Fear of hypoglycaemia in patients with type 1 diabetes

Independently of causes and risk factors of hypoglycaemia, its manifestations are always unfavourable and evoke fear and other negative emotions that lead to negative consequences connected with quality of diabetes control. The fear of hypoglycaemia creates an internal conflict by diminishing patien...

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Autores principales: Evgenia Mikhailovna Patrakeeva, Mariia Nikolayevna Dunicheva, Alsu Gafurovna Zalevskaya
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RU
Publicado: Endocrinology Research Centre 2014
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spelling oai:doaj.org-article:e96ef25d48c14c099c2b55c3769e29282021-11-14T09:00:19ZFear of hypoglycaemia in patients with type 1 diabetes2072-03512072-037810.14341/DM2014266-75https://doaj.org/article/e96ef25d48c14c099c2b55c3769e29282014-07-01T00:00:00Zhttps://www.dia-endojournals.ru/jour/article/view/6437https://doaj.org/toc/2072-0351https://doaj.org/toc/2072-0378Independently of causes and risk factors of hypoglycaemia, its manifestations are always unfavourable and evoke fear and other negative emotions that lead to negative consequences connected with quality of diabetes control. The fear of hypoglycaemia creates an internal conflict by diminishing patients? motivation to adhere to intensive treatment regimes. In addition to the severity of hypoglycaemia and its negative consequences, quality of life is one of the main criteria for evaluating the physical, psychological and social components of patient's life as a whole. Fear of hypoglycaemia is one of the most important factors; it either directly or indirectly affects quality of life and influences all aspects of the patient's life. Fear of hypoglycaemia is also a source of anxiety for the patient's relatives, causing damage to their familial and social relations. The negative consequences of hypoglycaemia can affect the relationship between spouses, as well as between parents and children with type 1 diabetes. The qualitative and quantitative data demonstrate that non-severe nocturnal hypoglycaemia causes more anxiety and fear in patients than daytime hypoglycaemia does. To quantify the fear of hypoglycaemia in adults with type 1 diabetes, the hypoglycaemia fear scale (HFS) was developed and still is the most commonly used instrument. To assess the fear of hypoglycaemia in children and their parents, the HFS scale was adapted to be used in the paediatric population: HFS for parents (PHFS) and HFS for children (CHFS). From a clinical point of view, these scales for measuring the level of fear of hypoglycaemia may be useful for monitoring adult patients and families who may need additional support, training or assistance in dealing with issues related to hypoglycaemia. The methods for regulating the fear of hypoglycaemia range from behavioural to pharmaceutical and surgical ones, and include a broad range of activities. Nevertheless, the problem remains quite relevant today and an integral approach for solving this problem, both by the physician and by the patient, should be used. Proper assessment of the patient's level of anxiety, impact of the fear of hypoglycaemia on his or her social life, awareness of the possible psychological consequences of this problem may positively affect both the behaviour and mood of the patient, and the opportunity to achieve better glycaemic control.Evgenia Mikhailovna PatrakeevaMariia Nikolayevna DunichevaAlsu Gafurovna ZalevskayaEndocrinology Research Centrearticlehypoglycaemiaconsequences of hypoglycaemiafear of hypoglycaemiahypoglycaemia fear scalestherapeutic patient educationNutritional diseases. Deficiency diseasesRC620-627ENRUСахарный диабет, Vol 17, Iss 2, Pp 66-75 (2014)
institution DOAJ
collection DOAJ
language EN
RU
topic hypoglycaemia
consequences of hypoglycaemia
fear of hypoglycaemia
hypoglycaemia fear scales
therapeutic patient education
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle hypoglycaemia
consequences of hypoglycaemia
fear of hypoglycaemia
hypoglycaemia fear scales
therapeutic patient education
Nutritional diseases. Deficiency diseases
RC620-627
Evgenia Mikhailovna Patrakeeva
Mariia Nikolayevna Dunicheva
Alsu Gafurovna Zalevskaya
Fear of hypoglycaemia in patients with type 1 diabetes
description Independently of causes and risk factors of hypoglycaemia, its manifestations are always unfavourable and evoke fear and other negative emotions that lead to negative consequences connected with quality of diabetes control. The fear of hypoglycaemia creates an internal conflict by diminishing patients? motivation to adhere to intensive treatment regimes. In addition to the severity of hypoglycaemia and its negative consequences, quality of life is one of the main criteria for evaluating the physical, psychological and social components of patient's life as a whole. Fear of hypoglycaemia is one of the most important factors; it either directly or indirectly affects quality of life and influences all aspects of the patient's life. Fear of hypoglycaemia is also a source of anxiety for the patient's relatives, causing damage to their familial and social relations. The negative consequences of hypoglycaemia can affect the relationship between spouses, as well as between parents and children with type 1 diabetes. The qualitative and quantitative data demonstrate that non-severe nocturnal hypoglycaemia causes more anxiety and fear in patients than daytime hypoglycaemia does. To quantify the fear of hypoglycaemia in adults with type 1 diabetes, the hypoglycaemia fear scale (HFS) was developed and still is the most commonly used instrument. To assess the fear of hypoglycaemia in children and their parents, the HFS scale was adapted to be used in the paediatric population: HFS for parents (PHFS) and HFS for children (CHFS). From a clinical point of view, these scales for measuring the level of fear of hypoglycaemia may be useful for monitoring adult patients and families who may need additional support, training or assistance in dealing with issues related to hypoglycaemia. The methods for regulating the fear of hypoglycaemia range from behavioural to pharmaceutical and surgical ones, and include a broad range of activities. Nevertheless, the problem remains quite relevant today and an integral approach for solving this problem, both by the physician and by the patient, should be used. Proper assessment of the patient's level of anxiety, impact of the fear of hypoglycaemia on his or her social life, awareness of the possible psychological consequences of this problem may positively affect both the behaviour and mood of the patient, and the opportunity to achieve better glycaemic control.
format article
author Evgenia Mikhailovna Patrakeeva
Mariia Nikolayevna Dunicheva
Alsu Gafurovna Zalevskaya
author_facet Evgenia Mikhailovna Patrakeeva
Mariia Nikolayevna Dunicheva
Alsu Gafurovna Zalevskaya
author_sort Evgenia Mikhailovna Patrakeeva
title Fear of hypoglycaemia in patients with type 1 diabetes
title_short Fear of hypoglycaemia in patients with type 1 diabetes
title_full Fear of hypoglycaemia in patients with type 1 diabetes
title_fullStr Fear of hypoglycaemia in patients with type 1 diabetes
title_full_unstemmed Fear of hypoglycaemia in patients with type 1 diabetes
title_sort fear of hypoglycaemia in patients with type 1 diabetes
publisher Endocrinology Research Centre
publishDate 2014
url https://doaj.org/article/e96ef25d48c14c099c2b55c3769e2928
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AT mariianikolayevnadunicheva fearofhypoglycaemiainpatientswithtype1diabetes
AT alsugafurovnazalevskaya fearofhypoglycaemiainpatientswithtype1diabetes
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