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Fear of Hypoglycemia: Quantification, Validation, and Utilization
Abstract
Hypoglycemia can lead to various aversive symptomatic, affective, cognitive, physiological, and social consequences, which in turn can lead to the development of possible phobic avoidance behaviors associated with hypoglycemia. On the other hand, some patients may inappropriately deny or disregard warning signs of hypoglycemia. This study presents preliminary reliability and validity data on a psychometric instrument designed to quantify this fear: the hypoglycemic fear survey. The instrument was found to have internal consistency and test-retest stability, to covary with elevated glycosylated hemoglobin, and to be sensitive to a behavioral treatment program designed to increase awareness of hypoglycemia.
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“Common diabetes-specific concerns include fears related to hyperglycemia (63,64), not meeting blood glucose targets (61), and insulin injections or infusion (65).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [63]
In the citing paper
“A common diabetes-specific concern is fears related to hypoglycemia (375,376), which may explain avoidance of behaviors associated with lowering glucose, such as increasing insulin doses or frequency of monitoring.”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [375]
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Cites
White, N. H., Skor, D. A., Cryer, P. E., Levandoski, L. A., Bier, D. M., & Santiago, J. V. (1983) · New England Journal of Medicine · doi:10.1056/nejm198303033080903 · Cited by 391
A Survey of Cognitive Functioning at Different Glucose Levels in Diabetic Persons
Holmes, C. S., Hayford, J. T., González, J. L., & Weydert, J. A. (1983) · Diabetes Care · doi:10.2337/diacare.6.2.180 · Cited by 217
Adherence to IDDM Regimens: Relationship to Psychosocial Variables and Metabolic Control
Schafer, L. C., Glasgow, R. E., McCaul, K. D., & Dreher, M. E. S. (1983) · Diabetes Care · doi:10.2337/diacare.6.5.493 · Cited by 188
Patient Perspective on Factors Contributing to Nonadherence to Diabetes Regimen
Ary, D. V., Toobert, D. J., Wilson, W., & Glasgow, R. E. (1986) · Diabetes Care · doi:10.2337/diacare.9.2.168 · Cited by 182
Verbal Fluency and Naming Performance in Type I Diabetes at Different Blood Glucose Concentrations
Holmes, C. S., Koepke, K. M., Thompson, R. G., Gyves, P. W., & Weydert, J. A. (1984) · Diabetes Care · doi:10.2337/diacare.7.5.454 · Cited by 97 · cited 1×
“In addition to these unpleasant physical symptoms, negative moods, and threat of death, hypoglycemia can lead to socially and occupationally compromising situations secondary to associated cognitive motor dysfunctions (2,3).”
BackgroundThe Role of Behavior in Diabetes Care
Surwit, R. S., Scovern, A. W., & Feinglos, M. N. (1982) · Diabetes Care · doi:10.2337/diacare.5.3.337 · Cited by 70
Arias, P., Kerner, W., Zier, H., Navascués, I., & Pfeiffer, E. F. (1985) · Diabetes Care · doi:10.2337/diacare.8.2.134 · Cited by 51
Beaser, R. S. (1991) · The Endocrinologist · doi:10.1097/00019616-199104000-00017 · Cited by 30
Euglycemia: A Psychological Study
Weiner, M., & Skipper, F. P. (1979) · The International Journal of Psychiatry in Medicine · doi:10.2190/nbj2-nt0r-d8gn-k2te · Cited by 14
DIABETES CONTROL: A CHANGING SCENE
Handelsman, D. J., & Turtle, J. R. (1979) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1979.tb119399.x · Cited by 5
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Huisman, S. D., & de Koning, E. J. P. (2023) · Springer eBooks · doi:10.1007/978-3-031-20999-4_25
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Dualib, P. M., Dib, S. A., Augusto, G. A., Truzzi, A. C., de Paula, M. A., & Rea, R. R. (2024) · Figshare · doi:10.6084/m9.figshare.26231268
Wu, C., Wang, W., Cheng, S., Zhang, H., Li, L., Tian, C., Zhang, L., Chen, N., Du, J., Ren, L., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22623104
Han, M., Li, X., He, Y., Kan, Y., Wan, X., Liu, L., Su, Y., Chen, J., Fang, L., Wang, J., et al. (2026) · Current Diabetes Reviews · doi:10.2174/0115733998418191251127053922
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Horváth, M. D., Katai, L., Tesch, Z., Buzás, N., & Papp-Zipernovszky, O. (2026) · Research Square · doi:10.21203/rs.3.rs-9003021/v1
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Metadata
- Authors
- Cox, D. J., Irvine, A., Gonder-Frederick, L., Nowacek, G., & Butterfield, J.
- Affiliations
- University of Cambridge (GB)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 1987-09-01
- Volume
- 10
- Issue
- 5
- Pages
- 617-621
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W1983664900
- Cited by
- 579
- References
- 10
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 31 · 2023: 42 · 2022: 32 · 2021: 20 · 2020: 41 · 2019: 22 · 2018: 21 · 2017: 32 · 2016: 22 · 2015: 22 · 2014: 28 · 2013: 22 · 2012: 16
- FWCI
- 2.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (AM282880, AM24177)
- National Center for Research Resources (M01RR000847, M01-RR 00847)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- hypoglycemia, fear of hypoglycemia, psychometric validation, internal consistency, test-retest reliability, HbA1c, hypoglycemia awareness, diabetes mellitus
- MeSH terms
- Adolescent, Adult, Aged, Denial, Psychological, Diabetes Mellitus, Type 1, Fear, Humans, Hypoglycemia, Middle Aged, Surveys and Questionnaires
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