Fear of hypoglycemia and its determinants in insulin-treated patients with type 2 diabetes mellitus.
The aim of the present study was to investigate the prevalence of fear of hypoglycemia, in association with severe hypoglycemia and social factors, in insulin-treated patients with type 2 diabetes mellitus. A questionnaire survey on hypoglycemia and patient-physician communication was carried out in 355 patients with insulin-treated type 2 diabetes mellitus patients at 16 hospitals and clinics. A fear of hypoglycemia was reported by 27.7% of patients. A stepwise logistic regression analysis found that severe hypoglycemia during the past 1 year was a significant determinant of fear of hypoglycemia (odds ratio 2.16, 95% confidence interval 1.06-4.41; P = 0.034), and age (odds ratio 1.02, 95% confidence interval 1.00-1.05, P = 0.038) and living alone (odds ratio 1.93, 95% confidence interval 1.00-3.73, P < 0.05) were significantly higher in patients with fear of hypoglycemia than in those without it.
['Sakane|Naoki|N|', 'Kotani|Kazuhiko|K|', 'Tsuzaki|Kokoro|K|', 'Nishi|Masami|M|', 'Takahashi|Kaoru|K|', 'Murata|Takashi|T|', 'Yamada|Kazunori|K|', 'Okazaki|Kentaro|K|', 'Yanagisawa|Katsuyuki|K|', 'Yamada|Kenichi|K|', 'Kuribayashi|Nobuichi|N|', 'Totsuka|Yasuo|Y|', 'Hiyoshi|Toru|T|', 'Naka|Motoji|M|', 'Sugimoto|Masatake|M|', 'Aoki|Yuji|Y|', 'Waki|Masako|M|', 'Furuya|Miyuki|M|', 'Kitaoka|Haruko|H|', 'Oishi|Mariko|M|', 'Shimizu|Ikki|I|', 'Miyaoka|Hiroaki|H|', 'Okada|Akira|A|', 'Yamamoto|Toshikazu|T|']
Fear Hypoglycemia Type 2 diabetes Insulin