<- Tutti gli studiDistress e paura dell'ipoglicemiaFear of hypoglycemia in adults with type 1 diabetes: impact of therapeutic advances and strategies for prevention - a review.
Martyn-Nemeth P, et al. · 2016
PubMed 26439754DOI: 10.1016/j.jdiacomp.2015.09.003Journal of diabetes and its complications La lettura di LEORevisione della letteratura (53 studi; sintesi qualitativa, nessuna stima aggregata)
La domandaQuanto pesa la paura dell'ipoglicemia su chi vive col diabete tipo 1?
Cosa hanno trovatoRevisione di 53 studi. La paura dell'ipoglicemia emerge come ostacolo critico all'autogestione, al benessere psicologico e alla qualita' di vita. Le esperienze e le reazioni differiscono per genere ed eta', e le risposte variano — spesso nella direzione di tenere la glicemia piu' alta del necessario per sicurezza.
Cosa significa per teE' una paura razionale, non un'esagerazione: chi l'ha provata sa perche'. Ma quando porta a tenere la glicemia alta 'per sicurezza' diventa un costo nascosto. E' esattamente il genere di cosa da dire al diabetologo, perche' spesso si risolve aggiustando la terapia, non con la forza di volonta'.
Abstract (lingua originale)
PURPOSE: This review summarizes the current state of the science related to fear of hypoglycemia (FOH) in adults with type 1 diabetes. Fear of hypoglycemia is a critical deterrent to diabetes self-management, psychological well-being, and quality of life. We examine the influence of contemporary treatment regimens, technology, and interventions to identify gaps in knowledge and opportunities for research and practice. BASIC PROCEDURES: A literature search was conducted of MEDLINE, PsycINFO, and EMBASE. Fifty-three studies that examined fear of hypoglycemia were included. MAIN FINDINGS: Fear of hypoglycemia influences diabetes management and quality of life. Gender and age differences exist in experiences and responses. Responses vary from increased vigilance to potentially immobilizing distress. Fear of hypoglycemia is greater at night and may contribute to poor sleep quality. Strategies to reduce fear of hypoglycemia have had varying success. Newer technologies hold promise but require further examination. CONCLUSIONS: Fear of hypoglycemia remains a problem, despite advances in technology, insulin analogs, and evidence-based diabetes management. Clinical care should consistently include assessment for its influence on diabetes self-management and psychological health. Further research is needed regarding the influence of newer technologies and individualized strategies to reduce fear of hypoglycemia while maintaining optimal glucose control.
Come leggerlo: un singolo studio non è una prescrizione. Discuti cambiamenti di dieta o terapia con il tuo diabetologo.
