Cognitive, behavioural and psychological barriers to the prevention of severe hypoglycaemia: A qualitative study of adults with type 1 diabetes

SAGE Open Medicine
J SpeightJ A M Shaw

Abstract

Severe hypoglycaemia affects approximately one in three people with type 1 diabetes and is the most serious side effect of insulin therapy. Our aim was to explore individualistic drivers of severe hypoglycaemia events. In-depth semi-structured interviews were conducted with a purposive sample of 17 adults with type 1 diabetes and a history of recurrent severe hypoglycaemia, to elicit experiences of hypoglycaemia (symptoms/awareness, progression from mild to severe and strategies for prevention/treatment). Interviews were analysed using an adapted grounded theory approach. Three main themes emerged: hypoglycaemia-induced cognitive impairment, behavioural factors and psychological factors. Despite experiencing early hypoglycaemic symptoms, individuals often delayed intervention due to impaired/distracted attention, inaccurate risk assessment, embarrassment, worry about rebound hyperglycaemia or unavailability of preferred glucose source. Delay coupled with use of a slow-acting glucose source compromised prevention of severe hypoglycaemia. Our qualitative data highlight the multifaceted, idiosyncratic nature of severe hypoglycaemia and confirm that individuals with a history of recurrent severe hypoglycaemia may have specific thou...Continue Reading

References

Jan 1, 1990·Social Science & Medicine·K Charmaz
May 28, 1987·The New England Journal of Medicine·S A AmielR S Sherwin
Feb 1, 1993·Diabetes Care·D J CoxW L Clarke
Aug 1, 1996·Brain : a Journal of Neurology·R J McCrimmonB M Frier
Oct 1, 1996·Patient Education and Counseling·M A MerbisR J Heine
Apr 1, 1997·Diabetes Care·L Gonder-FrederickW Clarke
Jun 6, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·R J McCrimmonB M Frier
Jun 6, 2003·Diabetes/metabolism Research and Reviews·Ulrik Pedersen-BjergaardBirger Thorsteinsson
Apr 28, 2005·Diabetes Care·UNKNOWN Workgroup on Hypoglycemia, American Diabetes Association
Dec 20, 2007·Diabetes/metabolism Research and Reviews·Brian M Frier
Apr 5, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·J GeddesB M Frier
Dec 18, 2008·The Journal of Clinical Endocrinology and Metabolism·Philip E CryerUNKNOWN Endocrine Society
Jun 10, 2010·The Medical Journal of Australia·H David McIntyreKristen S Gilshenan
Sep 15, 2011·Diabetic Medicine : a Journal of the British Diabetic Association·H A RogersS A Amiel
Sep 6, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·J LawtonUNKNOWN UK NIHR DAFNE Study Group
Aug 31, 2013·Diabetes Care·Julia LawtonUNKNOWN U.K. NIHR DAFNE Study Group
Dec 10, 2013·Diabetes Care·Nicole de ZoysaStephanie A Amiel

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Citations

Jun 2, 2015·Diabetes Research and Clinical Practice·Emma ShuttlewoodStephanie Amiel
Feb 12, 2015·Journal of the American Medical Directors Association·Angela Marie AbbatecolaUNKNOWN Italian Society of Gerontology and Geriatrics (SIGG), Florence, Italy
Dec 21, 2016·Diabetes Technology & Therapeutics·Gabriela Spencer-BonillaVictor M Montori
May 8, 2018·Clinical Nursing Research·Pamela Martyn-NemethLaurie Quinn
Aug 10, 2015·Clinical Diabetes and Endocrinology·Alex J Graveling, Brian M Frier
Aug 4, 2018·Journal of Assisted Reproduction and Genetics·Brandy LambErin Rothwell
Dec 10, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·C HendrieckxJ Speight
Feb 23, 2017·Journal of Alzheimer's Disease : JAD·Wei LiSujuan Gao
Apr 11, 2021·Journal of Diabetes and Its Complications·W H PolonskyL Fisher
Aug 3, 2021·Diabetes, Obesity & Metabolism·Lian A van MeijelBastiaan E de Galan

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Clinical Trials Mentioned

ISRCTN52164803

Software Mentioned

Hypo COMPaSS

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