Psychological Effects of Hypoglycaemia
Abstract
Hypoglycaemia is one of the major stressors for people living with insulin-treated diabetes and their relatives. In this chapter the psychological burden of hypoglycaemia and its emotional and behavioural sequelae are discussed. The risk factors for heightened fear of hypoglycaemia are examined, as are ways of assessing fear of hypoglycaemia, and differentiating between adaptive and maladaptive avoidance behaviours. Clinical recommendations are provided for the prevention and management of (extreme) fear of hypoglycaemia, both in persons with type 1 and type 2 diabetes and their families or partners.
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Fear of hypoglycemia may translate into avoidance behaviors aimed at keeping blood glucose at a 'safe' level, resulting in persistent hyperglycemia.
“Fear of hypoglycemia may translate into avoidance behaviors aimed at keeping blood glucose at a “safe” level, resulting in persistent hyperglycemia (191).”
Cites
Fear of hypoglycemia: quantification, validation, and utilization
Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J. (1987) · Diabetes Care · doi:10.2337/diacare.10.5.617 · Cited by 579 · see citing works
Psychometric properties of the hypoglycemia fear survey-ii for adults with type 1 diabetes
Gonder-Frederick, L. A., Schmidt, K. M., Vajda, K. A., Greear, M. L., Singh, H., Shepard, J. A., & Cox, D. J. (2011) · Diabetes Care · doi:10.2337/dc10-1343 · Cited by 337 · see citing works
Barendse, S., Singh, H., Frier, B. M., & Speight, J. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2011.03416.x · Cited by 161 · see citing works
Hepburn, D. A., Deary, I. J., MacLeod, K. M., & Frier, B. M. (1994) · Diabetes Care · doi:10.2337/diacare.17.11.1273 · Cited by 66 · see citing works
Ritholz, M. D., & Jacobson, A. M. (1998) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1998.00243.x · Cited by 44 · see citing works
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Holt, R. I. G., DeVries, J. H., Hess-Fischl, A., Hirsch, I. B., Kirkman, M. S., Klupa, T., Ludwig, B., Nørgaard, K., Pettus, J., Renard, E., et al. (2021) · Diabetes Care · doi:10.2337/dci21-0043 · Cited by 699 · see citing works
Self-citationRondags, S. M. P. A., de Wit, M., Twisk, J. W., & Snoek, F. J. (2016) · Diabetes Care · doi:10.2337/dc16-1614 · Cited by 45 · see citing works
Self-citation
- Authors
- Snoek, F. J., Hajos, T. R. S., & Rondags, S. M. P. A.
- Affiliations
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- Hypoglycaemia in Clinical Diabetes
- Publisher
- Wiley
- Published
- 2013-10-25
- Pages
- 323-333
- OpenAlex
- W1606701046
- Cited by
- 6
- References
- 5
- Citations by year
- 2021: 2 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 1
- Type
- other
- Language
- en
- Open access
- closed
- Locations
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- hypoglycemia, fear of hypoglycemia, psychological burden, insulin-treated diabetes, type 1 diabetes, type 2 diabetes, avoidance behavior, emotional sequelae, risk factors, hypoglycemia prevention, hypoglycemia management
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