Assessing thoughts, feelings and behaviours related to hypoglycaemia: Psychometric evaluation of the Hypoglycaemia Cues Questionnaire ( HypoC ‐Q)
Authors' conclusion
The HypoC-Q is an acceptable, valid, and reliable measure of thoughts, feelings, and behaviours related to hypoglycaemia among adults with T1D. It is available for informing and assessing the effect of interventions to reduce hypoglycaemia exposure and impact.
Study context
- Population
- Adults with T1D reporting at least one hypoglycaemic event who completed the baseline Hypoglycaemia Cues Questionnaire (HypoC-Q) (Hypo-METRICS); 62% females, mean age 44 ± 15 years, T1D duration 23 ± 16 yearseligible
- Participants
- 154 adults
- Outcome
- Psychometric properties of the HypoC-Q
- Follow-up
- Baseline
Methodological detailssecondary analysis of baseline data from the Hypo-METRICS study, HypoC-Q designed iteratively, informed by interviews with 17 adults with T1D with impaired awareness of hypoglycaemia and/or recurrent severe hypoglycaemia, and consultation with diabetologists
- Secondary analysis of baseline data from the Hypo-METRICS study
- HypoC-Q designed iteratively, informed by interviews with 17 adults with T1D with impaired awareness of hypoglycaemia and/or recurrent severe hypoglycaemia, and consultation with diabetologists
Performance
As reported in the abstract
Completion: all participants completed all 40 HypoC-Q items
40 items
Exploratory factor analysis: four scales — low concern (7 items), burnout (6 items), missing cues (5 items), delaying treatment (9 items); plus eight items treated separately
4 scales
Internal consistency of the scales
α = 0.69-0.81
Original publication
Assessing thoughts, feelings and behaviours related to hypoglycaemia: Psychometric evaluation of the Hypoglycaemia Cues Questionnaire ( HypoC ‐Q). Diabet Med. Published 3 February 2026. doi:10.
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