Conversations and Reactions Around Severe Hypoglycaemia (CRASH): Spanish results of a global survey of people with type 1 diabetes or insulin-treated type 2 diabetes and caregivers.

Autor: Ampudia-Blasco FJ; Clinic University Hospital Valencia, Valencia University Medicine Faculty, Valencia, Spain., Artime E; Eli Lilly and Company, Alcobendas, Madrid, Spain. Electronic address: artime_esther@lilly.com., Díaz S; Eli Lilly and Company, Alcobendas, Madrid, Spain., Rubio M; Eli Lilly and Company, Alcobendas, Madrid, Spain., Reviriego J; Eli Lilly and Company, Alcobendas, Madrid, Spain., Mitchell B; Eli Lilly and Company, Indianapolis, IN, USA., Osumili B; Eli Lilly and Company, Indianapolis, IN, USA., Peyrot M; Loyola University Maryland, Baltimore, MD, USA., Pokrzywinski R; Evidera, Bethesda, MD, USA., Spaepen E; HaaPACS GmbH, Schriesheim, Germany., Snoek F; Amsterdam University Medical Center, Vrije Universiteit, Amsterdam, Netherlands.
Jazyk: angličtina
Zdroj: Endocrinologia, diabetes y nutricion [Endocrinol Diabetes Nutr (Engl Ed)] 2021 Oct; Vol. 68 (8), pp. 557-566.
DOI: 10.1016/j.endien.2021.11.012
Abstrakt: Introduction: Information on experience/management of severe hypoglycaemic events (SHEs) among people with insulin-treated diabetes (PWD) and caregivers (CGs) providing care to PWD was sought.
Materials and Methods: An online cross-sectional survey was conducted in eight countries.
Inclusion Criteria: PWD (aged≥18 years; self-reported type 1 [T1D] or insulin-treated type 2 [T2D] diabetes; experienced ≥1 SHE [hypoglycaemia requiring external assistance] in past 3 years); CGs (layperson aged ≥18 years; caring for PWD meeting all criteria above except age [≥4 years]). This descriptive analysis provides data from Spain. SHE-associated data relate to the most recent SHE.
Results: Across all groups (T1D PWD, n=106; T2D PWD, n=88, T1D CG, n=87; T2D CG, n=96), 76-89% reported that the SHE occurred at home; most common cause was eating less than planned (38-53%). Most usual action during the SHE was to intake carbohydrates (67-84%); glucagon use was low (9-36%). Discussion of the SHE with their healthcare provider (HCP) was reported by 70-75% of PWD. During the SHE, 35-69% of PWD/CGs reported feeling scared, unprepared and/or helpless.
Conclusions: Most SHEs occurred outside the healthcare setting; treatment therefore depends greatly on CGs. SHEs have a negative emotional impact on PWD/CGs, underscoring the need for HCPs to discuss SHEs with PWD/CGs, and to provide tools and strategies to prevent and effectively manage SHEs.
(Copyright © 2020 The Author(s). Published by Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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