Effects of hypoglycaemia: patients' perceptions and experiences

Richmond, Jennefer

doi:10.12968/bjon.1996.5.17.1054

Cited by 21 publications

(21 citation statements)

References 2 publications

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“…While the impact of hypoglycemia on the diabetes management and quality of life of people with type 1 diabetes is well documented (16)(17)(18)(19)(20), much less is known about its effects on families.…”

Section: Discussionmentioning

confidence: 99%

Experiences, Views, and Support Needs of Family Members of People With Hypoglycemia Unawareness: Interview Study

et al. 2013

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OBJECTIVEHypoglycemia unawareness (HU) affects ∼25% of people with type 1 diabetes. People with HU are often reliant on family to detect hypoglycemia and treat severe episodes. We explored the impact of HU on family members' lives, their involvement in preventing and managing hypoglycemia, and their information and support needs. RESEARCH DESIGN AND METHODSThis study employed an exploratory, qualitative design comprising in-depth interviews with 24 adult family members of persons with type 1 diabetes and HU. RESULTSFamily members described restricting their lives so that they could help the person with HU detect and treat hypoglycemia. Some described being very physically afraid of their partner/relative when they had a hypoglycemic episode due to their aggressive and argumentative behavior and personality changes; this could also make treatment administration difficult. Family members also reported feeling anxious and worried about the safety of the person with HU, particularly when they were left unsupervised. These concerns were often precipitated by traumatic events, such as discovering the person with HU in a coma. Family members could neglect their own health and well-being to care for the person with HU and resentment could build up over time. Family members highlighted extensive, unmet needs for information and emotional support; however, some struggled to recognize and accept their own need for help. CONCLUSIONSOur findings reveal a caregiver group currently "in the shadow of the patient" and in urgent need of information and emotional support. Raising awareness among health care professionals is essential, and developing proactive support for family should be considered.

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Section: Discussionmentioning

confidence: 99%

Experiences, Views, and Support Needs of Family Members of People With Hypoglycemia Unawareness: Interview Study

et al. 2013

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“…It has repeatedly been proven that quality of life is influenced by the type and number of secondary illnesses (1)(2)(3) and the frequency of serious metabolic complications that arise (4,5). However, particular personality characteristics play a decisive, mediating role in the quality of life experienced (6 -8).…”

Section: Quality Of Lifementioning

confidence: 99%

The Network of Psychological Variables in Patients With Diabetes and Their Importance for Quality of Life and Metabolic Control

et al. 2002

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OBJECTIVE -The primary goals in treating patients with diabetes are maintaining blood glucose levels as close to normal as possible and making a relatively normal quality of life achievable. Both of these goals are influenced by a multitude of somatic and psychological factors that should be seen as building a complex network. We examined whether a mathematical model can be construed that can depict the relative significance of each factor for achieving these treatment goals. RESEARCH DESIGN AND METHODS

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“…These distressing negative experiences influence health behaviors used in diabetes self-management (Lawton et al, 2013). Vigilance to avoid hypoglycemia is necessary; however, fear of hypoglycemia (FOH) can lead to perceived concerns of a mismatch between food intake (Richmond, 1996; Wu, Juang, & Yeh, 2011), insulin dose (Richmond, 1996), or physical activity (Brazeau et al, 2012), resulting in over- or under-compensatory behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…Changing dietary intake is a frequent strategy used in response to FOH (Richmond, 1996). Dietary modifications may include excessive eating (Ahola, 2016; Richmond, 1996), overcorrecting a hypoglycemic episode (Savard et al, 2016), or snacking at night (Desjardins, Brazeau, Strychar, & Rabasa-Lhoret, 2014; Weiner & Skipper, 1978).…”

Section: Introductionmentioning

confidence: 99%

“…Dietary modifications may include excessive eating (Ahola, 2016; Richmond, 1996), overcorrecting a hypoglycemic episode (Savard et al, 2016), or snacking at night (Desjardins, Brazeau, Strychar, & Rabasa-Lhoret, 2014; Weiner & Skipper, 1978). Stress-induced eating has been linked to diabetes distress (Martyn-Nemeth, Quinn, Hacker, Park, & Kujath, 2014), and binging in response to hypoglycemia is commonly reported (Lawton et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Fear of hypoglycemia: Influence on glycemic variability and self-management behavior in young adults with type 1 diabetes

Martyn‐Nemeth

Quinn

Penckofer

et al. 2017

Journal of Diabetes and its Complications

103

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Purpose The purpose of this study was to examine how fear of hypoglycemia (FOH) is associated with glycemic variability (GV) and self-management behavior in young adults (aged 18–35) with type 1 diabetes (T1DM). Procedures Using a prospective repeated-measures design, in 35 young adults, within- and between-person and temporal associations of FOH, specific self-management behaviors, and GV were measured. The data were collected using questionnaires and real-time measures using daily diaries, insulin pump downloads, actigraphy, and continuous glucose monitoring. Findings FOH was associated with greater glycemic variability. Significant temporal associations emerged. Concurrent day (glucose SD, p = .011) and previous-evening fear levels were associated with GV (glucose SD, p = .007). FOH was also associated with greater calorie intake (r = .492, p = .003) and less physical activity (light activity, r = −.341, p = .045). Conclusions The significant associations of FOH with GV, dietary patterns, and physical activity provide evidence for FOH as an important psychological factor associated with diabetes care.

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Effects of hypoglycaemia: patients' perceptions and experiences

Cited by 21 publications

References 2 publications

Experiences, Views, and Support Needs of Family Members of People With Hypoglycemia Unawareness: Interview Study

Experiences, Views, and Support Needs of Family Members of People With Hypoglycemia Unawareness: Interview Study

The Network of Psychological Variables in Patients With Diabetes and Their Importance for Quality of Life and Metabolic Control

Fear of hypoglycemia: Influence on glycemic variability and self-management behavior in young adults with type 1 diabetes

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