Fear of hypoglycemia: Influence on glycemic variability and self-management behavior in young adults with type 1 diabetes Journal Article

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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