The relationship between maternal fear of hypoglycaemia and compliance in children with insulin dependent diabetes mellitus
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Background - Regular blood glucose monitoring is important for children with type-1 diabetes; however, the relationship between maternal fear of hypoglycaemia and glycaemic control is not well understood. Purpose-The relationship between maternal beliefs about diabetes, concerns about glycaemic control and adherence to recommended blood glucose levels in young children with type-1 diabetes were examined in this study. Method- Seventy-one mothers with children under 13 were recruited, and a prospective design was used. Demographics, maternal self-reported hypoglycaemic fear and illness perceptions were measured at baseline. Self-report daily blood sugar levels were recorded over 1 week, and glycosylated haemoglobin (HbA1c) blood glucose levels were collected at baseline and 3 months later. Results- High maternal fears of hypoglycaemia were predictive of suboptimal daily glycaemic control (elevated blood glucose levels), irrespective of illness duration or age at diagnosis. Conclusion- The results suggest that mothers who worry most about hypoglycaemia compensate by maintaining their child’s blood glucose levels above recommended levels. Elevated blood glucose levels have important consequences for long-term health, and further research could explore ways to target maternal fear of hypoglycaemia.
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The Experience of Hypoglycaemia and Strategies Used for Its Management by Community-Dwelling Adults with Diabetes Mellitus: A Systematic ReviewTan, S.; Chen, H.; Taylor, B.; Hegney, Desley (2011)Background: Hypoglycaemia, a common complication of diabetes drug therapy, has been reported to influence therapy adherence and the quality of life of people with diabetes mellitus. No systematic reviews on the experience ...
Experience of hypoglycaemia and strategies used for its management by community-dwelling adults with diabetes mellitus: a systematic reviewTan, P.; Chen, H.; Taylor, B.; Hegney, Desley (2012)Aim: To synthesise the evidence on how community-dwelling adults with type 1 and type 2 diabetes mellitus experience hypoglycaemia and the strategies they use to control it. Methods: Using a three-step search strategy, ...
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