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Patient Understanding of Hypoglycemia in Tertiary Referral Centers

BACKGROUND: Hypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia. METHODS: A survey of patients with diabetes,...

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Autores principales: Cho, Nan Hee, Kim, Nam Kyung, Han, Eugene, Hong, Jun Hwa, Jeon, Eon Ju, Moon, Jun Sung, Seo, Mi Hae, Lee, Ji Eun, Seo, Hyun-Ae, Kim, Mi-Kyung, Kim, Hye Soon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Diabetes Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842300/
https://www.ncbi.nlm.nih.gov/pubmed/29504305
http://dx.doi.org/10.4093/dmj.2018.42.1.43
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author Cho, Nan Hee
Kim, Nam Kyung
Han, Eugene
Hong, Jun Hwa
Jeon, Eon Ju
Moon, Jun Sung
Seo, Mi Hae
Lee, Ji Eun
Seo, Hyun-Ae
Kim, Mi-Kyung
Kim, Hye Soon
author_facet Cho, Nan Hee
Kim, Nam Kyung
Han, Eugene
Hong, Jun Hwa
Jeon, Eon Ju
Moon, Jun Sung
Seo, Mi Hae
Lee, Ji Eun
Seo, Hyun-Ae
Kim, Mi-Kyung
Kim, Hye Soon
author_sort Cho, Nan Hee
collection PubMed
description BACKGROUND: Hypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia. METHODS: A survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia. RESULTS: Of 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits. CONCLUSION: Many patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia.
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spelling pubmed-58423002018-03-13 Patient Understanding of Hypoglycemia in Tertiary Referral Centers Cho, Nan Hee Kim, Nam Kyung Han, Eugene Hong, Jun Hwa Jeon, Eon Ju Moon, Jun Sung Seo, Mi Hae Lee, Ji Eun Seo, Hyun-Ae Kim, Mi-Kyung Kim, Hye Soon Diabetes Metab J Original Article BACKGROUND: Hypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia. METHODS: A survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia. RESULTS: Of 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits. CONCLUSION: Many patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia. Korean Diabetes Association 2018-02 2018-02-23 /pmc/articles/PMC5842300/ /pubmed/29504305 http://dx.doi.org/10.4093/dmj.2018.42.1.43 Text en Copyright © 2018 Korean Diabetes Association http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Nan Hee
Kim, Nam Kyung
Han, Eugene
Hong, Jun Hwa
Jeon, Eon Ju
Moon, Jun Sung
Seo, Mi Hae
Lee, Ji Eun
Seo, Hyun-Ae
Kim, Mi-Kyung
Kim, Hye Soon
Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title_full Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title_fullStr Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title_full_unstemmed Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title_short Patient Understanding of Hypoglycemia in Tertiary Referral Centers
title_sort patient understanding of hypoglycemia in tertiary referral centers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5842300/
https://www.ncbi.nlm.nih.gov/pubmed/29504305
http://dx.doi.org/10.4093/dmj.2018.42.1.43
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