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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2020
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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. |
format | Online Article Text |
id | pubmed-7476480 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
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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