부산대학교 도서관

GLO:EU1/01jan23:dom14841-fig-0001.jpg PHOTO (COLOR): 1 Bar chart showing the prevalence of impaired awareness of hypoglycaemia (IAH), severe hypoglycaemia (SH) episodes and complete loss of awareness of hypoglycaemia before and after FreeStyle Libre (FSL) use. The Gold score was used to assess awareness of hypoglycaemia.[9] A score of 4 or higher indicates IAH and 7 indicates a complete loss of awareness.[9] Diabetes-related distress was measured using the two-item diabetes distress screening tool (DDS2).[10] An average of the two questions of the DDS2 scale was calculated. In this audit, people with diabetes were using FreeStyle Libre or FreeStyle Libre 2. Keywords: glycaemic control; hypoglycaemia; observational study; type 1 diabetes EN glycaemic control hypoglycaemia observational study type 1 diabetes 302 305 4 12/13/22 20230101 NES 230101 BACKGROUND FreeStyle Libre (FSL), intermittently scanned continuous glucose monitoring (isCGM), is associated with less biochemical hypoglycaemia in people with diabetes, lower HbA1c and diabetes-related distress.[1] Impaired awareness of hypoglycaemia (IAH), which affects 18%-33% of people with type 1 diabetes,[2] is the reduced ability to detect the symptoms of hypoglycaemia and is associated with a 6-fold increased risk of severe hypoglycaemia (SH).[3] Many of the studies of CGM have shown a reduction in rates of hypoglycaemia but have not shown restoration of awareness.[4], [5], [6] There are limited nationwide data investigating the prevalence of IAH, complete loss of awareness of hypoglycaemia and SH. [Extracted from the article]