Conversations and reactions around severe hypoglycemia (crash): german results from a global study

The experience of a severe hypoglycaemic event from the perspective of people with diabetes and their caregivers: “What am I going to do?”

“…The emotional challenges reported by participants in this study, particularly caregivers, and the need to make life changes so a person with diabetes is not alone during a future SH event are consistent with the findings reported in the literature 5,6,19,23–25,27,28 . Additionally, the finding that people with diabetes/caregivers often learn to treat SH through experience—figuring it out as they go—and that people with diabetes/caregiver‐healthcare provider discussions regarding treatment plans are lacking aligns with the CRASH Study, in which substantial shares of people with diabetes reported not discussing recent SH events with healthcare providers 10,16–18 . Other studies have also reported on the need for providing more education and support to people with diabetes and their caregivers regarding the management of SH events 19 .…”

“… 5 , 6 , 19 , 23 , 24 , 25 , 27 , 28 Additionally, the finding that people with diabetes/caregivers often learn to treat SH through experience—figuring it out as they go—and that people with diabetes/caregiver‐healthcare provider discussions regarding treatment plans are lacking aligns with the CRASH Study, in which substantial shares of people with diabetes reported not discussing recent SH events with healthcare providers. 10 , 16 , 17 , 18 Other studies have also reported on the need for providing more education and support to people with diabetes and their caregivers regarding the management of SH events. 19 These findings suggest that healthcare providers’ awareness regarding the challenges experienced by people with diabetes and their caregivers around managing SH events may be limited.…”

“…Recently, the multinational Conversations and Reactions Around Severe Hypoglycaemia (CRASH) Study found that most people with diabetes do not bring up recent hypoglycaemic events with their healthcare providers, proactive treatment planning was not happening as often as guidelines recommended and that many people with diabetes did not have glucagon on hand even after experiencing an SH event. 10,[15][16][17] To inform clinical initiatives regarding SH management and help healthcare providers prioritize care appropriately, it is important to understand the experiences of people with diabetes and their caregivers during an actual SH event. However, few studies have evaluated these perspectives in this emergency situation.…”

“…Despite this, studies have reported that conversations around SH are uncommon in clinical practice. Recently, the multinational Conversations and Reactions Around Severe Hypoglycaemia (CRASH) Study found that most people with diabetes do not bring up recent hypoglycaemic events with their healthcare providers, proactive treatment planning was not happening as often as guidelines recommended and that many people with diabetes did not have glucagon on hand even after experiencing an SH event 10,15–17 …”

Hypoglycemia: An Underrecognized Peril for Older Adults With Diabetes

“…A multicentered international study revealed gaps in these areas indicating that diabetes education is needed for PWD and their caregivers. 10,11 In fact, for those with severe hypoglycemia, only 26.3% of patients with T1D and a meager 8.8% of those with T2D reported that hypoglycemia was discussed at every visit. For those who discussed severe hypoglycemia with their health care provider, only 16.9% and 6.5% with T1D and T2D, respectively, reported reviewing the importance of having a glucagon kit during those visits.…”