Conversations and Reactions Around Severe Hypoglycaemia (CRASH): Spanish results of a global survey of people with type 1 diabetes or insulin-treated type 2 diabetes and caregivers
Introduction: Information on experience/management of severe hypoglycaemic events (SHEs) among people with insulin-treated diabetes (PWD) and caregivers (CGs) providing care to PWD was sought. Materials and methods: An online cross-sectional survey was conducted in eight countries. Inclusion criteri...
| Autores: | , , , , , , , , , , |
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2021 |
| País: | España |
| Recursos: | INCLIVA |
| Repositorio: | r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA |
| OAI Identifier: | oai:incliva.fundanetsuite.com:p16027 |
| Acesso em linha: | https://incliva.portalinvestigacion.com/publicaciones/16027 |
| Access Level: | acceso abierto |
| Palavra-chave: | Caregivers Cross-sectional survey Glucagon Insulin Severe hypoglycaemia Type 1 diabetes Type 2 diabetes |
| Resumo: | Introduction: Information on experience/management of severe hypoglycaemic events (SHEs) among people with insulin-treated diabetes (PWD) and caregivers (CGs) providing care to PWD was sought. Materials and methods: An online cross-sectional survey was conducted in eight countries. Inclusion criteria: PWD (aged > 18 years; self-reported type 1 [T1D] or insulin-treated type 2 [T2D] diabetes; experienced >1 SHE [hypoglycaemia requiring external assistance] in past 3 years); CGs (layperson aged >18 years; caring for PWD meeting all criteria above except age [>4 years]). This descriptive analysis provides data from Spain. SHE-associated data relate to the most recent SHE. Results: Across all groups (T1D PWD, n = 106; T2D PWD, n = 88, T1D CG, n = 87; T2D CG, n = 96), 76-89% reported that the SHE occurred at home; most common cause was eating less than planned (38-53%). Most usual action during the SHE was to intake carbohydrates (67-84%); glucagon use was low (9-36%). Discussion of the SHE with their healthcare provider (HCP) was reported by 70-75% of PWD. During the SHE, 35-69% of PWD/CGs reported feeling scared, unprepared and/or helpless. Conclusions: Most SHEs occurred outside the healthcare setting; treatment therefore depends greatly on CGs. SHEs have a negative emotional impact on PWD/CGs, underscoring the need for HCPs to discuss SHEs with PWD/CGs, and to provide tools and strategies to prevent and effectively manage SHEs. (c) 2020 Eli Lilly and Company. Published by Elsevier Espana, S.L.U. on behalf of SEEN y SED. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/). |
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