Fear of hypoglycemia and its determinants in insulin-treated patients with type 2 diabetes mellitus

نویسندگان

  • Naoki Sakane
  • Kazuhiko Kotani
  • Kokoro Tsuzaki
  • Masami Nishi
  • Kaoru Takahashi
  • Takashi Murata
  • Kazunori Yamada
  • Kentaro Okazaki
  • Katsuyuki Yanagisawa
  • Kenichi Yamada
  • Nobuichi Kuribayashi
  • Yasuo Totsuka
  • Toru Hiyoshi
  • Motoji Naka
  • Masatake Sugimoto
  • Yuji Aoki
  • Masako Waki
  • Miyuki Furuya
  • Haruko Kitaoka
  • Mariko Oishi
  • Ikki Shimizu
  • Hiroaki Miyaoka
  • Akira Okada
  • Toshikazu Yamamoto
چکیده

The aim of the present study was to investigate the prevalence of fear of hypoglycemia, in association with severe hypoglycemia and social factors, in insulin-treated patients with type 2 diabetes mellitus. A questionnaire survey on hypoglycemia and patient-physician communication was carried out in 355 patients with insulin-treated type 2 diabetes mellitus patients at 16 hospitals and clinics. A fear of hypoglycemia was reported by 27.7% of patients. A stepwise logistic regression analysis found that severe hypoglycemia during the past 1 year was a significant determinant of fear of hypoglycemia (odds ratio 2.16, 95% confidence interval 1.06-4.41; P = 0.034), and age (odds ratio 1.02, 95% confidence interval 1.00-1.05, P = 0.038) and living alone (odds ratio 1.93, 95% confidence interval 1.00-3.73, P < 0.05) were significantly higher in patients with fear of hypoglycemia than in those without it.

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عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2015