Living with hypoglycemia
Open accessAbstract
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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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).”
From Hypoglycemia and Diabetes: A Report of a Workgroup of the American Diabetes Association and The Endocrine Society (2013) · cites this paper as [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.”
From Hypoglycemia and Diabetes: A Report of a Workgroup of the American Diabetes Association and The Endocrine Society (2013) · cites this paper as [87]
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- Authors
- Ritholz, M. D., & Jacobson, A. M.
- Affiliations
- Joslin Diabetes Center (US)
- ORCID
- Ritholz, Marilyn D.
- Venue
- Journal of General Internal Medicine
- Published
- 1998-12
- Volume
- 13
- Issue
- 12
- Pages
- 799-804
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC1497041
- 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
- bronze
- doi.org
- 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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