Fear of hypoglycemia in children with type 1 diabetes and their parents: validation of the Italian version of the Hypoglycemia Fear Survey for Children and for Parents

2021 ◽  
Author(s):  
Stefano Tumini ◽  
Elisabetta Fioretti ◽  
Ilaria Rossi ◽  
Paola Cipriano ◽  
Simone Franchini ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Italian Version ◽  
Fear Of Hypoglycemia

Challenges Imposed By Hypoglycemia in Adults With Type 1 Diabetes

2018 ◽  
Vol 28 (8) ◽  
pp. 947-967
Author(s):  
Pamela Martyn-Nemeth ◽  
Jennifer Duffecy ◽  
Cynthia Fritschi ◽  
Laurie Quinn
Keyword(s):  
Type 1 Diabetes ◽  
Life Stress ◽  
Diabetes Management ◽  
Management Strategies ◽  
Safety Net ◽  
Loss Of Control ◽  
Work Demands ◽  
Fear Of Hypoglycemia ◽  
High Degree

Little is known regarding how hypoglycemia and associated fears influence day-to-day life among adults with type 1 diabetes (T1DM) who use contemporary diabetes management strategies. To address this gap, we performed an exploratory qualitative study with five focus groups of 30 people aged 20 to 57 years with T1DM. Sessions were audiotaped and transcribed, and then analyzed. Eight themes emerged: (a) hypoglycemic worry, (b) unpredictability and loss of control, (c) contending with life stress, (d) exercise benefits and challenges, (e) a changed relationship with food, (f) sleep fears, (g) a love/hate relationship with technology, and (h) coping strategies to make it better. Fear of hypoglycemia, diabetes management, and work demands confer a high degree of stress. Challenges surround food, exercise, and sleep. Technology is important but does not relieve fear of hypoglycemia. Developing strong coping skills and creating a safety net of support are necessary.

scholarly journals Continuous Glucose Monitor Use With Remote Monitoring Reduces Fear of Hypoglycemia in Pregnant Women With Type 1 Diabetes: A Pilot Study

2019 ◽  
Vol 14 (1) ◽  
pp. 191-192
Author(s):  
Sarit Polsky ◽  
Rachel Garcetti ◽  
Laura Pyle ◽  
Prakriti Joshee ◽  
Jamie K. Demmitt ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Pilot Study ◽  
Pregnant Women ◽  
Remote Monitoring ◽  
Continuous Glucose Monitor ◽  
Fear Of Hypoglycemia

scholarly journals Bolus Calculator Reduces Hypoglycemia in the Short Term and Fear of Hypoglycemia in the Long Term in Subjects with Type 1 Diabetes (CBMDI Study)

2017 ◽  
Vol 19 (7) ◽  
pp. 402-409 ◽  
Author(s):  
María del Rosario Vallejo Mora ◽  
Mónica Carreira ◽  
María Teresa Anarte ◽  
Francisca Linares ◽  
Gabriel Olveira ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Short Term ◽  
Fear Of Hypoglycemia

Predictors of fear of hypoglycemia in youth with type 1 diabetes and their parents

2009 ◽  
Vol 33 (3) ◽  
pp. 200
Author(s):  
M. Nyer ◽  
L. Campbell ◽  
S. Mortimer ◽  
W. Clarke ◽  
L. Gonder-Frederick
Keyword(s):  
Type 1 Diabetes ◽  
Fear Of Hypoglycemia

Type 1 Diabetes Among Adolescents

2009 ◽  
Vol 35 (3) ◽  
pp. 465-475 ◽  
Author(s):  
Ashley M. Di Battista ◽  
Trevor A. Hart ◽  
Laurie Greco ◽  
Jan Gloizer
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Social Anxiety ◽  
Self Care ◽  
Insulin Injection ◽  
Poor Quality ◽  
Fear Of Hypoglycemia ◽  
General Populations

Purpose The aim of this study was to examine the association between social anxiety and adherence to diabetes self-care and quality of life and to determine the effects of fear of hypoglycemia on these associations in adolescents with type 1 diabetes. It is hypothesized that (1) social anxiety will be negatively associated with adherence and quality of life and (2) that fear of hypoglycemia will mediate this relationship. It is also hypothesized that (3) girls will have higher social anxiety than boys. Methods Adolescents with type 1 diabetes were recruited during clinic visits at 2 international centers. Participants answered a survey containing questionnaires on social anxiety, behavioral adherence to the diabetes self-care regimen, quality of life, fear of hypoglycemia, and last hemoglobin A1C results. Results Seventy-six adolescents (33 boys, 43 girls), mean age 15.9 (1.44) years, participated. Social anxiety levels are not statistically different between genders. In boys, social anxiety is associated with worse diet and insulin injection adherence; no associations are found in girls. Social anxiety is positively correlated with poor quality of life in both genders. Fear of hypoglycemia mediates the relationship between social anxiety and insulin adherence in boys. Conclusions Findings suggest that social anxiety, which is common in general populations of adolescents, may interfere with behavioral adherence and quality of life among adolescents with type 1 diabetes. Screening and treatment of social anxiety may result in better adherence and increased quality of life.

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

2014 ◽  
Vol 55 (6) ◽  
pp. 554-557 ◽  
Author(s):  
María Teresa Anarte ◽  
Mónica Carreira ◽  
Alberto Machado ◽  
Marta Domínguez ◽  
María José Tapia ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Type 1 Diabetes ◽  
Type 1 Diabetes Mellitus ◽  
Fear Of Hypoglycemia

scholarly journals Impact of glycemic variability and the fear of hypoglycemia on type 1 diabetes control

2020 ◽  
Vol 4 (6) ◽  
pp. 324-328
Author(s):  
A.R. Volkova ◽  
◽  
M.E. Chernaya ◽  
V.S. Mozgunova ◽  
M.B. Durdyeva ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Variability ◽  
Diabetes Control ◽  
Target Level ◽  
Fear Of Hypoglycemia ◽  
Group 2 ◽  
Hba1c Target ◽  
Hba1c Levels ◽  
Group 1

Background: currently, the level of HbA1c does not necessarily allow for the understanding of glycemic control. Considering this, glycemic variability (GV) is extensively studied in recent years. Psychological component has a significant impact on GV as the fear of hypoglycemia (FOH) and its consequences can reduce the motivation for achieving target glycemia and HbA1c as well as adherence to treatment.Aim: to assess GV in patients with type 1 diabetes with the elevated and target levels of HbA1c and to analyze the effect of FOH on diabetes control.Patients and Methods: 78 patients with type 1 diabetes who received insulin therapy (multiple daily injections or continuous subcutaneous insulin infusion) were enrolled. All patients were divided into two groups based on HbA1c levels, i.e., group 1 (patients who achieved individual HbA1c target level, n=13) and group 2 (patients who did not achieve individual HbA1c target level, n=65). HbA1c levels and GV were measured in all patients using iPRO™2 Professional CGM system (Medtronic, Ireland). In addition, FOH was evaluated using the Hypoglycemia Fear Survey II (HFS-II).Results: in group 1, time in-range was significantly higher (p=0.013) while daily GV was significantly lower (p=0.023) than in group 2. HbA1c levels, the rate of severe hypoglycemia, and diabetes duration were lower among the patients with lower levels of FOH.Conclusion: studying GV can provide better understanding of diabetes control in patients with any HbA1c level. Optimized treatment strategy using HFS-II can attenuate the effects of frequent hypoglycemia on GV and HbA1c levels and improve treatment efficacy.KEYWORDS: glycemic variability, glycated hemoglobin, diabetes, continuous glucose monitoring, hypoglycemia.FOR CITATION: Volkova A.R., Chernaya M.E., Mozgunova V.S. et al. Impact of glycemic variability and the fear of hypoglycemia on type 1 diabetes control. Russian Medical Inquiry. 2020;4(6):324–328. DOI: 10.32364/2587-6821-2020-4-6-324-328.

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