Author/Editor		Haluzi, Martin; Kretowski, Adam; Strojek, Krzysztof; Czupryniak, Leszek; Janež, Andrej; Kempler, Peter; Andel, Michal; Tankova, Tsvetalina; Boyanov, Mihail; Smircic Duvnjak, Lea
Title		Perspectives of patients with insulin-treated type 1 and type 2 diabetes on hypoglycemia
Type		članek
Publication year		2018
Volume		str. str.
ISSN		1869-6961 - Diabetes therapy : research, treatment and education of diabetes and related disorders
Language		eng
Abstract		Introduction The aim of this study was to determine the level of awareness of hypoglycemia, the level of fear for hypoglycemia, and the response to hypoglycemic events among insulin-treated diabetes patients from Central and Eastern Europe (CEE). The impact of hypoglycemia on the use of healthcare resources and patient productivity was also assessed. Methods This was a multicenter, non-interventional, two-part, patient self-reported questionnaire study that comprised both a retrospective cross-sectional evaluation and a prospective observational evaluation. Study participants were insulin-treated adult patients with type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) from CEE. Results Most patients (85.4% T1DM and 83.6% T2DM) reported normal hypoglycemia awareness. The median hypoglycemia fear score was 5 out of 10 for T1DM and 4 out of 10 for T2DM patients. Patients increased glucose monitoring, consulted a doctor/nurse, and/or reduced the insulin dose in response to hypoglycemia. As a consequence of hypoglycemia, patients took leave from work/studies or arrived late and/or left early. Hospitalization was required for 31 (1.2%) patients with T1DM and 66 (2.1%) patients with T2DM. Conclusion Hypoglycemia impacts patients% personal and social functioning, reduces productivity, and results in additional costs, both direct (related to increased use of healthcare resources) and indirect (related to absenteeism.
Keywords		hypoglycemia diabetes healthcare costs hipoglikemija diabetes zdravstveni stroški