Type 1 diabetes

Relationship between severe hypoglycemia or impaired awareness of hypoglycemia and diabetes-related health status, global cognition and executive functions in adults with type 1 diabetes without severe anxiety or depression

Diabetes Res Clin PractPublished Cross-sectional study

An erratum to this article was published (Diabetes Res Clin Pract, Aug 2026 ↗)

Authors' conclusion

In our cohort, executive dysfunction in T1D was not associated with SH or IAH. IAH was associated with PD, and both SH and IAH were related to behavioral dysfunction.

Study context

Population
Adults with T1D attending a tertiary diabetes service, excluding those screening positive for severe anxiety or depression
Participants
165 adults
Exposure
Severe hypoglycemia (SH) or impaired awareness of hypoglycemia (IAH) vs no SH or IAH
Outcome
Prevalence of SH and IAH
Methodological detailssingle tertiary diabetes service
  • Single tertiary diabetes service

Main finding

As reported in the abstract

Prevalence of SH

35%

Prevalence of IAH by Minimally Modified Clarke Hypoglycemia Survey (MMCHS) full-scale

13%

Prevalence of IAH by MMCHS factor 1

28%

Observational data: associations, not effects.

Further findings

Psychological distress (PD) score

Higher PD scores with IAH by factor 1
P = 0.008

Barriers to activity (BA) score

Higher BA scores with SH and IAH (full-scale or factor 1)
all p < 0.05

Global cognition and executive functions (EF)

No impairment of global cognition or EF with SH or IAH

Z-score IFS vs non-diabetic individuals

Participant Z-score IFS lower than in non-diabetic individuals
P < 0.001

Original publication

Relationship between severe hypoglycemia or impaired awareness of hypoglycemia and diabetes-related health status, global cognition and executive functions in adults with type 1 diabetes without severe anxiety or depression. Diabetes Res Clin Pract. Published 11 January 2025. doi:10.1016/j.diabres.2025.112004

Composed by AI from the published abstract and checked against it. How Briefs are made →

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