학술논문
Hypoglycaemia symptom frequency, severity, burden, and utility among adults with type 1 diabetes and impaired awareness of hypoglycaemia: Baseline and 24‐week findings from the HypoCOMPaSS study.
Document Type
Article
Author
Source
Subject
*HYPOGLYCEMIA treatment
*EVALUATION of human services programs
*TYPE 1 diabetes
*DIABETES
*SEVERITY of illness index
*HEALTH literacy
*PRE-tests & post-tests
*ATTITUDES toward illness
*HYPOGLYCEMIA
*PSYCHOSOCIAL factors
*QUESTIONNAIRES
*DESCRIPTIVE statistics
*RESEARCH funding
*PATIENT education
*EARLY diagnosis
*EARLY medical intervention
*PEOPLE with diabetes
*SECONDARY analysis
*SYMPTOMS
*EVALUATION
*ADULTS
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Language
ISSN
0742-3071
Abstract
Aims: To determine the frequency, severity, burden, and utility of hypoglycaemia symptoms among adults with type 1 diabetes (T1D) and impaired awareness of hypoglycaemia (IAH) at baseline and week 24 following the HypoCOMPaSS awareness restoration intervention. Methods: Adults (N = 96) with T1D (duration: 29 ± 12 years; 64% women) and IAH completed the Hypoglycaemia Burden Questionnaire (HypoB‐Q), assessing experience of 20 pre‐specified hypoglycaemia symptoms, at baseline and week 24. Results: At baseline, 93 (97%) participants experienced at least one symptom (mean ± SD 10.6 ± 4.6 symptoms). The proportion recognising each specific symptom ranged from 15% to 83%. At 24 weeks, symptom severity and burden appear reduced, and utility increased. Conclusions: Adults with T1D and IAH experience a range of hypoglycaemia symptoms. Perceptions of symptom burden or utility are malleable. Although larger scale studies are needed to confirm, these findings suggest that changing the salience of the symptomatic response may be more important in recovering protection from hypoglycaemia through regained awareness than intensifying symptom frequency or severity. [ABSTRACT FROM AUTHOR]