High diabetes‐specific distress among adults with type 1 diabetes and impaired awareness of hypoglycaemia despite widespread use of sensor technology
Authors' conclusion
Diabetes-specific distress remains a major problem among individuals with type 1 diabetes, particularly those with IAH, despite the widespread use of (intermittently scanned) sensor technology. Further studies are needed to examine strategies to lower diabetes-specific distress in individuals with IAH.
Study context
- Population
- Adults with T1D from an academic diabetes outpatient clinic; 51.9% male, diabetes duration 30 [16–40] years, HbA1c 60 ± 11 mmol/mol [7.6 ± 1.0%], 351 [88.2%] used a glucose sensor
- Participants
- 422 adults
- Exposure
- Impaired awareness of hypoglycaemia (IAH) vs normal awareness of hypoglycaemia
- IAHn = 82
- Outcome
- Diabetes-specific distress (emotions, cognitions, behaviours) in relation to IAH status
Methodological detailssingle-centre academic outpatient clinic, questionnaire-based
- Single-centre academic outpatient clinic
- Questionnaire-based
Main finding
As reported in the abstract
Diabetes-specific distress by IAH status
- More often with IAH
- Problem Areas in Diabetes (PAID-5) score ≥8 35.4% vs. 21.5%; P = 0.008
- Higher with IAH
- HFS-II total 40.2 ± 21.5 vs. 27.9 ± 17.2; P < 0.001
- Higher with IAH
- HFS-II behaviour 18.5 ± 10.0 vs. 15.1 ± 8.0; P = 0.005
- Higher with IAH
- HFS-II worry 21.8 ± 13.5 vs. 12.7 ± 10.9; P < 0.001
- Higher with IAH
- Hyperglycaemia Avoidance Scale (HAS) worries 17.5 ± 7.3 vs. 14.3 ± 7.0; P < 0.001
Observational data: associations, not effects.
Further findings
Glucose sensor users only
- Restricting analyses to glucose sensor users did not materially change the results
Original publication
High diabetes‐specific distress among adults with type 1 diabetes and impaired awareness of hypoglycaemia despite widespread use of sensor technology. Diabet Med. Published 27 June 2023. doi:10.
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