Cited by 44Diabetes Management and ResearchDiabetes Management and EducationPatient Safety and Medication Errors

Living with hypoglycemia

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Ritholz, Marilyn D., Jacobson, Alan M.·1998·Journal of General Internal Medicine

Abstract

Objective To increase understanding of the everyday experiences of hypoglycemia for patients with type 1 diabetes through the use of a narrative research approach.Setting Center for diabetes treatment and research.Design Cross-sectional assessment using a narrative research approach.Patients/participants Twenty outpatients (aged 21-30 years) diagnosed with type 1 diabetes for at least 10 years.Measurements and main results Experiences of hypoglycemia were investigated during in-depth, semistructured interviews that were tape-recorded, transcribed, and analyzed to identify common themes. Self-report measures of depression (Revised Hamilton Rating Scale for Depression) and anxiety (State-Trait Anxiety Inventory) also were administered. Subjects reported the following common themes: interpersonal conflict including fears of dependency and loss of control and problems addressing concerns about hypoglycemia with significant others; difficulty making sense of their hypoglycemic behaviors in relation to their usual ways of functioning; and perceived lack of understanding by others, including physicians, about the emotional experiences of hypoglycemia. Subjects were neither clinically depressed nor anxious.Conclusions These findings suggest that type 1 diabetes patients' experiences of hypoglycemia negatively affect their interpersonal relationships and views of themselves. Hypoglycemia also was described as an extremely private experience that was rarely discussed with others. Patient education and professional support in the treatment of hypoglycemia are recommended to enhance treatment decision making for patients with type 1 diabetes.

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Crossref · 10.1046/j.1525-1497.1998.00243.x

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  • In-depth interviews of a small group of otherwise healthy young adults with type 1 diabetes revealed the presence of interpersonal conflict including fears of dependency and loss of control, and difficulty talking about issues related to hypoglycemia with significant others.

    “In-depth interviews of a small group of otherwise healthy young adults with type 1 diabetes revealed the presence of interpersonal conflict including fears of dependency and loss of control. These adults also reported difficulty talking about issues related to hypoglycemia with significant others (87).”
  • In-depth interviews of a small group of otherwise healthy young adults with type 1 diabetes revealed the presence of interpersonal conflict including fears of dependency and loss of control.

    “In-depth interviews of a small group of otherwise healthy young adults with type 1 diabetes revealed the presence of interpersonal con fl ict including fears of dependency and loss of control.”

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Research works printed but not linked: 6

  1. Cryer PE. Iatrogenic hypoglycemia in IDDM: consequences, risk factors, and prevention. In: Marshall SM, Home PD, Alberti KGMM, Krall LP, eds. Diabetes Annual. Amsterdam, The Nether- lands: Elsevier; 1993;7:317-31.
  2. Pramming S, Thorsteinsson B, Bendtson I, Binder C. Symptom- atic hypoglycaemia in 411 type I diabetic patients. Diabetic Med. 1991;8:217-22.
  3. Sacks O. Medicine and the narrative. Mt Sinai Med J. 1993;60: 127-31.
  4. William G. The genesis of chronic illness: narrative reconstruc- tion. Soc Health Illness. 1984;6:175-200.
  5. Somer R, Somer B. A Practical Guide to Behavioral Research. 2nd ed. New York, NY: Oxford University Press; 1986.
  6. Anderson RM, Funnell MM, Butler PM, Arnold MS, Fitzgerald JT, Feste CC. Patient empowerment. Diabetes Care. 1995;18:943-9.

Cited by

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Authors
Ritholz, M. D., & Jacobson, A. M.
Affiliations
Joslin Diabetes Center (US)
Venue
Journal of General Internal Medicine
Published
1998-12
Volume
13
Issue
12
Pages
799-804
ISSN
  • 0884-8734 (ISSN-L)
  • 1525-1497
OpenAlex
W2081804636
Cited by
44
References
55
Citations by year
2024: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 1 · 2016: 2 · 2015: 2 · 2013: 11 · 2012: 1
FWCI
0.45
Type
journal article
Language
en
Open access
Locations
  • Journal of General Internal Medicine (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
Keywords
hypoglycemia, type 1 diabetes, patient experience, interpersonal conflict, dependency, loss of control, patient education, treatment decision-making, young adults
MeSH terms
Adult, Cross-Sectional Studies, Diabetes Mellitus, Type 1, Humans, Hypoglycemia, Interpersonal Relations, Interviews as Topic, Physician-Patient Relations

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