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Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey

OBJECTIVES: Fear of hypoglycaemia (FoH) has been associated with suboptimal diabetes management and health outcomes. This study investigated factors associated with behavioural and emotional aspects of FoH among adults living with type 1 diabetes (T1D) mellitus. DESIGN: Cross-sectional study. SETTIN...

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Autores principales: Liu, Jingwen, Bispham, Jeoffrey, Fan, Ludi, Poon, Jiat-Ling, Hughes, Allyson, Mcauliffe-Fogarty, Alicia, Varnado, Oralee, Mitchell, Beth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476480/
https://www.ncbi.nlm.nih.gov/pubmed/32895285
http://dx.doi.org/10.1136/bmjopen-2020-038462
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author Liu, Jingwen
Bispham, Jeoffrey
Fan, Ludi
Poon, Jiat-Ling
Hughes, Allyson
Mcauliffe-Fogarty, Alicia
Varnado, Oralee
Mitchell, Beth
author_facet Liu, Jingwen
Bispham, Jeoffrey
Fan, Ludi
Poon, Jiat-Ling
Hughes, Allyson
Mcauliffe-Fogarty, Alicia
Varnado, Oralee
Mitchell, Beth
author_sort Liu, Jingwen
collection PubMed
description OBJECTIVES: Fear of hypoglycaemia (FoH) has been associated with suboptimal diabetes management and health outcomes. This study investigated factors associated with behavioural and emotional aspects of FoH among adults living with type 1 diabetes (T1D) mellitus. DESIGN: Cross-sectional study. SETTING: Online survey hosted on T1D Exchange Glu, an online community for patients living with T1D mellitus. MEASURES: The Hypoglycaemia Fear Survey II-short form and the Hypoglycaemic Attitudes and Behaviour Scale were used to assess FoH. Multivariable regressions were performed on assessment scores. RESULTS: The study included 494 participants (mean±SD age 43.9±12.2 years, duration of T1D mellitus 16.6±16.8 years, self-reported glycosylated hemoglobin (HbA1c) 6.9%±0.8% (52±9 mmol/mol)), 63% men, 89% on insulin pump, 25% experienced a severe hypoglycaemic event in the last 6 months. Multivariable regression analyses showed higher anxiety, depression severity and diabetes distress were independently associated with FoH (all p<0.01). Longer diabetes duration was associated with lower FoH (p<0.01). Past experience with severe hypoglycaemia was associated with higher worry of hypoglycaemia (p<0.01) but not avoidance behaviour (ns). CONCLUSIONS: These results highlighted the multifaceted nature of FoH, which warrants further discussion between providers and patients to uncover drivers of and actions required to reduce FoH and improve patient care and outcomes.
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spelling pubmed-74764802020-09-21 Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey Liu, Jingwen Bispham, Jeoffrey Fan, Ludi Poon, Jiat-Ling Hughes, Allyson Mcauliffe-Fogarty, Alicia Varnado, Oralee Mitchell, Beth BMJ Open Diabetes and Endocrinology OBJECTIVES: Fear of hypoglycaemia (FoH) has been associated with suboptimal diabetes management and health outcomes. This study investigated factors associated with behavioural and emotional aspects of FoH among adults living with type 1 diabetes (T1D) mellitus. DESIGN: Cross-sectional study. SETTING: Online survey hosted on T1D Exchange Glu, an online community for patients living with T1D mellitus. MEASURES: The Hypoglycaemia Fear Survey II-short form and the Hypoglycaemic Attitudes and Behaviour Scale were used to assess FoH. Multivariable regressions were performed on assessment scores. RESULTS: The study included 494 participants (mean±SD age 43.9±12.2 years, duration of T1D mellitus 16.6±16.8 years, self-reported glycosylated hemoglobin (HbA1c) 6.9%±0.8% (52±9 mmol/mol)), 63% men, 89% on insulin pump, 25% experienced a severe hypoglycaemic event in the last 6 months. Multivariable regression analyses showed higher anxiety, depression severity and diabetes distress were independently associated with FoH (all p<0.01). Longer diabetes duration was associated with lower FoH (p<0.01). Past experience with severe hypoglycaemia was associated with higher worry of hypoglycaemia (p<0.01) but not avoidance behaviour (ns). CONCLUSIONS: These results highlighted the multifaceted nature of FoH, which warrants further discussion between providers and patients to uncover drivers of and actions required to reduce FoH and improve patient care and outcomes. BMJ Publishing Group 2020-09-06 /pmc/articles/PMC7476480/ /pubmed/32895285 http://dx.doi.org/10.1136/bmjopen-2020-038462 Text en © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Diabetes and Endocrinology
Liu, Jingwen
Bispham, Jeoffrey
Fan, Ludi
Poon, Jiat-Ling
Hughes, Allyson
Mcauliffe-Fogarty, Alicia
Varnado, Oralee
Mitchell, Beth
Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title_full Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title_fullStr Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title_full_unstemmed Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title_short Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey
title_sort factors associated with fear of hypoglycaemia among the t1d exchange glu population in a cross-sectional online survey
topic Diabetes and Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476480/
https://www.ncbi.nlm.nih.gov/pubmed/32895285
http://dx.doi.org/10.1136/bmjopen-2020-038462
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