Poor Adherence in Adolescents with Type 1 Diabetes Associated with Distress, Fear of Hypoglycemia, and Executive Functioning

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 847-P
Author(s):  
SARAH C. WESTEN ◽  
JENNIFER WARNICK ◽  
MINA ENTESSARI ◽  
ANASTASIA ALBANESE-O'NEILL ◽  
DESMOND SCHATZ ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Executive Functioning ◽  
Poor Adherence ◽  
Fear Of Hypoglycemia

Challenges Imposed By Hypoglycemia in Adults With Type 1 Diabetes

2018 ◽  
Vol 28 (8) ◽  
pp. 947-967
Author(s):  
Pamela Martyn-Nemeth ◽  
Jennifer Duffecy ◽  
Cynthia Fritschi ◽  
Laurie Quinn
Keyword(s):  
Type 1 Diabetes ◽  
Life Stress ◽  
Diabetes Management ◽  
Management Strategies ◽  
Safety Net ◽  
Loss Of Control ◽  
Work Demands ◽  
Fear Of Hypoglycemia ◽  
High Degree

Little is known regarding how hypoglycemia and associated fears influence day-to-day life among adults with type 1 diabetes (T1DM) who use contemporary diabetes management strategies. To address this gap, we performed an exploratory qualitative study with five focus groups of 30 people aged 20 to 57 years with T1DM. Sessions were audiotaped and transcribed, and then analyzed. Eight themes emerged: (a) hypoglycemic worry, (b) unpredictability and loss of control, (c) contending with life stress, (d) exercise benefits and challenges, (e) a changed relationship with food, (f) sleep fears, (g) a love/hate relationship with technology, and (h) coping strategies to make it better. Fear of hypoglycemia, diabetes management, and work demands confer a high degree of stress. Challenges surround food, exercise, and sleep. Technology is important but does not relieve fear of hypoglycemia. Developing strong coping skills and creating a safety net of support are necessary.

scholarly journals Continuous Glucose Monitor Use With Remote Monitoring Reduces Fear of Hypoglycemia in Pregnant Women With Type 1 Diabetes: A Pilot Study

2019 ◽  
Vol 14 (1) ◽  
pp. 191-192
Author(s):  
Sarit Polsky ◽  
Rachel Garcetti ◽  
Laura Pyle ◽  
Prakriti Joshee ◽  
Jamie K. Demmitt ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Pilot Study ◽  
Pregnant Women ◽  
Remote Monitoring ◽  
Continuous Glucose Monitor ◽  
Fear Of Hypoglycemia

Type 1 Diabetes in Youth: The Relationship Between Adherence and Executive Functioning

2007 ◽  
Vol 36 (2) ◽  
pp. 169-179 ◽  
Author(s):  
Daniel M. Bagner ◽  
Laura B. Williams ◽  
Gary R. Geffken ◽  
Janet H. Silverstein ◽  
Eric A. Storch
Keyword(s):  
Type 1 Diabetes ◽  
Executive Functioning ◽  
The Relationship ◽  
Diabetes In Youth

scholarly journals Bolus Calculator Reduces Hypoglycemia in the Short Term and Fear of Hypoglycemia in the Long Term in Subjects with Type 1 Diabetes (CBMDI Study)

2017 ◽  
Vol 19 (7) ◽  
pp. 402-409 ◽  
Author(s):  
María del Rosario Vallejo Mora ◽  
Mónica Carreira ◽  
María Teresa Anarte ◽  
Francisca Linares ◽  
Gabriel Olveira ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Short Term ◽  
Fear Of Hypoglycemia

Predictors of fear of hypoglycemia in youth with type 1 diabetes and their parents

2009 ◽  
Vol 33 (3) ◽  
pp. 200
Author(s):  
M. Nyer ◽  
L. Campbell ◽  
S. Mortimer ◽  
W. Clarke ◽  
L. Gonder-Frederick
Keyword(s):  
Type 1 Diabetes ◽  
Fear Of Hypoglycemia

scholarly journals Factors associated with high levels of glycated haemoglobin in patients with type 1 diabetes: a multicentre study in Brazil

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018094 ◽  
Author(s):  
Carine Sousa Andrade ◽  
Guilherme Sousa Ribeiro ◽  
Carlos Antonio Souza Teles Santos ◽  
Raimundo Celestino Silva Neves ◽  
Edson Duarte Moreira
Keyword(s):  
Type 1 Diabetes ◽  
Glycaemic Control ◽  
Hba1c Level ◽  
Glycated Haemoglobin ◽  
Poor Adherence ◽  
Adherence To Diet ◽  
The Mean ◽  
Lower Education ◽  
Hba1c Levels

ObjectiveLong-term complications of type 1 diabetes mellitus (DM1) can be prevented with adequate glycaemic control. However, high levels of glycated haemoglobin (HbA1c) occur in 60%–90% of the patients with DM1. Thus, we aimed to investigate the role of sociodemographic, behavioural and clinical factors on the HbA1c levels of patients with DM1 in Brazil.Design, setting and participantsA cross-sectional study was conducted in ambulatory patients with DM1 aged ≥18 years from 10 Brazilian cities. Sociodemographic, behavioural and clinical data were obtained through interviews.Main outcome measuresHbA1c level was measured by liquid chromatography. Hierarchical multiple variable linear regression models were used to identify factors correlated with high levels of HbA1c.ResultsOf 979 patients with DM1, 63.8% were women, and the mean age was 40 (SD 14.6) years. The mean HbA1c level was 9.4% (SD 2.2%), and 89.6% of the patients had HbA1c ≥7.0%. Factors independently correlated with increased HbA1c levels included: lower education, non-participation in diabetes classes/lecture during the year before, having a self-perception of poor adherence to diet and insulin, not having private medical care and not measuring the HbA1c levels in the prior year. Of note, poor adherence to diet and insulin were the independent factors most strongly associated with high levels of HbA1c (mean increment in HbA1c levels of 0.88% and 1.25%, respectively).ConclusionPoor glycaemic control, which is common among Brazilian patients with DM1, is associated with lower education, self-perception of insufficient adherence to diet and insulin and inadequate monitoring of HbA1c levels. Specific actions, particularly those targeting improving adherence to diet and insulin, may contribute to successful management of patients with DM1.

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