‘You have to use everything and come to some equilibrium’: a qualitative study on hypoglycemia self-management in users of continuous glucose monitor with diverse hypoglycemia experiences
Authors' conclusion
Despite using CGMs, people with T1D can face a complex biopsychosocial process of managing hypoglycemia. Interventions for addressing psychosocial and behavioral barriers are needed to improve hypoglycemia self-management in those who continue to face challenges in minimizing hypoglycemia while using CGMs.
Study context
- Population
- People with T1D using continuous glucose monitoring systems (CGMs) with diverse hypoglycemia experiences
- Participants
- 28 people
- Outcome
- Themes on hypoglycemia self-management during CGM use
Methodological detailspurposive sampling, semistructured interviews, thematic analysis
- Purposive sampling
- Semistructured interviews
- Thematic analysis
Main finding
As reported in the abstract
- Prioritizing symptoms over CGM data
- Distraction from the demands of daily life
- Concerns about hypoglycemia management choices (fear of rebound hyperglycemia; health consequences of sugary food; aversions to treatment foods)
- Social influences on management choices (social support; unwanted attention or inconveniencing others; stigma and criticism related to hypoglycemia and CGM use)
Further findings
Respondent characteristics · past 6 months (severe hypoglycemia)
- Impaired awareness of hypoglycemia
- 39%
- Severe hypoglycemia in past 6 months
- 32%
- About one-third each spent 0%, 0.1%-0.9% and ≥1% of time in level 2 hypoglycemia
Original publication
‘You have to use everything and come to some equilibrium’: a qualitative study on hypoglycemia self-management in users of continuous glucose monitor with diverse hypoglycemia experiences. BMJ Open Diabetes Res Care. Published 22 June 2023. doi:10.
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