Authors: | Martyn-Nemeth, P; Quinn, L; Penckofer, S; Park, C; Hofer, V.; Burke, L |
Article Title: | Fear of hypoglycemia: Influence on glycemic variability and self-management behavior in young adults with type 1 diabetes |
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. |
Journal Title: | Journal of diabetes and its complications |
Volume: | 31 |
Issue: | 4 |
ISSN: | 1873-460X; 1056-8727 |
Publisher: | Elsevier Inc |
Journal Place: | United States |
Date Published: | 2017 |
Start Page: | 735 |
End Page: | 741 |
Language: | eng |
DOI/URL: |
S1056-8727(16)30609-2 |
Notes: | LR: 20180401; CI: Copyright (c) 2017; GR: P30 DK092949/DK/NIDDK NIH HHS/United States; JID: 9204583; 0 (Blood Glucose); NIHMS845290; OTO: NOTNLM; 2016/09/27 00:00 [received]; 2016/12/16 00:00 [revised]; 2016/12/22 00:00 [accepted]; 2017/02/02 06:00 [pubmed]; 2018/03/20 06:00 [medline]; 2017/02/02 06:00 [entrez]; ppublish |