Evidence map›Paper›PMID 42273407›Full record

ArticleFrontiers in clinical diabetes and healthcare2026

Incidence and factors associated with hypoglycemia in newly diagnosed hospitalized children and adolescents with type 1 diabetes mellitus in China.

Wang Li, Lin Qin, Zhu Gaohui, Chen Lili, Guo Rong, Wu Liping

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Article in Frontiers in clinical diabetes and healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Wang LiOutpatient Department, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Children and Adolescents' Health and Diseases, Ministry of Education Key Laboratory of Child Development and Disorders, Intelligent Application of Big Data in Pediatrics Engineering Research Center of Chongqing Education Commission of China, Chongqing, China.
Lin QinDepartment of Endocrinology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Zhu GaohuiDepartment of Endocrinology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Chen LiliDepartment of Endocrinology, Children's Hospital of Chongqing Medical University, Chongqing, China.
Guo RongChongqing Department of Respiratory Medicine, Affiliated Children's Hospital of Chongqing Medical University, Chongqing, China.
Wu LipingDepartment of Nursing, Affiliated Children's Hospital of Chongqing Medical University, School of Nursing, Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the incidence and associated factors of hypoglycemia in hospitalized children and adolescents with newly diagnosed type 1 diabetes mellitus(T1DM) at a pediatric medical center in China. Research design and methods: This retrospective study included 567 children and adolescents aged <18 years with newly diagnosed T1DM hospitalized between January 1, 2016, and January 1, 2023. Hypoglycemia was defined as blood glucose <3.9 mmol/L (grade 1: 3.0-3.9 mmol/L; grade 2: <3.0 mmol/L).Between-group comparisons were performed using independent samples t-test, χ2-test, Mann-Whitney U-test, and binary logistic regression analysis to identify factors associated with hypoglycemia. Results: Among 567 patients, The total number of blood glucose measurements during hospitalization was 50,626.Hypoglycemia (<3.9 mmol/L) occurred 2,545 times, with an incidence density of 5.03%.Regarding severity 1,995 episodes of grade 1 hypoglycemia occurred(incidence density 3.94%), and 550 episodes of grade 2 hypoglycemia occurred(incidence density 1.08%).In terms of frequency, 81.66% (463/567) of patients had at least 1 hypoglycemia episode during hospitalization. Among those, 15.87% (90/567) had one episode, 12.52% (71/567) had two episodes, and 53.26% (302/567) had three or more episodes. The recurrence rate (≥2 episodes) was 65.78%(373/567 ).Regarding timing, grade 1 hypoglycemia occurred most frequently at night (00:00-06:00), while the highest event density for grade 2 was observed in the pre-lunch period (09:00-12:00). Multifactorial logistic regression analysis showed that age 7-12 years(OR = 0.421,95%CI=0.244-0.727,p Conclusions: Hypoglycemia is common among newly diagnosed hospitalized children and adolescents with T1DM in China, particularly at night for grade 1 events. Age, hospitalization days, insulin regimen, fasting C-peptide, and fasting insulin were associated with hypoglycemia. These associations, particularly for insulin regimen, should be interpreted considering potential confounding by indication due to the observational study design. These findings may inform targeted prevention strategies.

Indexed as

associate factorschildren and adolescentshospitalizedhypoglycemiatype 1 diabetes mellitus

Identifiers

PMID42273407
PMCPMC13246355

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