Household Food Insecurity and Fear of Hypoglycemia in Adolescents and Young Adults With Diabetes and Parents of Youth With Diabetes
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
| Outcome | Estimate | P value |
|---|---|---|
| Worry score, parents of adolescents | difference 0.18 unit | P < 0.05 |
| Fear of hypoglycemia scores, adults with T2DHFI vs No HFI | difference (behavior) 0.19 units | all P < 0.05 |
| Fear of hypoglycemia scores, adults with T2DHFI vs No HFI | difference (worry) 0.35 units | all P < 0.05 |
| Fear of hypoglycemia scores, adults with T2DHFI vs No HFI | difference (total) 0.28 units | all 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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