{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:05:57Z","timestamp":1778810757165,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T00:00:00Z","timestamp":1755820800000},"content-version":"vor","delay-in-days":233,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Diabetes Research"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Hypoglycemia has been an often\u2010neglected complication of diabetes therapy. Mild hypoglycemia reduces quality of life, while severe hypoglycemia is life\u2010threatening and can precipitate major cardiovascular and cerebrovascular events.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A multicenter cross\u2010sectional study was conducted on hypoglycemia among adults with diabetes attending 19 medical clinics in government hospitals in Sri Lanka using an interviewer\u2010administered questionnaire.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    There were 2005 participants, and 1110 (55.4%) were &lt;\u200965 years of age and 895 (44.6%) were &gt;\u200965 years of age; the mean age was 62.12 \u00b1 11.94 years (58.1% female). The median duration of diabetes was 8 (IQR11) years. Among them, 808 (43%), 757 (37.8%), and 376 (18.8%) had neuropathy, retinopathy, and nephropathy, respectively, while 415 (20.7%), 50 (2.5%), and 22 (1%) had ischemic heart disease, strokes, and peripheral vascular disease, respectively. One thousand three hundred forty\u2010nine (67.3%) experienced at least one episode of hypoglycemia, and 462 (34.2%) had hospital admissions (9 (0.7%) intensive care admissions) over the past year. Older adults (\n                    <jats:italic>n<\/jats:italic>\n                    = 584) experienced significantly more symptomatic hypoglycemia compared to the younger population (\n                    <jats:italic>p<\/jats:italic>\n                    \u2264 0.001). Their mean CBS during hypoglycemic episodes was 57.04 \u00b1 18.15\u2009mg\/dL. Among them, 1552 (77.4%) were on oral hypoglycemic medications, 453 (22.6%) were on insulin, and 126 (6.3%) were on both. The most typical reasons for hypoglycemia were skipping meals while taking regular medications (511, 37.9%), consumption of sugar\u2010reducing native food items (203, 15%) and taking higher doses of insulin (112, 8.3%) and oral medication (74, 5.5%) than prescribed. To self\u2010manage hypoglycemia, 1070 (79.3%) took sugary drinks, food, or glucose, and 279 (20.7%) did not do anything. There were 304 (34%) frail older adults, and 238 (78.3%) got hypoglycemia. They were taking similar prescriptions as young adults. They displayed significant hypoglycemic symptoms such as dizziness, irritability, nausea, speech impediment, and blurred vision compared to nonfrail elders (\n                    <jats:italic>p<\/jats:italic>\n                    \u2264 0.01). There were 485 diabetic patients who either drove or rode in a vehicle; 51 (10.5%) of them had experienced hypoglycemia during driving or riding.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Hypoglycemia is a significant issue which needs to be addressed. There is no difference in prescription medication in age categories and frail patients. Driving and hypoglycemia are also a concerning issue. Patients need advice on the prevention and treatment of hypoglycemia.\n                  <\/jats:p>","DOI":"10.1155\/jdr\/4412070","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:03:59Z","timestamp":1755860639000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Comparative Multicenter Cross\u2010Sectional Study on Hypoglycemia in Young Adults and Older Adults With Type 2 Diabetes Mellitus in an Outpatient Setting in Sri Lanka"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6699-7937","authenticated-orcid":false,"given":"Priyamali 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