Patient Understanding of Hypoglycemia in Tertiary Referral Centers
BackgroundHypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia.MethodsA survey of patients with diabetes, who h...
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| Format: | Article |
| Language: | English |
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Korean Diabetes Association
2018-02-01
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| Series: | Diabetes & Metabolism Journal |
| Subjects: | |
| Online Access: | https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-43.pdf |
| _version_ | 1818067237671534592 |
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| author | Nan Hee Cho Nam Kyung Kim Eugene Han Jun Hwa Hong Eon Ju Jeon Jun Sung Moon Mi Hae Seo Ji Eun Lee Hyun-Ae Seo Mi-Kyung Kim Hye Soon Kim |
| author_facet | Nan Hee Cho Nam Kyung Kim Eugene Han Jun Hwa Hong Eon Ju Jeon Jun Sung Moon Mi Hae Seo Ji Eun Lee Hyun-Ae Seo Mi-Kyung Kim Hye Soon Kim |
| author_sort | Nan Hee Cho |
| collection | DOAJ |
| description | BackgroundHypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia.MethodsA survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia.ResultsOf 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits.ConclusionMany patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia. |
| first_indexed | 2024-12-10T15:20:30Z |
| format | Article |
| id | doaj.art-7cf82d4b3b264d79bb593736ff409b46 |
| institution | Directory Open Access Journal |
| issn | 2233-6079 2233-6087 |
| language | English |
| last_indexed | 2024-12-10T15:20:30Z |
| publishDate | 2018-02-01 |
| publisher | Korean Diabetes Association |
| record_format | Article |
| series | Diabetes & Metabolism Journal |
| spelling | doaj.art-7cf82d4b3b264d79bb593736ff409b462022-12-22T01:43:41ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872018-02-01421435210.4093/dmj.2018.42.1.43Patient Understanding of Hypoglycemia in Tertiary Referral CentersNan Hee Cho0Nam Kyung Kim1Eugene Han2Jun Hwa Hong3Eon Ju Jeon4Jun Sung Moon5Mi Hae Seo6Ji Eun Lee7Hyun-Ae Seo8Mi-Kyung Kim9Hye Soon Kim10Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea.Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University College of Medicine, Gumi, Korea.Department of Internal Medicine, CHA Gumi Medical Center, CHA University, Gumi, Korea.Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea.Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea.BackgroundHypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia.MethodsA survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia.ResultsOf 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits.ConclusionMany patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia.https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-43.pdfDiabetesEducationHypoglycemiaInsulin |
| spellingShingle | Nan Hee Cho Nam Kyung Kim Eugene Han Jun Hwa Hong Eon Ju Jeon Jun Sung Moon Mi Hae Seo Ji Eun Lee Hyun-Ae Seo Mi-Kyung Kim Hye Soon Kim Patient Understanding of Hypoglycemia in Tertiary Referral Centers Diabetes & Metabolism Journal Diabetes Education Hypoglycemia Insulin |
| title | Patient Understanding of Hypoglycemia in Tertiary Referral Centers |
| title_full | Patient Understanding of Hypoglycemia in Tertiary Referral Centers |
| title_fullStr | Patient Understanding of Hypoglycemia in Tertiary Referral Centers |
| title_full_unstemmed | Patient Understanding of Hypoglycemia in Tertiary Referral Centers |
| title_short | Patient Understanding of Hypoglycemia in Tertiary Referral Centers |
| title_sort | patient understanding of hypoglycemia in tertiary referral centers |
| topic | Diabetes Education Hypoglycemia Insulin |
| url | https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-43.pdf |
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