Letter to the editor: hypoglycemia and treatment with opioids

Tapentadol Versus Tramadol: A Narrative and Comparative Review of Their Pharmacological, Efficacy and Safety Profiles in Adult Patients

“…This study did not find a trend towards increased risk in diabetic patients, unlike the previous one. These apparently contradictory results could reveal a classification bias in some diabetic patients, where cases of hypoglycaemia attributed to an opioid are explained by a misuse of the anti-diabetic treatment favoured by cognitive disorders frequently induced by opioids [103].…”