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Hypoglycaemia unawareness in young people with type 1 diabetes transferred to an adult center.

Authors :
Vidal M
Jansà M
Roca D
Yoldi C
Cardona-Hernández R
Giménez M
Conget I
Source :
Endocrinologia, diabetes y nutricion [Endocrinol Diabetes Nutr (Engl Ed)] 2020 Jun - Jul; Vol. 67 (6), pp. 394-400. Date of Electronic Publication: 2019 Oct 23.
Publication Year :
2020

Abstract

Objective: To evaluate frequency of hypoglycaemia unawareness (HU) in patients with type 1 diabetes (T1D) transferred from Paediatrics following a specific therapeutic education programme (TEP) in an adult hospital.<br />Patients and Methods: Young patients transferred from 2009-2011 were evaluated. The TEP included a coordinated transfer process, individual appointments and a group course. At baseline and at 12 months we evaluated glycated haemoglobin (HbA1c) frequency of severe (SH) hypoglycaemia/patient/year and non severe hypoglycaemia (NSH). The patients were classified into two groups and compared: hypoglycaemia awareness (HA) and HU according to the Clarke Test <3R or>3R respectively.<br />Results: Fifty-six patients (age 18.1±0.3 years, 46% females, HbA <subscript>1c</subscript> 8.0±1.2%) underwent the TEP. In the baseline evaluation 16% presented HU. The number of SH was higher in the HU Group (0.33±0.50 vs. 0.09±0.28 P<.05). The percentage of patients with>2 NSH/week was higher, albeit not significantly, in the HU group (66% vs. 34%, p=0.06). At 12 months 11% of the patients continued to present HU. The number of SH remained higher in the HU group (0.38±1.06 vs. 0.02±0.15 P=.04).<br />Conclusions: The percentage of young people with T1D with HU is quite high at transfer. Although the TEP improves hypoglycaemia awareness it does not solve this important problem. Patients with HU more frequently present SH. It is necessary to identify HU in order to reduce SH which continues to be a problem in people with T1D.<br /> (Copyright © 2019 SEEN y SED. Publicado por Elsevier España, S.L.U. All rights reserved.)

Details

Language :
English; Spanish; Castilian
ISSN :
2530-0180
Volume :
67
Issue :
6
Database :
MEDLINE
Journal :
Endocrinologia, diabetes y nutricion
Publication Type :
Academic Journal
Accession number :
31668682
Full Text :
https://doi.org/10.1016/j.endinu.2019.07.009