Abstract

Perceptions of hypoglycemia and self-monitoring of blood glucose in insulin-treated diabetes patients: results from a European online survey

Author(s): Jesus I Diago-Cabezudo, Anne Madec-Hily & Aftab Aslam

Aim: Tight glycemic control is important for reducing diabetic complications but increases the risk of hypoglycemia. The online survey aimed to evaluate the effects of hypoglycemia on the lives of patients with diabetes and determine whether self-monitoring of blood glucose to prevent hypoglycemic episodes is an appealing and widely accepted concept. Materials & methods: A total of 1848 individuals with insulin-treated diabetes in Europe were included in a 10-min online survey to determine perceptions about hypoglycemia and self-monitoring of blood glucose as a tool to prevent hypoglycemia. Results: Approximately a third of patients were not always able to recognize the symptoms of hypoglycemia when they were having an episode and approximately a quarter experienced no warning signs (hypoglycemia-associated autonomic failure). Out of the patients surveyed, 37% said they tended to maintain their blood glucose levels above physician-recommended values to help avoid hypoglycemia, and 80% said they would value a meter that provides high or low blood glucose warnings at specific timepoints during the day. Conclusion: Overall, individuals with insulin-treated diabetes have a positive perception about and are keen to adopt tools designed to facilitate the identification, management and prevention of hypoglycemia, while helping to avoid hyperglycemia and an increased risk of diabetic complications.