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CompletedNCT07887334HYPOGLYCEMIA16Updated Oct 21, 2026

Hypoglycemia Risk Assessment in Elderly and Senile Female Patients With Type 2 Diabetes Mellitus

An observational study in Type 2 Diabetes Mellitus, Hypoglycemia and Frailty, sponsored by Samara State Medical University. Completed at 1 site in Russia. Open to female participants aged 60 Years to 86 Years. Per ClinicalTrials.gov, last updated 2026-10-21.

Sponsored by Samara State Medical University · Observational

Updated Oct 21, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
200
Ages
60 Years to 86 Years
Sex
Female
01

Study summary

Hypoglycemia poses a particular danger for elderly patients with type 2 diabetes mellitus (T2DM). According to data, more than 30% of patients aged 60-69 years experience hypoglycemic episodes, and among persons over 85 years this figure exceeds 50%. The high risk is due to age-related changes: slowing of drug metabolism, decreased renal and hepatic function, weakening of counter-regulatory hormonal reactions, and impaired recognition of warning symptoms of severe hypoglycemia. The consequences of hypoglycemia in old age are especially severe, including increased risk of cardiovascular catastrophes, falls and fractures, and cognitive decline. This study aimed to identify predictors of hypoglycemia and assess its probability in elderly and senile women with T2DM for prevention in clinical practice.

Read the detailed description

This cross-sectional study included 200 female patients with T2DM divided into two age categories: 153 elderly patients (60-74 years) and 47 senile patients (75-86 years). For subsequent statistical analysis, subgroups were identified in each category depending on the presence of a history of hypoglycemia. All patients underwent inpatient treatment in endocrinology departments of Samara City Hospital No. 6.

Objectives:

  1. To determine the frequency of hypoglycemic episodes in elderly and senile female patients considering antidiabetic medications, T2DM duration, glycemic variability, and HbA1c level.
  2. To assess the structure of multimorbidity, prevalence of frailty and prefrailty syndromes using the "Age Is Not a Hindrance" questionnaire in elderly and senile female patients with T2DM with and without hypoglycemia.
  3. To conduct a comprehensive geriatric assessment (CGA) with determination of basic (Barthel Index) and instrumental (Lawton Scale) activities, cognitive functions (MMSE), depressive disorders (GDS-15), nutritional status (MNA) in elderly and senile female patients with T2DM with and without hypoglycemia.
  4. To assess sarcopenia prevalence via determination of muscle mass (bioimpedance analysis), muscle function (gait speed), upper (handgrip dynamometry) and lower (5-times sit-to-stand test) limb strength in elderly and senile female patients with T2DM with and without hypoglycemia.
  5. To identify significant clinical, laboratory and instrumental predictors of hypoglycemia in elderly and senile female patients with T2DM.
  6. To develop and implement in clinical practice hypoglycemia risk assessment models for elderly and senile female patients with T2DM.
02

Conditions studied

  • Type 2 Diabetes Mellitus
  • Hypoglycemia
  • Frailty
  • Sarcopenia

Keywords

  • Hypoglycemia
  • Type 2 diabetes mellitus
  • Elderly
  • Comprehensive geriatric assessment
  • Frailty
  • Sarcopenia
  • Risk assessment
  • Predictive modeling
03

In context

Diabetes Mellitus, Type 2

9,589 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,332 are open to participants now.

This study's enrollment of 200 is below the median of 300 across 1,622 observational studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Samara State Medical University is the lead sponsor of 17 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 86 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Female patients aged 60-86 years with type 2 diabetes mellitus undergoing inpatient treatment at endocrinology departments of Samara City Hospital No. 6. Consecutive sampling was used among patients meeting inclusion criteria.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Female sex
  • Presence of type 2 diabetes mellitus
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Type 1 diabetes mellitus
  • Acute decompensation of carbohydrate metabolism at the time of the study
  • Acute infectious diseases and exacerbation of concomitant chronic pathologies
  • Oncological diseases at the time of the study
  • Systemic joint and connective tissue diseases
  • Osteoarthritis of large joints with impaired joint function II-IV degree
  • Severe cognitive impairments preventing survey and examination
  • Presence of a pacemaker
  • Bilateral endoprosthetics of large joints or metal structures in the spine
  • Glucocorticoid intake at the time of the study and within 1 month prior
  • Terminal stage of chronic kidney disease (eGFR less than 15 ml/min/1.73m² by CKD-EPI)
  • Impaired liver function (transaminase activity exceeding 5 times the upper limit of normal)
05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
200 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Elderly patients (60-74 years)

    Female patients aged 60-74 years with type 2 diabetes mellitus (n=153), divided into subgroups with hypoglycemia (n=59, 38.6%) and without hypoglycemia (n=94, 61.4%). Comprehensive geriatric assessment and laboratory evaluation performed.

    Diagnostic Test: Comprehensive Geriatric Assessment · Diagnostic Test: Sarcopenia assessment · Diagnostic Test: Laboratory assessment

  • Senile patients (75-86 years)

    Female patients aged 75-86 years with type 2 diabetes mellitus (n=47), divided into subgroups with hypoglycemia (n=34, 72.3%) and without hypoglycemia (n=13, 27.7%). Comprehensive geriatric assessment and laboratory evaluation performed.

    Diagnostic Test: Comprehensive Geriatric Assessment · Diagnostic Test: Sarcopenia assessment · Diagnostic Test: Laboratory assessment

Interventions

  • Diagnostic testComprehensive Geriatric Assessment

    Comprehensive geriatric assessment including "Age Is Not a Hindrance" screening questionnaire, Barthel Index for basic activities of daily living, Lawton Scale for instrumental activities of daily living, Mini-Mental State Examination (MMSE) for cognitive function, Geriatric Depression Scale (GDS-15) for depression screening, Mini Nutritional Assessment (MNA) for nutritional status, and Charlson Comorbidity Index.

    Also known as: CGA

  • Diagnostic testSarcopenia assessment

    Sarcopenia assessment according to EWGSOP2 criteria: bioimpedance analysis for muscle mass (ASMMI), handgrip dynamometry for upper limb strength, 5-times sit-to-stand test for lower limb strength, gait speed measurement for physical performance.

    Also known as: EWGSOP2 assessment

  • Diagnostic testLaboratory assessment

    Laboratory assessment including complete blood count, biochemical analysis (creatinine, eGFR by CKD-EPI, total cholesterol, LDL, HDL, triglycerides, total protein, ALT, AST, total bilirubin), and HbA1c measurement.

    Also known as: Biochemical analysis

06

What researchers measure

Primary outcomes

  1. Hypoglycemia frequency

    Frequency of hypoglycemic episodes documented in medical history and medical records.

    Time frame: From enrollment to the end of treatment at 12 weeks

Secondary outcomes

  1. Sarcopenia prevalence

    Assessment of sarcopenia prevalence according to EWGSOP2 criteria.

    Time frame: From enrollment to the end of treatment at 12 weeks

Other outcomes

  1. Predictive model development

    Development of extended and shortened mathematical models for hypoglycemia risk .

    Time frame: From enrollment to the end of treatment at 12 weeks

07

Study locations

1 site
  • Samara City Hospital No. 6, Endocrinology Department
    Samara, Samara Oblast 443099, Russia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2020 to primary completion in Dec 2025, 71 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 30, 2026
First posted
Oct 21, 2026
StartActual
Jan 1, 2020
Primary completionActual
Dec 31, 2025
CompletionActual
Dec 31, 2025
Last update
Oct 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 21, 2026
Show all 1 update
  1. Oct 21, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07887334
Lead sponsor
Samara State Medical University
Responsible party
Sponsor
First posted
Oct 21, 2026
Start date
Jan 1, 2020
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
Oct 21, 2026

Study contacts

Svetlana V. Bulgakova, MD, PhD, Professor
principal investigator · Samara State Medical University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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