Donna Mojdami1, Beth D Mitchell2, Erik Spaepen2, Kristen Syring2, Rémi Rabasa-Lhoret3, Zubin Punthakee4, Frank Snoek5, Mark Peyrot6. 1. Eli Lilly Canada, Inc, Toronto, Ontario, Canada. Electronic address: mojdami_donna@lilly.com. 2. Eli Lilly and Company, Indianapolis, Indiana, United States. 3. Montreal Clinical Research Institute and Université de Montréal, Montréal, Québec, Canada. 4. Department of Medicine, McMaster University, Hamilton, Ontario, Canada. 5. Department of Medical Pathology, Amsterdam Medical Centres, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands. 6. Department of Sociology, Loyola University Maryland, Baltimore, Maryland, United States.
Abstract
OBJECTIVES: The Conversations and Reactions Around Severe Hypoglycemia cross-sectional study was conducted to better understand the severe hypoglycemia experiences in persons with diabetes (PWD) and their caregivers (CGs). METHODS: Adults with type 1 or type 2 diabetes and CGs were recruited in 8 countries; Canadian cohort data are reported in this study. Insulin-treated PWD who reported a severe hypoglycemic event within the past 3 years and CGs who care for PWD ≥4 years old and who met the criteria were eligible for the study. Participants completed an online survey about their experience with severe hypoglycemia, its treatment and actions during and after severe hypoglycemia. RESULTS: Of the 324 respondents, 139 (43%) reported discussions about severe hypoglycemia with a health-care provider (HCP) at every visit. During the most recent severe hypoglycemic event, the most common actions taken included ingestion of oral carbohydrates and calling emergency medical services; glucagon was rarely used. Despite many respondents (67%) feeling scared because of the most recent severe hypoglycemic event, only 55% (51% with type 1 and 61% with type 2) discussed this event with an HCP. The event affected the mood/emotional status, physical activities and sleep of PWD and CGs. CONCLUSIONS: Severe hypoglycemia impacts the emotional and physical status of PWD and CGs. Despite this, many respondents did not report discussions about the most recent severe hypoglycemic event with HCPs. Furthermore, <50% of the respondents reported discussions about severe hypoglycemia with HCPs at every visit. Purposeful communication about severe hypoglycemia can help fulfil Diabetes Canada guideline recommendations to review experiences with hypoglycemia among PWD at every visit.
OBJECTIVES: The Conversations and Reactions Around Severe Hypoglycemia cross-sectional study was conducted to better understand the severe hypoglycemia experiences in persons with diabetes (PWD) and their caregivers (CGs). METHODS: Adults with type 1 or type 2 diabetes and CGs were recruited in 8 countries; Canadian cohort data are reported in this study. Insulin-treated PWD who reported a severe hypoglycemic event within the past 3 years and CGs who care for PWD ≥4 years old and who met the criteria were eligible for the study. Participants completed an online survey about their experience with severe hypoglycemia, its treatment and actions during and after severe hypoglycemia. RESULTS: Of the 324 respondents, 139 (43%) reported discussions about severe hypoglycemia with a health-care provider (HCP) at every visit. During the most recent severe hypoglycemic event, the most common actions taken included ingestion of oral carbohydrates and calling emergency medical services; glucagon was rarely used. Despite many respondents (67%) feeling scared because of the most recent severe hypoglycemic event, only 55% (51% with type 1 and 61% with type 2) discussed this event with an HCP. The event affected the mood/emotional status, physical activities and sleep of PWD and CGs. CONCLUSIONS: Severe hypoglycemia impacts the emotional and physical status of PWD and CGs. Despite this, many respondents did not report discussions about the most recent severe hypoglycemic event with HCPs. Furthermore, <50% of the respondents reported discussions about severe hypoglycemia with HCPs at every visit. Purposeful communication about severe hypoglycemia can help fulfil Diabetes Canada guideline recommendations to review experiences with hypoglycemia among PWD at every visit.
Authors: Heather L Stuckey; Urvi Desai; Sarah B King; Lyuba Popadic; William Levinson; Noam Y Kirson; Emily R Hankosky; Beth Mitchell Journal: Diabet Med Date: 2021-12-15 Impact factor: 4.213
Authors: Frank J Snoek; Erik Spaepen; Donna Mojdami; Elisabeth Mönnig; Kristen Syring; Yu Yan; Beth D Mitchell Journal: J Clin Transl Endocrinol Date: 2022-02-16
Authors: Alexandria Ratzki-Leewing; Bridget L Ryan; Guangyong Zou; Susan Webster-Bogaert; Jason E Black; Kathryn Stirling; Kristina Timcevska; Nadia Khan; John D Buchenberger; Stewart B Harris Journal: JMIR Res Protoc Date: 2022-02-11