Impaired awareness of hypoglycemia in children and adolescents with type 1 diabetes mellitus in north of Jordan

Hypoglycemia is a common complication of insulin therapy in patients with Type 1 Diabetes Mellitus (DM). Awareness of hypoglycemic symptoms helps patients to recognize hypoglycemia and initiate self-treatment. Impaired Awareness of Hypoglycemia (IAH) exposes patients to severe hypoglycemia, which co...

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Bibliographic Details
Published in:BMC endocrine disorders 2019-10, Vol.19 (1), p.107-107, Article 107
Main Authors: Alkhatatbeh, Mohammad J, Abdalqader, Nedaa A, Alqudah, Mohammad A Y
Format: Article
Language:English
Subjects:
Adolescent
Awareness
Biomarkers - analysis
Blood Glucose - analysis
Blood Glucose Self-Monitoring
Care and treatment
Child
Child, Preschool
Children
Complications and side effects
Cross-Sectional Studies
Diabetes mellitus
Diabetes Mellitus, Type 1 - blood
Diabetes Mellitus, Type 1 - drug therapy
Diabetes research
Diabetes therapy
Diagnosis
Female
Follow-Up Studies
Glycosylated hemoglobin
Health Knowledge, Attitudes, Practice
Humans
Hypoglycemia
Hypoglycemia - chemically induced
Hypoglycemia - epidemiology
Hypoglycemia - psychology
Hypoglycemic Agents - adverse effects
Insulin
Jordan - epidemiology
Juvenile diabetes
Male
Medical records
Prevalence
Prognosis
Seizures (Medicine)
Self care (Health)
Type 1 diabetes
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Summary:Hypoglycemia is a common complication of insulin therapy in patients with Type 1 Diabetes Mellitus (DM). Awareness of hypoglycemic symptoms helps patients to recognize hypoglycemia and initiate self-treatment. Impaired Awareness of Hypoglycemia (IAH) exposes patients to severe hypoglycemia, which could be associated with seizures and unconsciousness. This study aimed to assess IAH, frequency of hypoglycemia, severe hypoglycemia and intensity of hypoglycemic symptoms among children and adolescents with Type 1 DM in North of Jordan. Data were collected from 94 children and adolescents with Type 1 DM. Clarke's and Edinburgh surveys were used to assess IAH and individual symptoms of hypoglycemia, respectively. Frequency of hypoglycemia and other related information were obtained by self-reporting or from medical records. 16.0% of participants were having IAH, 66.0% of participants reported recurrent hypoglycemia (>once/month) and 18.0% of participants developed ≥1 severe hypoglycemia during the previous year. IAH was not associated with age, gender, duration of DM, HbA1c, insulin regimen, adherence to insulin or development of severe hypoglycemia (p-values> 0.05). Instead, IAH was associated with frequency of hypoglycemia during the previous 6 months (p-value
ISSN:1472-6823
1472-6823
DOI:10.1186/s12902-019-0441-9