PMID- 35658618
OWN - NLM
STAT- MEDLINE
DCOM- 20220711
LR  - 20220809
IS  - 2635-0114 (Electronic)
IS  - 2635-0106 (Linking)
VI  - 48
IP  - 4
DP  - 2022 Aug
TI  - Understanding Hypoglycemia in the Real World.
PG  - 270-280
LID - 10.1177/26350106221102855 [doi]
AB  - PURPOSE: The purpose of this study was to gain a better understanding of 
      real-world hypoglycemia experiences from people living with diabetes. METHODS: An 
      exploratory cross-sectional study of a convenience sample of 374 English-speaking 
      adults affected by diabetes using an online survey was conducted. RESULTS: 
      Participant mean age was 37 years with an average diabetes duration of 21 years. 
      On average, participants reported feeling hypoglycemia at 64 mg/dL (3.6 mmol/L), 
      worrying about hypoglycemia at 63 mg/dL (3.5 mmol/L), and treating hypoglycemia 
      at 72 mg/dL (4 mmol/L). Terminology used by study participants did not match the 
      current classifications of hypoglycemia used in clinical research. Participants 
      who have been told they have hypoglycemia unawareness treat at a significantly 
      lower level compared to those without hypoglycemia unawareness. Only 58% always 
      carry hypoglycemia treatment; there was a relationship with increasing age and 
      always carrying hypoglycemia treatment. Thirty-eight percent of participants 
      treat hypoglycemia with the recommended 15 g of carbohydrate (CHO). Survey 
      respondents who wore continuous glucose monitors reported using significantly 
      less CHO to treat hypoglycemia. CONCLUSIONS: In the real world, experiences 
      related to feeling, worrying about, and treating hypoglycemia trend higher than 
      what is noted in the standardized hypoglycemia classifications. Study findings 
      have implications for teaching and supporting people with diabetes who experience 
      hypoglycemia. Consuming less CHO to treat hypoglycemia could lead to fewer 
      episodes of rebound hyperglycemia and less weight gain. Increased support for 
      continuous glucose monitoring is warranted.
FAU - Dickinson, Jane K
AU  - Dickinson JK
AUID- ORCID: 0000-0003-0732-8116
AD  - Department of Health & Behavior Studies, Teachers College Columbia University, 
      New York, New York.
FAU - Litchman, Michelle L
AU  - Litchman ML
AD  - College of Nursing, University of Utah, Salt Lake City, Utah.
LA  - eng
PT  - Journal Article
DEP - 20220604
PL  - United States
TA  - Sci Diabetes Self Manag Care
JT  - The science of diabetes self-management and care
JID - 101775189
RN  - 0 (Blood Glucose)
MH  - Adult
MH  - Blood Glucose
MH  - Blood Glucose Self-Monitoring
MH  - Cross-Sectional Studies
MH  - *Diabetes Mellitus
MH  - Humans
MH  - *Hypoglycemia/diagnosis
EDAT- 2022/06/07 06:00
MHDA- 2022/07/12 06:00
CRDT- 2022/06/06 09:38
PHST- 2022/06/07 06:00 [pubmed]
PHST- 2022/07/12 06:00 [medline]
PHST- 2022/06/06 09:38 [entrez]
AID - 10.1177/26350106221102855 [doi]
PST - ppublish
SO  - Sci Diabetes Self Manag Care. 2022 Aug;48(4):270-280. doi: 
      10.1177/26350106221102855. Epub 2022 Jun 4.