Hypoglycemia Unawareness Is Associated With Reduced Adherence to Therapeutic Decisions in Patients With Type 1 Diabetes

Smith, Charlotte B.; Choudhary, Pratik; Pernet, Andrew; Hopkins, David; Amiel, Stephanie A.

doi:10.2337/dc08-2259

Hypoglycemia Unawareness Is Associated With Reduced Adherence to Therapeutic Decisions in Patients With Type 1 Diabetes

OBJECTIVE Hypoglycemia unawareness increases severe hypoglycemia risk. Hypoglycemia avoidance restores awareness, but it is difficult to sustain. We compared adherence to treatment changes by awareness status. RESEARCH DESIGN AND METHODS Case notes of 90 type 1 diabetic patients were analyzed ret…