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Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology

Advances in technology allowing improved insulin delivery and glucose monitoring can significantly reduce the burden of hypoglycaemia when used appropriately. However, limitations of the current technology, and the skills, commitment and motivation required to use them, mean that it does not work fo...

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Detalles Bibliográficos
Autores principales: Choudhary, Pratik, Amiel, Stephanie A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448988/
https://www.ncbi.nlm.nih.gov/pubmed/29423581
http://dx.doi.org/10.1007/s00125-018-4566-6
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author Choudhary, Pratik
Amiel, Stephanie A.
author_facet Choudhary, Pratik
Amiel, Stephanie A.
author_sort Choudhary, Pratik
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description Advances in technology allowing improved insulin delivery and glucose monitoring can significantly reduce the burden of hypoglycaemia when used appropriately. However, limitations of the current technology, and the skills, commitment and motivation required to use them, mean that it does not work for all people. Education and informed professional support are key to success. In the context of problematic hypoglycaemia, data suggest that newer technology has lower efficacy and uptake in those with most need. Identifying the causes of hypoglycaemia and understanding some of the underlying behavioural drivers may prove useful and psycho-educational strategies may be effective in selected individuals. Ultimately, as in many spheres of medicine, successful management of problematic hypoglycaemia depends upon matching the right treatment to the right individual. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00125-018-4566-6) contains a slide of the figure for download, which is available to authorised users.
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spelling pubmed-64489882019-04-17 Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology Choudhary, Pratik Amiel, Stephanie A. Diabetologia Review Advances in technology allowing improved insulin delivery and glucose monitoring can significantly reduce the burden of hypoglycaemia when used appropriately. However, limitations of the current technology, and the skills, commitment and motivation required to use them, mean that it does not work for all people. Education and informed professional support are key to success. In the context of problematic hypoglycaemia, data suggest that newer technology has lower efficacy and uptake in those with most need. Identifying the causes of hypoglycaemia and understanding some of the underlying behavioural drivers may prove useful and psycho-educational strategies may be effective in selected individuals. Ultimately, as in many spheres of medicine, successful management of problematic hypoglycaemia depends upon matching the right treatment to the right individual. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s00125-018-4566-6) contains a slide of the figure for download, which is available to authorised users. Springer Berlin Heidelberg 2018-02-08 2018 /pmc/articles/PMC6448988/ /pubmed/29423581 http://dx.doi.org/10.1007/s00125-018-4566-6 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Review
Choudhary, Pratik
Amiel, Stephanie A.
Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title_full Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title_fullStr Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title_full_unstemmed Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title_short Hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
title_sort hypoglycaemia in type 1 diabetes: technological treatments, their limitations and the place of psychology
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448988/
https://www.ncbi.nlm.nih.gov/pubmed/29423581
http://dx.doi.org/10.1007/s00125-018-4566-6
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