Non-severe nocturnal hypoglycemic events: experience and impacts on patient functioning and well-being.

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  • Author(s): Brod M;Brod M; Pohlman B; Wolden M; Christensen T
  • Source:
    Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation [Qual Life Res] 2013 Jun; Vol. 22 (5), pp. 997-1004. Date of Electronic Publication: 2012 Jul 24.
  • Publication Type:
    Journal Article; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9210257 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2649 (Electronic) Linking ISSN: 09629343 NLM ISO Abbreviation: Qual Life Res Subsets: MEDLINE
    • Publication Information:
      Publication: 2005- : Netherlands : Springer Netherlands
      Original Publication: Oxford, UK : Rapid Communications of Oxford, Ltd, c1992-
    • Subject Terms:
      Activities of Daily Living* ; Health Status* ; Quality of Life* ; Sickness Impact Profile*; Diabetes Mellitus, Type 1/*physiopathology ; Diabetes Mellitus, Type 2/*physiopathology ; Hypoglycemia/*physiopathology; Adult ; Aged ; Circadian Rhythm ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 2/therapy ; Disease Management ; Female ; Focus Groups ; France/epidemiology ; Germany/epidemiology ; Humans ; Hypoglycemic Agents/administration & dosage ; Interviews as Topic ; Male ; Middle Aged ; Outcome Assessment, Health Care ; Personal Satisfaction ; Qualitative Research ; Severity of Illness Index ; Sleep ; United Kingdom/epidemiology ; United States/epidemiology
    • Abstract:
      Purpose: Non-severe nocturnal hypoglycemic events (NSNHEs) are hypoglycemic events that occur during sleep but do not require medical assistance from another individual. This study was conducted to better understand the NSNHEs as patients actually experience them in their daily life, and how they impacted functioning and well-being.
      Methods: Nine focus groups were held in four countries with diabetics (Type 1 and Type 2) who had experienced an NSNHE within the previous month: France (2 groups); Germany (2 groups); United Kingdom (2 groups); and United States (3 groups). These groups were audio-taped, translated to English where applicable, and analyzed thematically.
      Results: Seventy-eight people with diabetes participated in the focus groups: 41 (53 %) were female and 37 (47 %) were male; 24 (31 %) had Type 1 diabetes, and 54 (69 %) had Type 2 diabetes. Participant reports were grouped into several major themes: next day effects, symptoms, sleep impacts, social impacts, corrective action, practical management, feelings about NSNHEs, and work impacts.
      Conclusions: People with both Type 1 and Type 2 diabetes experience NSNHEs. The range of impact on these patients is wide, from very mild to severe with a majority of participants experiencing strong impacts that limit their daily functioning. This finding suggests that NSNHEs are more impactful than previously believed.
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    • Accession Number:
      0 (Hypoglycemic Agents)
    • Publication Date:
      Date Created: 20120725 Date Completed: 20140415 Latest Revision: 20220408
    • Publication Date:
      20240628
    • Accession Number:
      PMC3664748
    • Accession Number:
      10.1007/s11136-012-0234-3
    • Accession Number:
      22825805