PMID- 25263824 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151026 LR - 20210514 IS - 2254-8874 (Electronic) IS - 2254-8874 (Linking) VI - 215 IP - 2 DP - 2015 Mar TI - Quality of life and fear for hypoglycaemia in patients with type 2 diabetes mellitus. PG - 91-7 LID - S0014-2565(14)00325-7 [pii] LID - 10.1016/j.rce.2014.07.009 [doi] AB - OBJECTIVES: Hypoglycaemia can negatively impact many aspects of type 2 diabetes mellitus (T2DM) management. The aim was to determine the impact of hypoglycaemia and the fear for hypoglycemic episodes on HRQoL in T2DM patients in Spain, as well as healthcare professionals' attitudes and knowledge of these issues. PATIENTS AND METHODS: An observational, cross-sectional study, with consecutive recruitment of T2DM patients in 661 healthcare centers, between September 2010 and May 2011. Sociodemographic and clinical variables were recorded. HRQoL (ADDQoL questionnaire) and fear for hypoglycaemia (HFS-II) were evaluated. Two groups were compared: with and without reported hypoglycaemia in the previous 6 months. Physicians responded 4 questions (visual analogue scales). RESULTS: 4.054 patients participated, of which 3,812 were selected [mean age (SD)=64 (11) years; male=54%; 10 (7) years for diagnostic of T2DM]. Patients with hypoglycaemia (45%) expressed higher fear for hypoglycemia [31.32 (15.71) vs. 18.85 (16.03); p<0.0001] and the overall impact of T2DM on their HRQoL was more negative [-2.48 (1.61) vs. -1.64 (1.36); p<0.001]. Respondent physicians occasionally used HRQoL questionnaires, knew about hypoglycaemia risk, explored fear for hypoglycaemia and modified treatments accordingly. CONCLUSIONS: T2DM patients with hypoglycaemia show an increase of fear for them, negatively affecting T2DM patients HRQoL. However physicians know the risk of hypoglycaemia, they explore the fear for hypoglycemic episodes occasionally. CI - Copyright (c) 2014 Elsevier Espana, S.L.U. All rights reserved. FAU - Jodar-Gimeno, E AU - Jodar-Gimeno E AD - Servicio de Endocrinologia y Nutricion, Hospital Universitario Quiron, Madrid, Universidad Europea de Madrid, Madrid, Espana. Electronic address: ejodar.mad@quiron.es. FAU - Alvarez-Guisasola, F AU - Alvarez-Guisasola F AD - Centro de Salud la Calzada II, Gijon, Asturias, Espana. FAU - Avila-Lachica, L AU - Avila-Lachica L AD - Consultorio Local El Borge, Malaga, Espana. FAU - Palomares-Ortega, R AU - Palomares-Ortega R AD - Servicio de Endocrinologia y Nutricion, Hospital Reina Sofia,Cordoba, Espana. FAU - Roldan-Suarez, C AU - Roldan-Suarez C AD - Departamento Medico Novartis Farmaceutica S.A., Barcelona, Espana. FAU - Lizan-Tudela, L AU - Lizan-Tudela L AD - Outcomes'10, Universidad Jaume I, Castellon, Espana. LA - eng LA - spa PT - Journal Article TT - Calidad de vida y grado de preocupacion por las hipoglucemias en pacientes con diabetes mellitus tipo 2. DEP - 20140926 PL - Spain TA - Rev Clin Esp (Barc) JT - Revista clinica espanola JID - 101632437 OTO - NOTNLM OT - Calidad de vida relacionada con la salud OT - Diabetes mellitus tipo 2 OT - Health-related quality of life OT - Hipoglucemias OT - Hypoglycaemias OT - Type 2 diabetes mellitus EDAT- 2014/09/30 06:00 MHDA- 2014/09/30 06:01 CRDT- 2014/09/30 06:00 PHST- 2014/05/30 00:00 [received] PHST- 2014/07/11 00:00 [revised] PHST- 2014/07/27 00:00 [accepted] PHST- 2014/09/30 06:00 [entrez] PHST- 2014/09/30 06:00 [pubmed] PHST- 2014/09/30 06:01 [medline] AID - S0014-2565(14)00325-7 [pii] AID - 10.1016/j.rce.2014.07.009 [doi] PST - ppublish SO - Rev Clin Esp (Barc). 2015 Mar;215(2):91-7. doi: 10.1016/j.rce.2014.07.009. Epub 2014 Sep 26.