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. 2021 Jun 3;185(2):343–353. doi: 10.1530/EJE-21-0232

Table 2.

Changes in mean heart rate, blood pressure, plasma potassium and QTc interval during acute hyperglycemia and acute hypoglycemia compared with fasting plasma glucose in the group of insulin-treated patients with type 2 diabetes and the group of controls.

Parameter/group FPG Hyperglycemia Hypoglycemia
Mean 95% CI ∆Mean ∆95% CI P ∆Mean ∆95% CI P
Heart rate (b.p.m)
 T2D 67 63; 71 −1 −2; 0 0.157 11 8; 14 <0.0001
 Controls 56 52; 61 2 1; 3 0.002 11 8; 13 <0.0001
 ∆Groups −2 −1, −4 0.002 0 −3, 4 0.835
Systolic BP (mmHg)
 T2D 133 125; 141 2 −4; 8 0.504 3 −4, 8 0.514
 Controls 131 123; 139 6 0; 12 0.055 −6 −15; 3 0.199
 ∆Groups −4 −13, 5 0.363 9 −4, 22 0.173
Diastolic BP (mmHg)
 T2D 78 73; 83 −1 −5; 2 0.456 −10 −16; −4 0.002
 Controls 80 75; 85 1 −3; 5 0.613 −10 −16; −4 0.002
 ∆Groups −2 −8, 3 0.377 0 −8, 9 0.946
Plasma potassium (mmol/L)
 T2D 4.1 4.0; 4.2 0.0 −0.1; 0.1 0.545 −1.0 −1.1; −0.9 <0.0001
 Controls 4.1 4.0; 4.3 −0.2 −0.3; −0.1 0.002 −0.9 −1.0; −0.7 <0.0001
 ∆Groups 0.1 0.0, 0.3 0.074 −0.2 −0.3, 0.0 0.053
QTcF30 min (ms)
 T2D 410 404, 418 8 5, 11 <0.0001 31 16, 45 <0.0001
 Controls 412 405, 419 7 3, 10 <0.001 39 24, 53 <0.0001
 ∆Groups 1 −3, 6 0.529 −8 −28, 12 0.434
QTcFmax (ms)
 T2D 447 432, 462 15 −6, 36 0.162 49 18, 79 <0.001
 Controls 440 425, 455 3 −19, 25 0.790 55 24, 86 <0.001
 ∆Groups 12 −18, 43 0.426 −6 −50, 37 0.765
QTcB30 min (ms)
 T2D 417 408, 425 8 3, 12 <0.001 42 27, 58 <0.0001
 Controls 407 398, 416 8 4, 13 <0.001 51 35, 66 <0.0001
 ∆Groups −1 −7, 5 0.799 −8 −30, 14 0.448
∆QTcBmax (ms)
 T2D 453 437, 470 16 −5, 37 0.133 60 30, 90 <0.001
 Controls 449 432, 465 7 −14, 29 0.486 67 37, 97 <0.0001
 ∆Groups 8 −28, 32 0.574 −7 −50, 36 0.747

FPG, fasting plasma glucose; QTcB, heart rate-corrected QT by Bazett’s correction; QTcF, heart rate-corrected QT by Fridericia’s correction, ref, reference; T2D, type 2 diabetes.