Type 1 diabetes

Household Food Insecurity and Fear of Hypoglycemia in Adolescents and Young Adults With Diabetes and Parents of Youth With Diabetes

Diabetes CarePublished Cross-sectional study

Authors' conclusion

Screening for HFI and fear of hypoglycemia among people with diabetes can help providers tailor diabetes education for those who have HFI and therefore fear hypoglycemia.

Study context

Population
Young adults with youth-onset diabetes (84% T1D, 16% T2D) and adolescents (<18 years; mean age 15.1 years) with T1D and their parents, SEARCH for Diabetes in Youth study1,676 young adults · 568 adolescents
Exposure
Household food insecurity (HFI) vs no HFI
Outcome
Mean fear of hypoglycemia score (Hypoglycemia Fear Survey) and behavior and worry subscale scores

Main finding

As reported in the abstract

Fear of hypoglycemia scores, adults with T1D

Difference (behavior)

0.22 units

P < 0.0001

HFI

Difference (worry)

0.55 units

P < 0.0001

HFI

Difference (total)

0.40 units

P < 0.0001

HFI

Observational data: associations, not effects.

Further findings

OutcomeEstimateP value
Worry score, parents of adolescentsdifference 0.18 unitP < 0.05
Fear of hypoglycemia scores, adults with T2DHFI vs No HFIdifference (behavior) 0.19 unitsall P < 0.05
Fear of hypoglycemia scores, adults with T2DHFI vs No HFIdifference (worry) 0.35 unitsall P < 0.05
Fear of hypoglycemia scores, adults with T2DHFI vs No HFIdifference (total) 0.28 unitsall P < 0.05

Fear of hypoglycemia scores, adolescents with T1D

No differences by HFI status

Original publication

Household Food Insecurity and Fear of Hypoglycemia in Adolescents and Young Adults With Diabetes and Parents of Youth With Diabetes. Diabetes Care. Published 30 June 2022. doi:10.2337/dc21-1807

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