ArticleBMJ open2020
Factors associated with fear of hypoglycaemia among the T1D Exchange Glu population in a cross-sectional online survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Pooled it
- A novel glucose beta-hydroxybutyrate combination improves hypoglycaemia recovery and patient-reported outcomes in type 1 diabetes.Diabetes, obesity & metabolism · 2026Trial
- FREE: A randomized controlled feasibility trial of a cognitive behavioral therapy and technology-assisted intervention to reduce fear of hypoglycemia in young adults with type 1 diabetes.Journal of psychosomatic research · 2024Trial
- The Prevalence and Implications of Polypharmacy in Individuals With Type 1 Diabetes.Clinical pharmacology and therapeutics · 2026Article
- Anxiety in Youth and Adults With Type 1 Diabetes and Associations With Clinical Outcomes: Data From the T1D Exchange Quality Improvement Collaborative.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Prevalence of fear of hypoglycemia in adults with type 1 diabetes using a newly developed screener and clinician's perspective on its implementation.BMJ open diabetes research & care · 2023Observational
- Development and validation of fear of hypoglycemia screener: results from the T1D exchange registry.Journal of patient-reported outcomes · 2023Review
- "Journal of clinical & translational endocrinology · 2022Article
- Diabetes-Related Worries and Coping Among Youth and Young Adults With Type 1 Diabetes.Journal of pediatric psychology · 2022Article
- High prevalence of depressive symptoms among people with pediatric-onset and adolescent-onset type 1 diabetes: A cross-sectional analysis of the Diabetes Study from the Center of Tokyo Women's Medical University.Journal of diabetes investigation · 2022Article
- Emergency Glucagon: a Focused Review of Psychosocial Experiences of Rescue Drugs for Type 1 Diabetes.Current diabetes reports · 2022Review
- The experience of a severe hypoglycaemic event from the perspective of people with diabetes and their caregivers: "What am I going to do?"Diabetic medicine : a journal of the British Diabetic Association · 2022Article
- Tobacco use patterns and clinical outcomes in the T1D exchange.Journal of diabetes and its complications · 2022Article
- Type 1 Diabetes, Sleep, and Hypoglycemia.Current diabetes reports · 2021Review
- Felix dies natalis, insulin… ceterum autem censeo "beta is better".Acta diabetologica · 2021Review
- Automated Insulin Delivery: Easy Enough to Use in Primary Care?Clinical diabetes : a publication of the American Diabetes Association · 2020Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesFear of hypoglycaemia (FoH) has been associated with suboptimal diabetes management and health outcomes. This study investigated factors associated with behavioural and emotional aspects of FoH among adults living with type 1 diabetes (T1D) mellitus.
designCross-sectional study.
settingOnline survey hosted on T1D Exchange Glu, an online community for patients living with T1D mellitus. MEASURES: The Hypoglycaemia Fear Survey II-short form and the Hypoglycaemic Attitudes and Behaviour Scale were used to assess FoH. Multivariable regressions were performed on assessment scores.
resultsThe study included 494 participants (mean±SD age 43.9±12.2 years, duration of T1D mellitus 16.6±16.8 years, self-reported glycosylated hemoglobin (HbA1c) 6.9%±0.8% (52±9 mmol/mol)), 63% men, 89% on insulin pump, 25% experienced a severe hypoglycaemic event in the last 6 months. Multivariable regression analyses showed higher anxiety, depression severity and diabetes distress were independently associated with FoH (all p<0.01). Longer diabetes duration was associated with lower FoH (p<0.01). Past experience with severe hypoglycaemia was associated with higher worry of hypoglycaemia (p<0.01) but not avoidance behaviour (ns).
conclusionsThese results highlighted the multifaceted nature of FoH, which warrants further discussion between providers and patients to uncover drivers of and actions required to reduce FoH and improve patient care and outcomes.
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