Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study
Abstract The present cross-sectional survey was performed to assess the prevalence and factors associated with fear of hypoglycemia (FoH) in hospitalized patients with type 2 diabetes (T2D). Between July and December 2020, 494 patients with T2D were evaluated via structured questionnaires containing...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-11-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-24822-1 |
| _version_ | 1797986806277341184 |
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| author | Jing Huang Wei Peng Shenglan Ding Shuyuan Xiong Zhiping Liu |
| author_facet | Jing Huang Wei Peng Shenglan Ding Shuyuan Xiong Zhiping Liu |
| author_sort | Jing Huang |
| collection | DOAJ |
| description | Abstract The present cross-sectional survey was performed to assess the prevalence and factors associated with fear of hypoglycemia (FoH) in hospitalized patients with type 2 diabetes (T2D). Between July and December 2020, 494 patients with T2D were evaluated via structured questionnaires containing sociodemographic information, clinical information, and the Fear of Hypoglycemia-15 scale (FH-15). Patients were divided into the FoH and non-FoH groups according to the FH-15 score. Univariate and multivariate logistic regression analyses were performed to determine factors associated with FoH. Variables with P values < 0.1 in the univariate model were included in the multivariate model. In this study, the prevalence of FoH was 17.4% (86/494). 247 (50.0%) patients experienced hypoglycemic episodes in the past year, and 15 (3.0%) patients experienced severe hypoglycemic episodes in the past year. The mean age was 60.04 ± 11.71 years old, and female patients accounted for 39.9% of the sample. The item with the highest average FH-15 scores was: how often are you afraid of having hypoglycemia while alone? Multivariate logistic regression analysis indicated that living alone (OR 2.48; 95% CI 1.20–5.14; P = 0.015), number of hypoglycemic episodes in the past year (OR 1.06; 95% CI 1.03–1.10; P < 0.001), number of severe hypoglycemic episodes in the past year (OR 2.61; 95% CI 1.20–5.69; P = 0.016), and duration of insulin use (OR 1.06; 95% CI 1.02–1.10; P = 0.006) were associated with FoH. The prevalence of FoH in hospitalized patients with T2D was high. FoH was associated with living alone, number of hypoglycemic episodes in the past year, number of severe hypoglycemic episodes in the past year, and duration of insulin use. These findings can contribute to early decision-making for preventing, identifying, and improving FoH in patients with T2D. In the future, interventions aimed at reducing FoH to improve the harmful effects of FoH are necessary, such as increasing diabetes-related knowledge and skills, increasing social support, reducing psychological fear, and minimizing risks for hypoglycemic episodes. |
| first_indexed | 2024-04-11T07:38:46Z |
| format | Article |
| id | doaj.art-c138d114b08a44248a63c57a1d8a0b79 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-11T07:38:46Z |
| publishDate | 2022-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-c138d114b08a44248a63c57a1d8a0b792022-12-22T04:36:39ZengNature PortfolioScientific Reports2045-23222022-11-0112111210.1038/s41598-022-24822-1Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional studyJing Huang0Wei Peng1Shenglan Ding2Shuyuan Xiong3Zhiping Liu4Department of Endocrinology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Nursing, Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of ChinaDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical UniversityDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical UniversityAbstract The present cross-sectional survey was performed to assess the prevalence and factors associated with fear of hypoglycemia (FoH) in hospitalized patients with type 2 diabetes (T2D). Between July and December 2020, 494 patients with T2D were evaluated via structured questionnaires containing sociodemographic information, clinical information, and the Fear of Hypoglycemia-15 scale (FH-15). Patients were divided into the FoH and non-FoH groups according to the FH-15 score. Univariate and multivariate logistic regression analyses were performed to determine factors associated with FoH. Variables with P values < 0.1 in the univariate model were included in the multivariate model. In this study, the prevalence of FoH was 17.4% (86/494). 247 (50.0%) patients experienced hypoglycemic episodes in the past year, and 15 (3.0%) patients experienced severe hypoglycemic episodes in the past year. The mean age was 60.04 ± 11.71 years old, and female patients accounted for 39.9% of the sample. The item with the highest average FH-15 scores was: how often are you afraid of having hypoglycemia while alone? Multivariate logistic regression analysis indicated that living alone (OR 2.48; 95% CI 1.20–5.14; P = 0.015), number of hypoglycemic episodes in the past year (OR 1.06; 95% CI 1.03–1.10; P < 0.001), number of severe hypoglycemic episodes in the past year (OR 2.61; 95% CI 1.20–5.69; P = 0.016), and duration of insulin use (OR 1.06; 95% CI 1.02–1.10; P = 0.006) were associated with FoH. The prevalence of FoH in hospitalized patients with T2D was high. FoH was associated with living alone, number of hypoglycemic episodes in the past year, number of severe hypoglycemic episodes in the past year, and duration of insulin use. These findings can contribute to early decision-making for preventing, identifying, and improving FoH in patients with T2D. In the future, interventions aimed at reducing FoH to improve the harmful effects of FoH are necessary, such as increasing diabetes-related knowledge and skills, increasing social support, reducing psychological fear, and minimizing risks for hypoglycemic episodes.https://doi.org/10.1038/s41598-022-24822-1 |
| spellingShingle | Jing Huang Wei Peng Shenglan Ding Shuyuan Xiong Zhiping Liu Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study Scientific Reports |
| title | Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study |
| title_full | Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study |
| title_fullStr | Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study |
| title_full_unstemmed | Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study |
| title_short | Fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes: a cross‑sectional study |
| title_sort | fear of hypoglycemia and associated factors in hospitalized patients with type 2 diabetes a cross sectional study |
| url | https://doi.org/10.1038/s41598-022-24822-1 |
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