Pamela Martyn-Nemeth1, Laurie Quinn2, Sue Penckofer3, Chang Park2, Vanessa Hofer4, Larisa Burke2. 1. University of Illinois at Chicago, College of Nursing, Chicago, IL. Electronic address: pmartyn@uic.edu. 2. University of Illinois at Chicago, College of Nursing, Chicago, IL. 3. Loyola University Chicago, Marcella Niehoff School of Nursing, Chicago, IL. 4. Rush University, College of Nursing, Chicago, IL.
Abstract
PURPOSE: The purpose of this study was to examine how fear of hypoglycemia (FOH) is associated with glycemic variability (GV) and self-management behavior in young adults (aged 18-35) with type 1 diabetes (T1DM). PROCEDURES: Using a prospective repeated-measures design, in 35 young adults, within- and between-person and temporal associations of FOH, specific self-management behaviors, and GV were measured. The data were collected using questionnaires and real-time measures using daily diaries, insulin pump downloads, actigraphy, and continuous glucose monitoring. FINDINGS: FOH was associated with greater glycemic variability. Significant temporal associations emerged. Concurrent day (glucose SD, p=.011) and previous-evening fear levels were associated with GV (glucose SD, p=.007). FOH was also associated with greater calorie intake (r=.492, p=.003) and less physical activity (light activity, r=-.341, p=.045). CONCLUSIONS: The significant associations of FOH with GV, dietary patterns, and physical activity provide evidence for FOH as an important psychological factor associated with diabetes care.
PURPOSE: The purpose of this study was to examine how fear of hypoglycemia (FOH) is associated with glycemic variability (GV) and self-management behavior in young adults (aged 18-35) with type 1 diabetes (T1DM). PROCEDURES: Using a prospective repeated-measures design, in 35 young adults, within- and between-person and temporal associations of FOH, specific self-management behaviors, and GV were measured. The data were collected using questionnaires and real-time measures using daily diaries, insulin pump downloads, actigraphy, and continuous glucose monitoring. FINDINGS:FOH was associated with greater glycemic variability. Significant temporal associations emerged. Concurrent day (glucose SD, p=.011) and previous-evening fear levels were associated with GV (glucose SD, p=.007). FOH was also associated with greater calorie intake (r=.492, p=.003) and less physical activity (light activity, r=-.341, p=.045). CONCLUSIONS: The significant associations of FOH with GV, dietary patterns, and physical activity provide evidence for FOH as an important psychological factor associated with diabetes care.
Authors: Kimberly A Driscoll; Karen D Corbin; David M Maahs; Richard Pratley; Franziska K Bishop; Anna Kahkoska; Korey K Hood; Elizabeth Mayer-Davis Journal: Curr Diab Rep Date: 2017-08 Impact factor: 4.810
Authors: Anna R Kahkoska; Madison E Watts; Kimberly A Driscoll; Franziska K Bishop; Paul Mihas; Joan Thomas; Jennifer R Law; Nina Jain; Elizabeth J Mayer-Davis Journal: Obes Med Date: 2018-02-22
Authors: Mona Elbalshy; Sara Boucher; Barbara Galland; Jillian J Haszard; Hamish Crocket; Esko Wiltshire; Craig Jefferies; Martin I de Bock; Paul Tomlinson; Shirley Jones; Benjamin J Wheeler Journal: J Diabetes Metab Disord Date: 2020-10-30
Authors: Chioma Uzoigwe; Carol Mahler Hamersky; Deborah I Arbit; Wayne Weng; Michael S Radin Journal: Diabetes Metab Syndr Obes Date: 2020-06-24 Impact factor: 3.168
Authors: A J Roberts; C E Taplin; S Isom; J Divers; S Saydah; E T Jensen; E J Mayer-Davis; L A Reid; A D Liese; L M Dolan; D Dabelea; J M Lawrence; C Pihoker Journal: Pediatr Diabetes Date: 2020-08-18 Impact factor: 3.409