Prevalence of fear of hypoglycemia in adults with type 1 diabetes using a newly developed screener and clinician’s perspective on its implementation
Authors' conclusion
Our results demonstrate FoH is common in PwT1D and affects their psychosocial well-being and diabetes management. In alignment with ADA position statement, HCP focus group results emphasize importance of screening for FoH. Implementing this newly developed FoH screener may help HCPs identify FoH in PwT1D.
Study context
- Population
- Adults (≥18 years) with T1D from T1D Exchange Quality Improvement Collaborative adult clinics; mean±SD age 38.9±14.2 years; Healthcare providers (HCPs) treating PwT1DPwT1D
- Participants
- 553 adults
- Outcome
- Prevalence of FoH using a newly developed FoH screener
Methodological detailsmultiphase observational, mixed methods, cross-sectional survey, focus groups
- Multiphase observational
- Mixed methods
- Cross-sectional survey
- Focus groups
Main finding
As reported in the abstract
High FoH total score
Reported a high fear of hypoglycemia (FoH) total score
30%
Observational data: associations, not effects.
Further findings
Factors associated with high FoH
- Higher A1c and higher number of comorbidities significantly associated with high FoH (regression)
- P < 0.001
- High FoH worry and behavior scores significantly associated with PHQ-8 and GAD-7 scores
- ≥1 severe hypoglycemia event(s) and impaired awareness of hypoglycemia: higher odds of high FoH
HCP perspectives on implementation
- HCPs in focus groups
- 11
- Screener clinically necessary and relevant but poses implementation challenges
Original publication
Prevalence of fear of hypoglycemia in adults with type 1 diabetes using a newly developed screener and clinician’s perspective on its implementation. BMJ Open Diabetes Res Care. Published 9 July 2023. doi:10.
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