How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately?
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| Format: | Artículo Open Access |
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Wiley
2025
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| _version_ | 1867020397262667777 |
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| author | Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos |
| author_facet | Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos |
| collection | Wiley Open Access |
| contents | How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately? Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos Diabetic Medicine AbstractAimsTo investigate whether people with type 1 and type 2 diabetes respond adequately to hypoglycaemia symptoms after participating in a treatment and teaching programme. Additionally, it explored how hypoglycaemia impacts patients' everyday life and the differences between individuals with and without impaired awareness of hypoglycaemia (IAH).MethodsThis cross‐sectional study included 340 adult participant with type 1 (n = 156) or type 2 diabetes (n = 184) undergoing insulin therapy at the University Hospital Jena. Participants completed validated questionnaires and participated in structured interviews about hypoglycaemia. Awareness of hypoglycaemia was measured using the Gold Score, and diabetes distress with the PAID Scale (PAID Score 0–100, the higher the score the higher the distress).Results23.8% of the participants treated hypoglycaemia adequately (type 1 diabetes 27.6% vs. type 2 diabetes 24.7%; p = 0.606). Significantly more people without IAH‐treated hypoglycaemia adequately in type 2 (27.9% vs. 10.3%; p = 0.047) but not in type 1 diabetes (28.6% vs. 23.1%; p = 0.568). Hypoglycaemia altered daily routines for 26.2% of participants, particularly those with type 1 diabetes (type 1 diabetes 37.3% vs. type 2 diabetes 20.1%; p = 0.001). People with type 1 and type 2 diabetes reporting changes in daily routines had higher diabetes distress scores (PAID: 22.3 ± 16.0 vs. 13.8 ± 13.5; p < 0.001). Fear of hypoglycaemia was associated with higher HbA1c values due to people accepting elevated blood glucose levels.ConclusionsDespite education programmes, the majority of participants do not treat hypoglycaemia adequately. Hypoglycaemic events significantly impact daily life and are associated with increased diabetes‐related distress, especially in those with IAH. 10.1111/dme.70121 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1111/dme.70121 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_dme_70121 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2025 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately? Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos Diabetic Medicine How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately? Nicolle Müller Christiane Kellner Sebastian Schmidt Nadine Kuniß Gunter Wolf Christof Kloos Diabetic Medicine AbstractAimsTo investigate whether people with type 1 and type 2 diabetes respond adequately to hypoglycaemia symptoms after participating in a treatment and teaching programme. Additionally, it explored how hypoglycaemia impacts patients' everyday life and the differences between individuals with and without impaired awareness of hypoglycaemia (IAH).MethodsThis cross‐sectional study included 340 adult participant with type 1 (n = 156) or type 2 diabetes (n = 184) undergoing insulin therapy at the University Hospital Jena. Participants completed validated questionnaires and participated in structured interviews about hypoglycaemia. Awareness of hypoglycaemia was measured using the Gold Score, and diabetes distress with the PAID Scale (PAID Score 0–100, the higher the score the higher the distress).Results23.8% of the participants treated hypoglycaemia adequately (type 1 diabetes 27.6% vs. type 2 diabetes 24.7%; p = 0.606). Significantly more people without IAH‐treated hypoglycaemia adequately in type 2 (27.9% vs. 10.3%; p = 0.047) but not in type 1 diabetes (28.6% vs. 23.1%; p = 0.568). Hypoglycaemia altered daily routines for 26.2% of participants, particularly those with type 1 diabetes (type 1 diabetes 37.3% vs. type 2 diabetes 20.1%; p = 0.001). People with type 1 and type 2 diabetes reporting changes in daily routines had higher diabetes distress scores (PAID: 22.3 ± 16.0 vs. 13.8 ± 13.5; p < 0.001). Fear of hypoglycaemia was associated with higher HbA1c values due to people accepting elevated blood glucose levels.ConclusionsDespite education programmes, the majority of participants do not treat hypoglycaemia adequately. Hypoglycaemic events significantly impact daily life and are associated with increased diabetes‐related distress, especially in those with IAH. 10.1111/dme.70121 http://creativecommons.org/licenses/by/4.0/ |
| title | How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately? |
| topic | Diabetic Medicine |
| url | https://onlinelibrary.wiley.com/doi/10.1111/dme.70121 |