Impact of Flash Glucose Monitoring on the Fear of Hypoglycemia Phenomenon in Adults with Type 1 Diabetes
Authors' conclusion
FGM is associated with an overall reduction of FoH in adults with T1DM and with an increase in their quality of life. Nevertheless, a significant percentage of patients may experience an increase of this phenomenon leading to clinical repercussions and a profound impact on quality of life.
Study context
- Population
- Adults with T1D (18–80 years) self-monitoring by capillary blood glucose, starting flash glucose monitoring (FGM)
- Participants
- 181 adults
- Outcome
- Fear of hypoglycemia (FoH) by FH15 questionnaire (cutoff 28 points)
- Follow-up
- 12 months
Methodological details12-month follow-up
- 12-month follow-up
Main finding
As reported in the abstract
FH15 score change
Baseline fear of hypoglycemia (FoH) prevalence
69%
n = 123
Mean reduction in FH15 score
−4 points
95% CI −5.5 to −3P < 0.001
Observational data: associations, not effects.
Further findings
Quality of life (EsDQOL)
- Change in EsDQOL score
- −7 points [−10; −4], P < 0.001
Treatment satisfaction (DTSQ-s)
- Change in DTSQ-s score
- +4.5 points [4; 5.5], P < 0.001
FoH intensity at end of follow-up
- Improved FoH intensity
- 64.2%
- Same or higher FoH score
- 35.8%
Factors associated with improved FoH · end of follow-up
- Higher TIR
- P = 0.003
- Lower time in hyperglycemia
- P = 0.005
- High baseline FoH
- P < 0.001
- University degree holders
- P = 0.07
Original publication
Impact of Flash Glucose Monitoring on the Fear of Hypoglycemia Phenomenon in Adults with Type 1 Diabetes. Diabetes Technol Ther. Published 22 February 2024. doi:10.
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