'Never again will I be carefree': a qualitative study of the impact of hypoglycemia on quality of life among adults with type 1 diabetes.
diabetes mellitus
hypoglycemia
psychology
quality of life
type 1
Journal
BMJ open diabetes research & care
ISSN: 2052-4897
Titre abrégé: BMJ Open Diabetes Res Care
Pays: England
ID NLM: 101641391
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
09
04
2021
accepted:
17
07
2021
entrez:
17
8
2021
pubmed:
18
8
2021
medline:
13
10
2021
Statut:
ppublish
Résumé
Achieving glycemic targets and optimizing quality of life (QoL) are important goals of type 1 diabetes care. Hypoglycemia is a common barrier to achieving targets and can be associated with significant distress. However, the impact of hypoglycemia on QoL is not fully understood. The aim of this study was to explore how adults with type 1 diabetes are impacted by hypoglycemia in areas of life that are important to their overall QoL. Participants responded to a web-based qualitative survey involving a novel 'Wheel of Life' activity. Responses were analyzed using reflexive thematic analysis. The final sample included 219 adults with type 1 diabetes from Denmark, Germany, the Netherlands, and the UK. They had a mean±SD age of 39±13 years and diabetes duration of 20±14 years. Participants identified eight areas of life important to their overall QoL, including relationships and social life, work and studies, leisure and physical activity, everyday life, sleep, sex life, physical health, and mental health. Participants reported emotional, behavioral, cognitive, and social impacts of hypoglycemia within domains. Across domains, participants described interruptions, limited participation in activities, exhaustion, fear of hypoglycemia, compensatory strategies to prevent hypoglycemia, and reduced spontaneity. The findings emphasize the profound impact of hypoglycemia on QoL and diabetes self-care behaviors. Diabetes services should be aware of and address the burden of hypoglycemia to provide person-centered care. Clinicians could ask individuals how hypoglycemia affects important areas of their lives to better understand the personal impact and develop tailored management plans.
Identifiants
pubmed: 34400465
pii: 9/1/e002322
doi: 10.1136/bmjdrc-2021-002322
pmc: PMC8370551
pii:
doi:
Substances chimiques
Blood Glucose
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
SAGE Open Med. 2014 Apr 03;2:2050312114527443
pubmed: 26770717
Lancet. 2016 Nov 5;388(10057):2254-2263
pubmed: 27634581
Clin Nurs Res. 2019 Nov;28(8):947-967
pubmed: 29732933
Qual Life Res. 2010 Feb;19(1):1-13
pubmed: 19921548
Chronic Illn. 2014 Sep;10(3):180-91
pubmed: 24302225
Value Health. 2005 Mar-Apr;8(2):94-104
pubmed: 15804318
Diabet Med. 2019 Jun;36(6):742-752
pubmed: 30329176
Diabetes Res Clin Pract. 2013 Feb;99(2):174-84
pubmed: 23273515
Diabet Med. 2009 Apr;26(4):315-27
pubmed: 19388959
Diabet Med. 2017 Apr;34(4):500-504
pubmed: 27278467
Diabetes Metab Res Rev. 2017 Feb;33(2):
pubmed: 27385271
Postgrad Med. 2015 Jun;127(5):438-45
pubmed: 25971530
J Biomed Inform. 2009 Apr;42(2):377-81
pubmed: 18929686
N Engl J Med. 1993 Sep 30;329(14):977-86
pubmed: 8366922
J Med Econ. 2012;15(1):77-86
pubmed: 22029460
Diabet Med. 2020 Mar;37(3):483-492
pubmed: 31797443
Diabetes Care. 2015 Jun;38(6):1016-29
pubmed: 25998294
Acta Diabetol. 2016 Jun;53(3):377-92
pubmed: 26299389
Diabetes Care. 2019 Jan;42(Suppl 1):S46-S60
pubmed: 30559231
Diabetes Res Clin Pract. 2021 Apr;174:108752
pubmed: 33722700
Soc Sci Med. 1995 Nov;41(10):1403-9
pubmed: 8560308
Diabetes Res Clin Pract. 2016 Jun;116:270-8
pubmed: 27321345
Diabet Med. 2020 Jun;37(6):971-981
pubmed: 31802530
Diabetes Care. 1994 Jul;17(7):697-703
pubmed: 7924780
Diabet Med. 2016 Mar;33(3):376-85
pubmed: 26042777
Curr Diabetes Rev. 2014;10(6):364-70
pubmed: 25394991
Nurs Res. 2014 Mar-Apr;63(2):143-9
pubmed: 24589650
Qual Life Res. 1999;8(1-2):79-91
pubmed: 10457741
Acta Diabetol. 2015 Jun;52(3):581-9
pubmed: 25528005