Patient Understanding of Hypoglycemia in Tertiary Referral Centers
| Autor: | Mi Hae Seo, Hyun Ae Seo, Nam Kyung Kim, Eon Ju Jeon, Eugene Han, Hye Soon Kim, Jun Hwa Hong, Ji Eun Lee, Mi-Kyung Kim, Jun Sung Moon, Nan Hee Cho |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Pediatrics
medicine.medical_specialty Referral endocrine system diseases Endocrinology Diabetes and Metabolism medicine.medical_treatment media_common.quotation_subject 030209 endocrinology & metabolism Hypoglycemia lcsh:Diseases of the endocrine glands. Clinical endocrinology Education 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Personal history Medicine Insulin 030212 general & internal medicine Clinical Care/Education media_common lcsh:RC648-665 business.industry Diabetes nutritional and metabolic diseases medicine.disease INSULIN USE Emergency medicine Original Article Worry business Complication |
| Zdroj: | Diabetes & Metabolism Journal Diabetes & Metabolism Journal, Vol 42, Iss 1, Pp 43-52 (2018) |
| ISSN: | 2233-6087 2233-6079 |
| Popis: | BACKGROUND Hypoglycemia is an important complication in the treatment of patients with diabetes. We surveyed the insight by patients with diabetes into hypoglycemia, their hypoglycemia avoidance behavior, and their level of worry regarding hypoglycemia. METHODS A survey of patients with diabetes, who had visited seven tertiary referral centers in Daegu or Gyeongsangbuk-do, Korea, between June 2014 and June 2015, was conducted. The survey contained questions about personal history, symptoms, educational experience, self-management, and attitudes about hypoglycemia. RESULTS Of 758 participants, 471 (62.1%) had experienced hypoglycemia, and 250 (32.9%) had experienced hypoglycemia at least once in the month immediately preceding the study. Two hundred and forty-two (31.8%) of the participants had received hypoglycemia education at least once, but only 148 (19.4%) knew the exact definition of hypoglycemia. Hypoglycemic symptoms identified by the participants were dizziness (55.0%), sweating (53.8%), and tremor (40.8%). They mostly chose candy (62.1%), chocolate (37.7%), or juice (36.8%) as food for recovering hypoglycemia. Participants who had experienced hypoglycemia had longer duration of diabetes and a higher proportion of insulin usage. The mean scores for hypoglycemia avoidance behavior and worry about hypoglycemia were 21.2±10.71 and 23.38±13.19, respectively. These scores tended to be higher for participants with higher than 8% of glycosylated hemoglobin, insulin use, and experience of emergency room visits. CONCLUSION Many patients had experienced hypoglycemia and worried about it. We recommend identifying patients that are anxious about hypoglycemia and educating them about what to do when they develop hypoglycemic symptoms, especially those who have a high risk of hypoglycemia. |
| Databáze: | OpenAIRE |
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