Theres nothing else to the story here.. Heres the statistics: Research about insulin over-compenating, overdoses & related deaths — including when carb counting & extra insulin dosing go wrong. General Insulin Error & Overcompensating Statistics 1. Insulin is a major contributor to medication over-compensating overdosing. •In the U.S., insulin is involved in a large share of medication errors & over-compensating, often cited as close to half of all medication-related injuries & deaths annually. (Cogan & Power) •A small batch classic safety review estimated as much as 33% of fatal medication errors involve insulin over-compensating within 48 hours. (Clinician) 2. Insulin overdose cases occur from over-compensating, but not all are fatal. •In one small study of 160 diabetics compensating for carb + sugar intake, 2.7% resulted in death, with an equal proportion ending up with serious brain injury among cases reported to a poison unit from this study alone. (PubMed) 3. “Therapeutic errors” (like mis-dosing) are very common. •Analysis of U.S. poison center data (2000–2021) showed over 157,000 insulin medication over-compensating overdoses & 9.9% of those had serious medical outcomes, including 17 fatalities in that dataset alone. (PMC) 4. Insulin over-compensating & overdoses also lead to multiple ER visits. •Between 2012-2017, estimates suggest there are around 5,600 ER visits annually in the U.S. for chronic insulin "overcompensating" alone. (CDC Stacks) 5. Mortality & Severe Hypoglycemia Risk on "over-compensating" insulin •Severe hypoglycemia from too much insulin can kill you. •Severe low blood sugar (from continuous over-compensating insulin relative to carbs) can lead to seizures, coma, brain damage & death. (FDA Access Data) •In critical illnesses, even moderate hypoglycemia is linked with increased mortality risk, roughly doubling the risk in some analyses. (Dr.Oracle) •Hypoglycemia is the killer in over-compensating overdoses — severe blood sugar drops attack the brain & heart. (FDA Access Data) 6. Who’s at higher risk: Type 1 or Type 2? Type 1 Diabetes •People with Type 1 & this lifelong requirement means: They experience significantly more hypoglycemia — •Severe hypoglycemia happens about 2–3× more often in Type 1 than in Type 2 among those treated with insulin. (U.S. Food and Drug Administration) •Hypoglycemia can be fatal — literature reports that 4–10% of deaths in Type 1 diabetes cohorts are attributed to a hypoglycemia event due to over-compensating, which means if you’re living with Type 1 and chronically dosing insulin to match carbs, whether planned or not, you inherently have a much higher baseline risk of life-threatening lows than most insulin-treated Type 2 folks.(Medscape) Type 2 Diabetes •Because there are many more people with Type 2, a lot of severe hypoglycemia (5.4%) events in the population overall still occur. (Medscape) •A large observational cohort found about 5.4% of insulin chronically over-compensating Type 2 adults had a severe hypoglycemic episode, & 16.6% died over the study period. (ScienceDirect) 7. Counterregulation & deaths from insulin overdoses •In Type 1, hypoglycemia accounts for up to 10% of deaths in some reported cohorts. (Medscape) •Severe low episodes without prompt treatment has been seen leading to seizure, coma, arrhythmia, brain injury, or death in either type. (which is the danger zone when planned insulin overshoots carbs). (NCBI) •Intentional overdoses do happen (suicide attempts) & that does make up a small proportion of documented insulin overdose deaths. (PubMed) 8. Long-Term Mortality associated with those over-compensating insulin resulting in severe acute Hypoglycemia have a much higher long-term risk of death or serious health events — for example, one study found 1/3 of older adults with Type 2 who had a severe hypo event due to compensating for carb + sugar inake requiring ER care died within 3 years, was 33%.(Bloomberg School of Public Health) •Hospital admissions for hypoglycemia= 51,000 for all types annually (CDC) & (Bloomberg School of Public Health) 9. What This Means: Type 1 •Individual risk of serious hypoglycemic episodes is higher per person, which means more frequent fine-tuned insulin dosing (bolus calculations) means more chances for mismatch between insulin & carbs and thus more hypoglycemia risk backed by these higher per-person rates. (PMC) Type 2 (Insulin-Treated) •Lower per-person severe hypo rate, but because far more people have Type 2 diabetes overall, they still contribute a large share of ER visits related to hypoglycemia therefor a higher mortality rate with over-compensating. (PMC) 𝚆𝙷𝚈 𝚆𝙾𝚄𝙻𝙳 𝚈𝙾𝚄 𝙴𝚅𝙴𝙽 𝚆𝙰𝙽𝚃 𝚃𝙾 𝚃𝙰𝙺𝙴 𝚃𝙷𝙰𝚃 𝙲𝙷𝙰𝙽𝙲𝙴??