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

• Published in: Journal of diabetes investigation 2015-09, Vol.6 (5), p.567-570
• Main Authors: Sakane, Naoki, Kotani, Kazuhiko, Tsuzaki, Kokoro, Nishi, Masami, Takahashi, Kaoru, Murata, Takashi, Yamada, Kazunori, Okazaki, Kentaro, Yanagisawa, Katsuyuki, Yamada, Kenichi, Kuribayashi, Nobuichi, Totsuka, Yasuo, Hiyoshi, Toru, Naka, Motoji, Sugimoto, Masatake, Aoki, Yuji, Waki, Masako, Furuya, Miyuki, Kitaoka, Haruko, Oishi, Mariko, Shimizu, Ikki, Miyaoka, Hiroaki, Okada, Akira, Yamamoto, Toshikazu
• Format: Article
• Language: English
• Subjects: Age; Alcohol; Cardiovascular disease; Diabetes; Diabetes mellitus; Diabetes mellitus (non-insulin dependent); Fear; Fear & phobias; Glucose; Hemoglobin; Hospitals; Hypoglycemia; Insulin; Marital status; Questionnaires; Standard deviation; Studies; Type 2 diabetes
• ISSN: 2040-1116; 2040-1124
• DOI: 10.1111/jdi.12340

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