Fear of hypoglycaemia and self-management in type 1 diabetes
Aims: We studied the association between fear of hypoglycaemia (FoH) and various diabetes self-management practices. Methods: Data from 798 individuals with type 1 diabetes participating in the FinnDiane Study were included. Self-reported questionnaires were used to assess FoH and self-management pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-06-01
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| Series: | Journal of Clinical & Translational Endocrinology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214623716000065 |
| _version_ | 1819229890710339584 |
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| author | Aila J. Ahola Markku Saraheimo Riitta Freese Sari Mäkimattila Carol Forsblom Per-Henrik Groop |
| author_facet | Aila J. Ahola Markku Saraheimo Riitta Freese Sari Mäkimattila Carol Forsblom Per-Henrik Groop |
| author_sort | Aila J. Ahola |
| collection | DOAJ |
| description | Aims: We studied the association between fear of hypoglycaemia (FoH) and various diabetes self-management practices.
Methods: Data from 798 individuals with type 1 diabetes participating in the FinnDiane Study were included. Self-reported questionnaires were used to assess FoH and self-management practices (e.g. dietary intake, insulin administration, physical activity). For glycaemic control, we used both the latest HbA1c measurements and the serial HbA1c measurements from the medical files. Factor analysis was used to reveal underlying constructs within the food frequency section of the diet questionnaire.
Results: In all, 44% and 63% of men and women reported FoH, respectively. In men, FoH was associated with higher mean serial HbA1c levels, higher number of reported self-monitoring of blood glucose (SMBG), higher carbohydrate intake, and lower scores in the “high-fat” factor. In women, FoH was associated with a higher number of reported SMBGs and higher energy intake. No difference was observed in physical activity and insulin administration.
Conclusions: FoH has various implications for the self-management of diabetes. More studies are however needed to assess on one hand the association between FoH and diabetes self-management, and on the other hand, FoH and its long term consequences, such as the emergence of diabetic complications and mortality. |
| first_indexed | 2024-12-23T11:20:22Z |
| format | Article |
| id | doaj.art-3aead4b87a0f4df28e4efe9dac8aeda4 |
| institution | Directory Open Access Journal |
| issn | 2214-6237 |
| language | English |
| last_indexed | 2024-12-23T11:20:22Z |
| publishDate | 2016-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Clinical & Translational Endocrinology |
| spelling | doaj.art-3aead4b87a0f4df28e4efe9dac8aeda42022-12-21T17:49:05ZengElsevierJournal of Clinical & Translational Endocrinology2214-62372016-06-014C131810.1016/j.jcte.2016.02.002Fear of hypoglycaemia and self-management in type 1 diabetesAila J. Ahola0Markku Saraheimo1Riitta Freese2Sari Mäkimattila3Carol Forsblom4Per-Henrik Groop5Folkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, FinlandFolkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, FinlandDivision of Nutrition, Department of Food and Environmental Sciences, University of Helsinki, FinlandFolkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, FinlandFolkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, FinlandFolkhälsan Research Center, Folkhälsan Institute of Genetics, Helsinki, FinlandAims: We studied the association between fear of hypoglycaemia (FoH) and various diabetes self-management practices. Methods: Data from 798 individuals with type 1 diabetes participating in the FinnDiane Study were included. Self-reported questionnaires were used to assess FoH and self-management practices (e.g. dietary intake, insulin administration, physical activity). For glycaemic control, we used both the latest HbA1c measurements and the serial HbA1c measurements from the medical files. Factor analysis was used to reveal underlying constructs within the food frequency section of the diet questionnaire. Results: In all, 44% and 63% of men and women reported FoH, respectively. In men, FoH was associated with higher mean serial HbA1c levels, higher number of reported self-monitoring of blood glucose (SMBG), higher carbohydrate intake, and lower scores in the “high-fat” factor. In women, FoH was associated with a higher number of reported SMBGs and higher energy intake. No difference was observed in physical activity and insulin administration. Conclusions: FoH has various implications for the self-management of diabetes. More studies are however needed to assess on one hand the association between FoH and diabetes self-management, and on the other hand, FoH and its long term consequences, such as the emergence of diabetic complications and mortality.http://www.sciencedirect.com/science/article/pii/S2214623716000065Fear of hypoglycaemiaType 1 diabetesSelf-management |
| spellingShingle | Aila J. Ahola Markku Saraheimo Riitta Freese Sari Mäkimattila Carol Forsblom Per-Henrik Groop Fear of hypoglycaemia and self-management in type 1 diabetes Journal of Clinical & Translational Endocrinology Fear of hypoglycaemia Type 1 diabetes Self-management |
| title | Fear of hypoglycaemia and self-management in type 1 diabetes |
| title_full | Fear of hypoglycaemia and self-management in type 1 diabetes |
| title_fullStr | Fear of hypoglycaemia and self-management in type 1 diabetes |
| title_full_unstemmed | Fear of hypoglycaemia and self-management in type 1 diabetes |
| title_short | Fear of hypoglycaemia and self-management in type 1 diabetes |
| title_sort | fear of hypoglycaemia and self management in type 1 diabetes |
| topic | Fear of hypoglycaemia Type 1 diabetes Self-management |
| url | http://www.sciencedirect.com/science/article/pii/S2214623716000065 |
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