How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately?
Authors' conclusion
Despite education programmes, the majority of participants do not treat hypoglycaemia adequately. Hypoglycaemic events significantly impact daily life and are associated with increased diabetes-related distress, especially in those with IAH.
Study context
- Population
- Adults with T1D or T2D on insulin therapy after a treatment and teaching programme, University Hospital Jena
- Participants
- 340 adults
- Exposure
- T1D vs T2D; without vs with impaired awareness of hypoglycaemia
- T1Dn = 156
- T2Dn = 184reference
- Outcome
- Adequate treatment of hypoglycaemia symptoms
Methodological detailssingle-centre, Validated questionnaires and structured interviews; awareness by Gold Score, distress by PAID Scale
- Single-centre
- Validated questionnaires and structured interviews; awareness by Gold Score, distress by PAID Scale
Main finding
As reported in the abstract
Hypoglycaemia treated adequately
P = 0.606
- All participants treating hypoglycaemia adequately
- 23.8%
Observational data: associations, not effects.
Further findings
Hypoglycaemia altered daily routines
P = 0.001
- Adequate hypoglycaemia treatment, without vs with IAH, T2D · significantly more without IAH treated adequately
- P = 0.047
- Adequate hypoglycaemia treatment, without vs with IAH, T1D · not significant
- P = 0.568
- Hypoglycaemia altered daily routines — Altered daily routines, all participants
- 26.2%
- Diabetes distress (PAID) by changes in daily routines · Changes in daily routines vs No changes · higher PAID scores with changes in daily routines
- P < 0.001
Fear of hypoglycaemia and HbA1c
- Fear of hypoglycaemia associated with higher HbA1c, due to accepting elevated blood glucose
Original publication
How do hypoglycaemias affect the everyday life of people with diabetes and are they able to treat them adequately? Diabet Med. Published 16 August 2025. doi:10.
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