy range. They were screened for cardiovascular risk factors and conditions that would predispose to central nervous system abnormalities, and those with metal implants or. Hypoglycemia is a common side effect of insulin therapy. Showing 1-25: ICD-10-CM Diagnosis Code E16. 54 ± 0. You're more likely to be unaware of hypos if you: have type 1 diabetes. 638. We describe the discovery of a novel hormone, produced in pancreatic delta cells, which stimulates glucagon production and release, particularly under low glucose conditions. Download Table | ICD-10 codes for hypoglycemia and underlying diseases. ICD-9-CM 251. (5. The following tips may be helpful: 1. INTRODUCTION. Seizure. Commentary. ICD-10-CM Codes. 2 [convert to ICD-9-CM] Congenital herpesviral [ herpes simplex] infection. 8,9 Classification Hepburn et al,10 subdivided hypoglycemia awareness into the following. People with mild low blood sugar, known. Shock. SDI Productions/Getty Images. The following code (s) above E11. Subscribe to. ICD-9-CM 251. Background. What is hypo unawareness? A hypo is when your blood glucose levels (also called blood sugar) are too low (below 4mmol/l). 649 [convert to ICD-9-CM] Type 2 diabetes mellitus with hypoglycemia without coma. A Cox proportional hazards regression model and Cox model coefficients were used to derive a risk scoring system, and 14 predictive variables were selected. In young children, signs of low blood sugar may include crying, lethargy, pallor, glassy eyes, sleepiness, or a lack of coordination. Introduction. This chapter includes symptoms, signs, abnormal. Keywords: neuroglycopenic symptoms, hypoglycemia, acute psychotic disorder, hypoglycemia. 12. [convert to ICD-9-CM] Hypoglycemia, or low blood sugar, has a variety of causes, but most often occurs as a result of insulin therapy or other medications in patients with diabetes. 649); code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) ICD-10-CM Diagnosis Code E08. Acute hypoglycaemia stimulates a stress response that. Diabetes mellitus due to underlying condition with hypoglycemia. Drug induced hypoglycemia; diabetes with hypoglycemia without coma (E09. , emergency department visits or unscheduled primary care visits) related to hypoglycemia and. This study aimed to investigate the protective and risk factors for impaired awareness of hypoglycemia (IAH) in adults with T1D. 1 It is difficult to study in its natural form because of its paroxysmal and unpredictable nature; therefore, well-controlled trials are limited. A study by Smith et al. ICD-10-CM Diagnosis Code E11. E13. Repeated episodes of hypoglycemia result in impaired awareness of subsequent hypoglycemic events, inducing a vicious feed-forward cycle and increasing the risk of morbidity and mortality. The body and brain no longer. 2 should only be used for claims with a date of service on or before September 30, 2015. The distribution of subjects categorized as high, intermediate, or low HRU risk at baseline (1 January 2017) using the ICD-10-CM updated case identification algorithm closely matched the distribution determined in our original validation, which used only ICD-9 codes with a 1 January 2014 baseline (). KH is referenced in the Human Phenotype Ontology (HPO) as HP:0012734, a sign of other known rare. Diabetes type 2 with arthropathy; Type 2 diabetes mellitus with arthropathy. 500 results found. Hypoglycemia is common in people with diabetes, though it tends to occur more often in people with type 1 diabetes. ICD-10-CM Diagnosis Code E09. 649 without coma. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus. . ICD-10-CM Coding Rules. Severe symptoms include: Confusion. In that series, Source ICD-10-CM Code Target ICD-9-CM Code; R44. The symptoms may be different, depending on how low your blood sugar goes. Hypoglycemia unawareness occurs as a result of a physiological response to recurrent hypoglycemic events known as hypoglycemia-associated autonomic failure, 5 – 7 as described earlier (see Figure 2). 2 should only be used for claims with a date of service on or before September 30, 2015. 2 - Hypoglycemia, unspecified. 4% experienced hypoglycemia unawareness and severe hypoglycemia, respectively. 9 - other international versions of ICD-10 E13. Oth. PBH, including unawareness PBH, remained very common and persisted after more than five years in average following BS. Nightmares, if asleep. Severe hypoglycemia has been shown to occur at rates of 35 to 70 episodes per 100 patient-years. This is the American ICD-10-CM version of R40. ICD-10-CM Diagnosis Code E13. Hypoglycemia unawareness is defined as the onset of neuroglycopenia before the appearance of autonomic warning symptoms. 0): 008 Simultaneous pancreas and. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. ( 4) The coding system was updated in October 2015 to its 10th revision because it was thought that the 9th revision (ICD-9) no longer. This is the American ICD-10-CM version of Q79. About 25% of people who have type 1 diabetes experience hypoglycemia unawareness. We did not have similarly detailed or validated data regarding outpatient visits (e. Drug/chem diabetes mellitus w hypoglycemia w coma; Drug induced dm w hypoglycemic coma; Hypoglycemic coma due to drug induced diabetes mellitus. New SH episodes were identified using ICD-10 codes. 64 may differ. 9 may differ. 9 may differ. This is the American ICD-10-CM version of E15 - other international versions of ICD-10 E15 may differ. It has been documented to affect 20–25% of patients with T1DM [1] and may appear 1–5 years after diagnosis [2]. This is a complication of type 1 diabetes (T1D) during which patients experience severe low blood sugars but do not feel them. Definition. Q79. ICD-10-CM Diagnosis Code E10. (ICD), ICD-9 of 428. Introduction. This greatly feared complication of T1D impairs quality of life and has a recognised morbidity. The code is linked to some Quality Measures as part of Medicare's. E10. 81 may differ. 3213 [convert to ICD-9-CM] Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral. “Hypoglycemia unawareness” or “impaired awareness of hypoglycemia” occurs when someone doesn’t experience or perceive the symptoms of hypoglycemia, which. 641 With hypoglycemia without coma or with hypoglycemia unawareness E10. Endocrine, nutritional and metabolic diseases. If you have hypoglycemia unawareness, you might develop these symptoms at dangerous times, like while driving or operating machinery, which could cause a serious accident. 64 contain annotation back-references that may be applicable to E11. 4%) adults worldwide. 64 contain annotation back-references that may be applicable to E11. 87. Conclusions. 649,. According to Cryer, 1 the average person with type 1 diabetes suffers two episodes of hypoglycemia per week and one episode of severe hypoglycemia per year. Hypoglycemia unawareness (HU) is a term used to describe the phenomenon whereby people with diabetes no longer experience the symptoms that warn them of hypoglycemia . The International Classification of Diseases, 10th Revision—Clinical Modification (ICD-10) is designed to accurately classify and categorize all illnesses and diseases seen in the U. In addition, polypharmacy, a result of multiple chronic. Hypoglycemia is defined as a clinical condition when the venous blood glucose level is <55mg/dl (<3mmol/L), obtained if possible, at the time of the symptoms. Marks, in Encyclopedia of Human Nutrition (Second Edition), 2005 Definition. 5%[]. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus. 17. feeling ill. Outline the evaluation and management of non-diabetic hypoglycemia. 628 With periodontal disease E10. 3. 64 became effective on October 1, 2023. This is normal. Background Hyperkalemia can lead to fatal cardiac arrhythmias. The aim of this study was to assess the prevalence and determinants of self-reported IAH and severe hypoglycemia in a Dutch nationwide cohort of people with insulin-treated type 2 diabetes. According to the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP), and based on a sample examined between 2004 and. It also comes with an unspecified label, meaning the. 64. A feeling of hunger, sweating, shakiness. Hypoglycemia is often defined by a plasma glucose concentration below 70 mg/dL; however, signs and symptoms may not occur until plasma glucose concentrations drop below 55 mg/dL. Due to anticipated differential use of carvedilol vs. 641. The true frequency of this condition remains uncertain, due,. Hypoglycemia is increasingly recognized after gastric bypass. Care for patients with kidney disease, particularly ESKD, is expensive and resource intensive, with 7% of all Medicare spending directed toward patients with ESKD. The 2024 edition of ICD-10-CM E10. 65: With hyperglycemia E10. This case report suggests that an acute and transient psychotic disorder may be an important neuroglycopenic feature and its early recognition protects the patient from severe hypoglycemic brain damage in a state of hypoglycemia unawareness. [1] [3] Whipple's triad is used to properly identify hypoglycemic episodes. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. ‘Uncontrolled’ is not an acceptable term. Hypoglycemia-related fatalities account for death in up to 10% of patients with type 1 diabetes . Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus; Unawareness of hypoglycemia in type 2 diabetes mellitus. 10. ICD-10-CM Diagnosis Code E11. But many people can have blood sugar readings below 70 mg/dL and feel no symptoms. 649, E10. Despite being potentially preventable, hypoglycemia in type 2 diabetes incurs substantial personal and societal burden. ICD-10-CM Code for Type 1 diabetes mellitus with hypoglycemia without coma E10. In addition, many studies analyze the frequency of severe hypoglycemia, while non-severe events or even hypoglycemia unawareness can also have significant impact on well-being. With the exception of patients with “hypoglycemia unawareness” who do not perceive the symptoms, the neurological manifestations usually occur at plasma glucose. ICD-10-CM Diagnosis Code E16. When you have hypoglycemia unawareness, you. 1 years of age, BMI 23. 161 results found. Diabetes 1 with hypoglycemia unawareness; Diabetes type 1 with hypoglycemia; Hypoglycemia due to type 1 diabetes mellitus; Unawareness of hypoglycemia in type 1 diabetes mellitus. 6. [AACE Recommendation 2. 810 may differ. Type 2 diab w hyprosm w/o nonket hyprgly-hypros coma (NKHHC); Diabetes type 2 with hyperosmolarity; Hyperosmolarity without nonketotic hyperglycemic hyperosmolar coma due to type 2 diabetes mellitus. Recurrent hypoglycemia can cause impaired awareness of hypoglycemia (IAH), and increase the risk for severe hypoglycemia. 需要解决对症状了解不足的问题，同时考虑特别注意对最年长年龄组的低血糖无意识。. have had diabetes for a long time and have always tended to have lots of hypos. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 9 mmol/L ). Even though it is not straightforward to set a single glucose level for defining hypoglycemia because glycemic thresholds for symptoms of hypoglycemia (and glucose counterregulation) are affected by the prevailing plasma glucose levels with the result of shifting to lower plasma glucose concentrations after recent antecedent hypoglycemia. This chapter includes symptoms, signs, abnormal. 2%) U. Previous Code: E11. Showing 1-25: ICD-10-CM Diagnosis CodeHypoglycemia is one of the most common complications of diabetes and a major limiting factor in the glycemic management of diabetes. Showing 1-25: ICD-10-CM Diagnosis Code E11. Around 25% of people with T2D taking insulin for >5 years were found to have severe hypoglycemic events, which is comparable to the severe hypoglycemia rate in adults with type 1 diabetes (T1D) diagnosed within 5 years.