Evidence map›Paper›PMID 39548734›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2025

Prevalence and risk factors for impaired awareness of hypoglycaemia: A registry-based study of 10,202 adults with type 1 diabetes in Norway.

Ingvild Hernar, Ragnhild B Strandberg, Roy M Nilsen, John G Cooper, Timothy C Skinner, Marjolein M Iversen, David A Richards, Silje S Lie, Karianne F Løvaas, Tone Vonheim Madsen and 2 more

Abstract read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Predictors of impaired awareness of hypoglycaemia and severe hypoglycaemia in adults with type 1 diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. The impact of technology on impaired awareness of hypoglycaemia in type 1 diabetes.Therapeutic advances in endocrinology and metabolism · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Ingvild HernarDepartment of Internal Medicine, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0001-7185-6234
Ragnhild B StrandbergFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0003-0256-438X
Roy M NilsenFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0002-6340-4593
John G CooperNorwegian Diabetes Register for Adults, Norwegian Organization for Quality Improvement of Laboratory Examinations (Noklus), Haraldsplass Deaconess Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0002-1753-635X
Timothy C SkinnerInstitute of Psychology, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-0018-6963
Marjolein M IversenFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0001-9954-171X
David A RichardsFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0002-8821-5027
Silje S LieFaculty of Health Sciences, VID Specialized University, Stavanger, Norway.ORCID https://orcid.org/0000-0002-6530-3710
Karianne F LøvaasNorwegian Diabetes Register for Adults, Norwegian Organization for Quality Improvement of Laboratory Examinations (Noklus), Haraldsplass Deaconess Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0002-1658-0973
Tone Vonheim MadsenNorwegian Diabetes Register for Adults, Norwegian Organization for Quality Improvement of Laboratory Examinations (Noklus), Haraldsplass Deaconess Hospital, Bergen, Norway.ORCID https://orcid.org/0009-0005-1074-6679
Grethe Å UelandDepartment of Internal Medicine, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0001-6116-7689
Anne HaugstvedtFaculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway.ORCID https://orcid.org/0000-0002-9742-295X

Funding

Helse VestHøgskulen på VestlandetNorsk Sykepleierforbund
6 · The paper itself

Abstract

aimsThe aim of this study is to determine the prevalence of impaired awareness of hypoglycaemia (IAH) and examine risk factors for IAH in adults with type 1 diabetes.

methodsWe conducted a population-based registry study of 10,202 adults (≥18 years) with type 1 diabetes using data from the Norwegian Diabetes Register for Adults. The registry used the 1-item Gold scale, measuring hypoglycaemia symptom awareness. We calculated the overall prevalence of IAH (Gold score ≥4) (95% CI) and prevalence for subgroups based on demographic and clinical variables. We estimated IAH prevalence based on continuous scales of age, diabetes duration and HbA

resultsOverall, 18.0% reported IAH (95% CI 17.2, 18.7). The prevalence increased linearly with the participants' age, whereas the associations of diabetes duration and HbA

conclusionsIn this nationwide study, the IAH prevalence was 18.0%. Multiple hypoglycaemic events, female sex and diabetes duration were identified as important risk factors for IAH. Study findings highlight the complexity of self-reported hypoglycaemia symptom awareness and emphasise the importance of routinely addressing symptom awareness in diabetes follow-up.

Indexed as

AwarenessDiabetes Mellitus, Type 1Health Knowledge, Attitudes, PracticeHypoglycemiaAdolescentAdultAgedFemaleGlycated HemoglobinHumansHypoglycemic AgentsMaleMiddle AgedNorwayPrevalenceRegistriesGlycated HemoglobinHypoglycemic Agentshypoglycaemiahypoglycaemia symptom awarenessimpaired awareness of hypoglycaemiapopulation‐based studyprevalencerisk factorstype 1 diabetes

Identifiers

PMID39548734
PMCPMC11823307

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.