Fall in prevalence of impaired awareness of hypoglycaemia in individuals with type 1 diabetes

Abstract

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High diabetes‐specific distress among adults with type 1 diabetes and impaired awareness of hypoglycaemia despite widespread use of sensor technology

“…Participants who consented were either seen in person at the outpatient clinic or virtually, depending on COVID‐19 pandemic restrictions. Details about the recruitment process and characteristics of the study cohort have been published previously 10 …”

“…Details about the recruitment process and characteristics of the study cohort have been published previously. 10 What is already known?…”

Screen test

“…Finally, in this issue, data from HYPOresolve consortium suggest that the prevalence of impaired awareness of hypoglycaemia in people with type 1 diabetes is falling. 5 This would be hugely welcome news if replicated in large cohorts, with significant associated reductions in severe hypoglycaemia, morbidity and mortality expected to follow. The proposed mechanisms for the reduction in the prevalence of impaired awareness include the use of technologies, avoiding exposure to hypoglycaemia and enabling recovery of awareness but the most recent data were collected during the coronavirus pandemic when, globally, type 1 diabetes self-management changed, mostly in a positive direction.…”

“…Finally, in this issue, data from HYPOresolve consortium suggest that the prevalence of impaired awareness of hypoglycaemia in people with type 1 diabetes is falling 5 . This would be hugely welcome news if replicated in large cohorts, with significant associated reductions in severe hypoglycaemia, morbidity and mortality expected to follow.…”

Maintaining awareness

“…Diabetes technologies have the potential to reduce diabetes distress and lower the burden of self management, as an adjunct to support to education, and in this issue of Diabetic Medicine the impact of impaired awareness of hypoglycaemia in diabetes distress in people using continuous glucose sensors is explored 2 . The authors report that impaired awareness of hypoglycaemia is associated with elevated diabetes distress, increased hypoglycaemia fear and increased hyperglycaemia avoidance worry despite glucose sensor use.…”