Identifying the worries and concerns about hypoglycemia in adults with type 2 diabetes

Journal of Diabetes and Its Complications
W H PolonskySteven V Edelman

Abstract

To identify the hypoglycemic concerns of adults with type 2 diabetes (T2D) and examine how these concerns are associated with key patient characteristics. Qualitative interviews with 16 T2D adults and 11 diabetes care providers were conducted. Survey items were then developed and submitted to exploratory factor analyses (EFAs). Construct validity was assessed by correlations with diabetes distress, anxiety and depressive symptoms, well-being, hypoglycemic fear, hypoglycemia history and glycemic control (A1C). An EFA with 226 insulin users and 198 non-insulin users yielded 3 factors (14 items): Hypoglycemia Anxiety, Avoidance and Confidence. For both T2D groups, higher Anxiety and Avoidance were significantly associated with more hypoglycemia, lower well-being, and greater diabetes distress, depressive symptoms and hypoglycemic fear. Similar associations, in the converse direction, were found for Confidence. Among insulin users only, Anxiety was independently associated with greater emotional distress and more hypoglycemia, while Confidence was independently linked to less emotional distress and lower A1C. Avoidance was independently associated with greater emotional distress in both groups. Using the new 14-item Hypoglycemic At...Continue Reading

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Citations

Dec 21, 2016·Diabetes Technology & Therapeutics·William H PolonskySteven V Edelman
Apr 14, 2018·Diabetes, Obesity & Metabolism·Antonio E Pontiroli, Valerio Ceriani
Sep 1, 2017·Diabetic Medicine : a Journal of the British Diabetic Association·J GrammesT Kubiak
Aug 30, 2018·Journal of Managed Care & Specialty Pharmacy·Anthony CannonMichael Shannon
Nov 21, 2018·Journal of Diabetes Science and Technology·Grazia Aleppo, Kimberly Webb
Feb 25, 2018·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Lori BerardJean-François Yale
Jul 5, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·C HendrieckxJ Speight
Dec 15, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·K WinkleyE Holmes-Truscott
Nov 15, 2019·European Journal of Preventive Cardiology·Dominique HansenHeinz Völler
May 4, 2018·Health and Quality of Life Outcomes·James WeatherallAlexia Marrel
Oct 23, 2020·Journal of Clinical Nursing·Yu ZhangMark Hayter
Feb 8, 2021·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Chioma UzoigweWilliam H Polonsky
Mar 5, 2021·Journal of Clinical Nursing·Merve Yuksel, Hicran Bektas
Oct 2, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Kevin A MatlockUNKNOWN Hypo-RESOLVE consortium

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