A longitudinal study of fear of hypoglycaemia in adults with type 1 diabetes

Endocrinology, Diabetes & Metabolism
Therese AnderbroUnn-Britt Johansson

Abstract

To investigate fear of hypoglycaemia (FoH) longitudinally in a cross-sectional study of adult patients with type 1 diabetes. Specifically, we investigated two subgroups of patients who over 4 years either showed a substantial increase or decrease in level of FoH to identify factors associated with changes in FoH. The Swedish version of the Hypoglycaemia Fear Survey (HFS) along with a questionnaire to assess hypoglycaemia history was sent by mail to 764 patients in 2010. The responders in 2010 (n = 469) received another set of the same two questionnaires in 2014. HbA1c, insulin regimen, weight and creatinine from 2010 and 2014 were obtained from medical records. Those with an absolute difference in HFS scores ≥ 75th percentile were included in the subgroup analyses. Statistical analyses included one-sample t tests, chi-square and McNemar's test. The absolute difference in the HFS total score (n = 347) between 2010 and 2014 was m = ±7.6, SD ± 6. In the increased FoH group, more patients reported a high level of moderate hypoglycaemic episodes as well as impaired awareness of hypoglycaemia in 2014 compared with the decreased FoH group. There were more subjects in the increased FoH group with insulin pumps in 2014 and in 2010. In t...Continue Reading

References

Sep 1, 1987·Diabetes Care·D J CoxJ Butterfield
Aug 17, 2006·Pediatric Diabetes·Linda A Gonder-FrederickWilliam L Clarke
May 13, 2008·Patient Education and Counseling·Therese AnderbroUnn-Britt Johansson
Nov 27, 2008·Diabetes·Philip E Cryer
Sep 22, 2010·Diabetic Medicine : a Journal of the British Diabetic Association·T AnderbroU-B Johansson
Dec 22, 2014·Acta Diabetologica·Therese AnderbroUnn-Britt Johansson
Feb 12, 2015·Acta Diabetologica·Carlo B GiordaUNKNOWN HYPOS-1 Study Group of AMD
Mar 13, 2015·Diabetic Medicine : a Journal of the British Diabetic Association·G NefsF Pouwer
Oct 7, 2015·Journal of Diabetes and Its Complications·Pamela Martyn-NemethLaurie Quinn

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Citations

Feb 8, 2021·Diabetologia·Stephanie A Amiel
May 18, 2021·World Journal of Diabetes·Maja Cigrovski BerkovicVjekoslav Cigrovski

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