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Experience of hypoglycaemia is associated with changes in beliefs about diabetes in patients with type 2 diabetes.
Diabet Med. 2011 Nov; 28(11):1395-400.DM

Abstract

AIM

Hypoglycaemia may have a detrimental impact on quality of life for patients with Type 2 diabetes. There are few clinical studies exploring the impact of experiencing hypoglycaemia on beliefs about diabetes and health status. The aim of this study was to explore associations between experience of hypoglycaemia and changes in diabetes beliefs and self-reported health status in patients with non-insulin-treated Type 2 diabetes using a blood glucose meter.

METHODS

One-year prospective cohort analysis of 226 patients recruited to a randomized trial evaluating the impact of self-monitoring of blood glucose. Self-reported hypoglycaemia over 1 year was categorized into three groups: (1) no experience of hypoglycaemia; (2) blood glucose measurements < 4 mmol/l with no associated symptoms of hypoglycaemia (grade 1); and (3) symptomatic hypoglycaemia (grade 2 and 3). Measures of beliefs about diabetes (Revised Illness Perception Questionnaire) and health status (EuroQol-5D) were assessed at baseline and 1 year. Differences in mean changes over 1 year were explored with analyses of covariance.

RESULTS

There was a significant increase in mean score in beliefs about personal control (1.14; 95%CI 0.14-2.14) among those experiencing grade 1 hypoglycaemia compared with those not experiencing hypoglycaemia. There were no significant differences in changes in health status between groups, with small overall changes that were inconsistent between groups.

CONCLUSIONS

This study does not provide support for a long-term adverse impact on beliefs about diabetes or health status from the experience of mild symptomatic hypoglycaemia, in well-controlled, non-insulin-treated patients with Type 2 diabetes using self-monitoring of blood glucose.

Authors+Show Affiliations

Department of General Practice, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. u.malanda@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21627685

Citation

Malanda, U L., et al. "Experience of Hypoglycaemia Is Associated With Changes in Beliefs About Diabetes in Patients With Type 2 Diabetes." Diabetic Medicine : a Journal of the British Diabetic Association, vol. 28, no. 11, 2011, pp. 1395-400.
Malanda UL, Bot SD, French DP, et al. Experience of hypoglycaemia is associated with changes in beliefs about diabetes in patients with type 2 diabetes. Diabet Med. 2011;28(11):1395-400.
Malanda, U. L., Bot, S. D., French, D. P., Kostense, P. J., Wade, A. N., Dekker, J. M., Nijpels, G., & Farmer, A. J. (2011). Experience of hypoglycaemia is associated with changes in beliefs about diabetes in patients with type 2 diabetes. Diabetic Medicine : a Journal of the British Diabetic Association, 28(11), 1395-400. https://doi.org/10.1111/j.1464-5491.2011.03340.x
Malanda UL, et al. Experience of Hypoglycaemia Is Associated With Changes in Beliefs About Diabetes in Patients With Type 2 Diabetes. Diabet Med. 2011;28(11):1395-400. PubMed PMID: 21627685.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Experience of hypoglycaemia is associated with changes in beliefs about diabetes in patients with type 2 diabetes. AU - Malanda,U L, AU - Bot,S D, AU - French,D P, AU - Kostense,P J, AU - Wade,A N, AU - Dekker,J M, AU - Nijpels,G, AU - Farmer,A J, PY - 2011/6/2/entrez PY - 2011/6/2/pubmed PY - 2012/1/4/medline SP - 1395 EP - 400 JF - Diabetic medicine : a journal of the British Diabetic Association JO - Diabet Med VL - 28 IS - 11 N2 - AIM: Hypoglycaemia may have a detrimental impact on quality of life for patients with Type 2 diabetes. There are few clinical studies exploring the impact of experiencing hypoglycaemia on beliefs about diabetes and health status. The aim of this study was to explore associations between experience of hypoglycaemia and changes in diabetes beliefs and self-reported health status in patients with non-insulin-treated Type 2 diabetes using a blood glucose meter. METHODS: One-year prospective cohort analysis of 226 patients recruited to a randomized trial evaluating the impact of self-monitoring of blood glucose. Self-reported hypoglycaemia over 1 year was categorized into three groups: (1) no experience of hypoglycaemia; (2) blood glucose measurements < 4 mmol/l with no associated symptoms of hypoglycaemia (grade 1); and (3) symptomatic hypoglycaemia (grade 2 and 3). Measures of beliefs about diabetes (Revised Illness Perception Questionnaire) and health status (EuroQol-5D) were assessed at baseline and 1 year. Differences in mean changes over 1 year were explored with analyses of covariance. RESULTS: There was a significant increase in mean score in beliefs about personal control (1.14; 95%CI 0.14-2.14) among those experiencing grade 1 hypoglycaemia compared with those not experiencing hypoglycaemia. There were no significant differences in changes in health status between groups, with small overall changes that were inconsistent between groups. CONCLUSIONS: This study does not provide support for a long-term adverse impact on beliefs about diabetes or health status from the experience of mild symptomatic hypoglycaemia, in well-controlled, non-insulin-treated patients with Type 2 diabetes using self-monitoring of blood glucose. SN - 1464-5491 UR - https://www.unboundmedicine.com/medline/citation/21627685/Experience_of_hypoglycaemia_is_associated_with_changes_in_beliefs_about_diabetes_in_patients_with_type_2_diabetes_ L2 - https://doi.org/10.1111/j.1464-5491.2011.03340.x DB - PRIME DP - Unbound Medicine ER -