Burden of impaired awareness of hypoglycemia in people with diabetes undergoing hemodialysis
Authors' conclusion
We observed that 23.2% of individuals with diabetes undergoing hemodialysis had IAH. IAH was more prevalent in people who reported a fear of hypoglycemia and had a history of severe hypoglycemia episode. The study highlights the unmet needs and disparities in access to diabetes technology within this population.
Study context
- Population
- People with diabetes on hemodialysis; mean age 67.2 years (±12.9), 51.8% male, 91.1% T2D, mean HbA1c 52 mmol/mol (±18.6)
- Participants
- 56 people
- Outcome
- Prevalence of IAH (Clarke questionnaire)
Methodological detailssingle-centre audit
- Single-centre audit
Main finding
As reported in the abstract
IAH prevalence
Impaired awareness of hypoglycemia (IAH) prevalence
23.2%
Observational data: associations, not effects.
Further findings
History of severe hypoglycemia
- History of severe hypoglycemia (among the 57 participants)
- 23.6%
Fear of hypoglycemia
- Reported fear of hypoglycemia
- 60.6%
CGM use
- Participants using a CGM
- 2.8%
Factors associated with IAH
- No significant differences in sociodemographic and clinical characteristics between IAH and normal hypoglycemia awareness
Original publication
Burden of impaired awareness of hypoglycemia in people with diabetes undergoing hemodialysis. BMJ Open Diabetes Res Care. Published 1 February 2024. doi:10.
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