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. 2016 Sep 18;2016(9):CD006992. doi: 10.1002/14651858.CD006992.pub2
  Intervention(s) and comparator(s) Participants included in analysis
 (N) Participants with hypoglycaemic episodes
 (N) Participants with hypoglycaemic episodes
 (%) Participants with nocturnal hypoglycaemic episodes
 (N/%) Participants with severe/serious hypoglycaemic episodes
 (N/%) Definition of severe/serious hypoglycaemia Participants with specific adverse events
 (N) Participants with specific adverse events
 (%)
Avilés 1999 I: metformin 21 3 13.6 0
C: placebo 22 0 10 0
Barnett 2013 I: saxagliptin 95 Reported: 22
Confirmed: 8
23.2
8.4
Urine tract infection: 7
 Nasopharyngitis: 6
 Upper resp. tract infection: 6
 Headache: 5
 Bronchitis: 4
 Pharyngitis: 3
 Influenza: 3
 Hypertension: 4
 Pain in extremity: 3 Urine tract infection: 7.4
 Nasopharyngitis: 6.3
 Upper resp. tract infection: 6.3
 Headache: 5.3
 Bronchitis: 4.2
 Pharyngitis: 3.2
 Influenza: 3.2
 Hypertension: 4.2
 Pain in extremity: 3.2
C: placebo 46 Reported: 15
Confirmed: 5
32.6
10.9
Urine tract infection: 1
 Nasopharyngitis: 1
 Upper resp. tract infection: 5
 Headache: 1
 Bronchitis: 0
 Pharyngitis: 3
 Influenza: 2
 Hypertension: 4
 Pain in extremity: 2 Urine tract infection: 2.2
Nasopharyngitis: 2.2
 Upper resp. tract infection: 10.9
 Headache: 2.2
 Bronchitis: 0
 Pharyngitis: 6.5
 Influenza: 4.3
 Hypertension: 8.7
 Pain in extremity: 4.3
Casner 1988 I: glibenclamide 31 "complains compatible with mild hypoglycaemia were not different between the two groups." 0
C: placebo 33 0
Chiasson 1994 I: acarbose 35 2.4 /2.4 Required correction of hypoglycaemia Flatulence: 73.2
 Diarrhoea: 43.6
 Abdominal discomfort: 25.0
C: placebo 44 6.0 /6.0 Flatulence: 39.0
 Diarrhoea: 20.3
 Abdominal discomfort: 8.8
Coniff 1995 I: acarbose 103 0 0 Digestive system: 78
 Flatulence: 34 Digestive system: 76
 Flatulence: 33
C: placebo 104 0 0 Digestive system: 36
 Flatulence: 14 Digestive system: 35
 Flatulence: 13
Feinglos 1998 I: glipizide Requiring assistance from another person  
C: placebo      
all: 29 69 total episodes, number of participants not mentioned 1/
Fonseca 2007 I: vildagliptin 114 22.9 0 Requiring assistance of another party
C: placebo 124 29.6
Fritsche 2000 I: metformin 0 0 0 0
C: placebo 0 0 0 0
all: 13 0 0 0 0
Giugliano 1993 I: metformin 27 0 0 Diarrhoea: 2 Diarrhoea: 7.4
C: placebo 23 0 0 Diarrhoea: ‐ Diarrhoea: ‐
Groop 1985 I: glibenclamide
C: placebo
all: 13
Hermann 2001 I: metformin 16 2 0 Diarrhoea: 6
 Flatulence: 1
 Epigastic pain: 0
 Anorexia: 2
 Constipation: 1
 Sweating: 0
 GI‐event: 8
C: placebo 19 0 0 Diarrhoea: 1
 Flatulence: 3
 Epigastric pain: 1
 Anorexia: 1
 Constipation: 1
 Sweating: 1
 GI‐event: 5
Hirsch 1999 I: metformin 25 0 Gastro‐intestinal side effects: 3 Gastro‐intestinal side effects: 12.0
C: placebo 25 0 Gastro‐intestinal side effects: 0 Gastro‐intestinal side effects: 0
Hong 2012 I: sitagliptin 61 8.2 1.6 Any episode requiring assistance from another party with plasma glucose value < 3.0 mmol/L (54 mg/dL)
C: insulin increase 63 17.5 4.8
Kitabchi 1987 I: tolazamide
C: NPH alone
Krawczyk 2005 I: metformin 20
C: insulin alone 20
Kyllastinen 1985 I: glibenclamide
C: placebo
Lewitt 1989 I: glibenclamide
C: placebo
Lindström 1999 I: glibenclamide
C: placebo
all: 15
Longnecker 1986 I: tolazamide   0 0 0
C: placebo   0 0 0
all: 11   0 0 0
Mattoo 2005 I: pioglitazone 128 109 63.4 Requiring assistance Oedema: 20 Oedema: 14.1
C: placebo 135 98 51.0 Oedema: 5 Oedema: 3.4
Mauerhoff 1986 I: glibenclamide 11 107 episodes
C: placebo 11 25 episodes
Mezitis 1992 I: glibenclamide 10
C: placebo 10
Mudaliar 2010 I: pioglitazone 12
C: placebo 13
Nemoto 2011 I: miglitol 107 122 episodes 39.3 13 episodes Flatulence: 20.6
 Diarrhoea: 14.0
 Abdominal distension: 15.0
C: placebo 100 91 episodes 35.0 29 episodes Flatulence: 12.0
 Diarrhoea: 4.0
 Abdominal distension: 4.0
Osei 1984 I: glibenclamide 6
C: placebo 11
Quartraro 1986 I: gliclazide 15
C: insulin alone 15
Reich 1987 I: glibenclamide 10 3 (5 episodes) 30.0
C: placebo 10 10 episodes
Relimpio 1998 I: metformin 24 0
C: insulin dose increase 23 0
Robinson 1998 I: metformin 0 Diarrhoea: 5.0
 Mild abdominal bloating: 5.0
C: placebo 0 Diarrhoea: 0
 Mild abdominal bloating: 0
all: 19 0
Rosenstock 2002 I1: pioglitazone 15 mg 191 7.9 0 Oedema: 12.6
I2: pioglitazone 30 mg 188 15.4 0 Oedema: 17.6
C: placebo 187 4.8 0 Oedema: 7.0
Schade 1987 I: glibenclamide 16 6 37.5
C: placebo 16 1 6.3
Schiel 2007 I1: glimepiride 17 59 0 Need for intravenous glucose or glucagon 0 0
I2: glimepiride + metformin 18 72 0 Gastrointestinal discomfort: 2 Gastrointestinal discomfort: 11.1
C: insulin 17 77 0 0 0
Simpson 1990 I: glipizide 9 4 44.4
C: placebo 10 0 0
Stenman 1988 I: glibenclamide 15 13 86.7 0
C: placebo 15 8 53.3 0
Strowig 2002 I1: metformin 27 0.6 episodes per participant per month 0 Third party assistance Gastrointestinal side effects:
 67
I2: troglitazone 30 1.7 episodes per participant per month 0 Gastrointestinal side effects:36.7
C: insulin 31 2 episodes per participant per month 1/3.2 Gastrointestinal side effects: 13
Wulffelé 2002 I: metformin 171 36.8 Third party assistance Diarrhoea: 9
 Flatulence: 4
 Pruritus: 1
 Headaches: 1
 Pyrosis: 0
 Nausea: 1
C: placebo 182 32.4 Diarrhoea: 2
 Flatulence: 1
 Pruritus: 0
 Headaches: 0
 Pyrosis: 1
 Nausea: 0
Yilmaz 2007 I1: acarbose 15 1 6.7 0 Unable to treat themselves Flatulence and bloating: 2 Flatulence and bloating: 13.3
I2: metformin 17 2 11.8 0 Gastrointestinal side effects: 3 Gastrointestinal side effects: 17.7
I3: rosiglitazone 15 2 13.3 0 Pretibial oedema: 1 Pretibial oedema: 6.7
C: insulin alone 19 2 10.5 0 Pretibial oedema: 1 Pretibial oedema: 5.3
‐ denotes not reported
C: comparator; I: intervention; NPH: Neutral Protamine Hagedorn