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DIABETES AND AGING

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Diabetes Care Volume 40, April 2017

Trends in Drug Utilization, Glycemic Control, and Rates of Severe Hypoglycemia, 2006–2013

Kasia J. Lipska,1 Xiaoxi Yao,2,3 Jeph Herrin,4 Rozalina G. McCoy,2,3,5 Joseph S. Ross,6,7 Michael A. Steinman,8 Silvio E. Inzucchi,1 Thomas M. Gill,9 Harlan M. Krumholz,4,7 and Nilay D. Shah2,3,10

Diabetes Care 2017;40:468–475 | DOI: 10.2337/dc16-0985

OBJECTIVE

To examine temporal trends in utilization of glucose-lowering medications, glycemic control, and rate of severe hypoglycemia among patients with type 2 diabetes (T2DM). RESEARCH DESIGN AND METHODS

Using claims data from 1.66 million privately insured and Medicare Advantage patients with T2DM from 2006 to 2013, we estimated the annual 1) age- and sexstandardized proportion of patients who filled each class of agents; 2) age-, sex-, race-, and region-standardized proportion with hemoglobin A1c (HbA1c)