Table 2. Associations Between Neonatal Hypoglycemia and Neurosensory Impairment at Corrected Age 2 Yearsa.
Primary outcome | No./total No. (%) | RD/MD (95% CI) | RR (95% CI) | Adjusted RR/MD (95% CI)b | P value |
---|---|---|---|---|---|
Normoglycemia | 125/704 (17.8) | ||||
Hypoglycemiac | 111/487 (22.8) | 5.04 (0.36 to 9.72) | 1.28 (1.02 to 1.61) | 1.28 (1.01 to 1.60) | .04 |
Severity of hypoglycemiad,e | .02 | ||||
Mild | 81/381 (21.3) | 3.50 (−1.49 to 8.49) | 1.20 (0.93 to 1.54) | 1.18 (0.92 to 1.52) | .19 |
Severe | 30/106 (28.3) | 10.55 (1.51 to 19.59) | 1.59 (1.13 to 2.25) | 1.68 (1.20 to 2.36) | .003 |
Frequency of hypoglycemia f,g | .08 | ||||
1-2 episodes | 99/424 (23.4) | 5.59 (0.67 to 10.52) | 1.32 (1.04 to 1.66) | 1.29 (1.02 to 1.64) | .03 |
Recurrent | 12/63 (19.1) | 1.29 (−8.82 to 11.41) | 1.07 (0.63 to 1.83) | 1.06 (0.63 to 1.80) | .83 |
Abbreviations: MD, mean difference; RD, risk difference; RR, risk ratio.
Defined as any of the following: blindness (visual acuity <3/60 or >1.3 logMAR), hearing impairment requiring aids, cerebral palsy, developmental delay (Bayley-III cognitive, language, or motor composite score <85), or performance-based executive function total score more than 1.5 SD below the cohort mean.
Adjusted for study site, primary reason for risk of hypoglycemia, socioeconomic decile at birth, and multiple births.
An episode of hypoglycemia was defined as 1 or more episode of consecutive blood glucose concentrations less than 47 mg/dL (to convert glucose to millimoles per liter, multiply by 0.0555).
The severity of hypoglycemia was defined as none (all blood glucose concentrations ≥47 mg/dL), mild (≥1 episode of ≥36 and <47 mg/dL), and severe (≥1 episode of <36 mg/dL).
P values reported for the overall association between severity of hypoglycemia and outcome, none vs mild, and none vs severe.
The frequency of hypoglycemia was defined as none (all blood glucose concentrations ≥47 mg/dL), 1 to 2 episodes of consecutive blood glucose concentrations less than 47 mg/dL, and recurrent (≥3 episodes of consecutive blood glucose concentrations <47 mg/dL).
P values reported for the overall association between frequency of hypoglycemia and outcome, none vs 1 to 2 episodes, and none vs recurrent (ie, ≥3 episodes of consecutive blood glucose concentrations <47 mg/dL).