儿童夜间低血糖,父母的担忧

低血糖是1型糖尿病(T1D)儿童家长普遍的担忧,低血糖与的儿童血糖控制不良有关。
研究针对549个年龄小于7岁、平均糖尿病病程为1年的儿童父母进行儿童低血糖担忧情况的调查。
儿童家长最担心的时睡眠和其他环境中很难及时发现低血糖。
使用先进的糖尿病技术或能减轻睡眠中低血糖的担忧,尽管这种关系的方向性尚未确定;进一步的研究可以证明这种关联,并利用糖尿病技术来改善血糖控制。
延伸阅读

Pediatric Diabetes [IF:3.347]

Nighttime is the worst time: Parental fear of hypoglycemia in young children with type 1 diabetes

夜间是最差的时间:令父母担心的1型糖尿病儿童的低血糖

10.1111/pedi.12525

2018-02-01, Article

Abstract & Authors:展开

Abstract:收起
BACKGROUND: Fear of hypoglycemia is common in parents of young children with type 1 diabetes (T1D), but little is known about the specific fears that parents most often experience. Hypoglycemia fear has been associated with poorer glycemic control in older children, though not yet studied in a large cohort of very young children.
MATERIALS AND METHODS: Parents of 549 children <7 years (mean 5.2 ± 1.2 years [19% <3 years]) with a mean diabetes duration of 2.4 ± 1.0 years (range 1-6 years) and mean HbA1c 8.2% ± 1.1% (66 ± 12 mmol/mol) registered in the T1D Exchange completed the worry scale of the Hypoglycemia Fear Survey modified for parents (HFS-P).
RESULTS: Mean parental fear of hypoglycemia worry score was 36.1 ± 23.1 (possible range 0-100), with most frequent worries related to the child having a low while asleep and the child not recognizing a low. The mean worry score was not associated with the child's age, glycemic control, or recent severe hypoglycemic event. Parental worries about lows while sleeping were significantly higher in pump users than non-users (61% vs. 45%; P < .001), and tended to be higher in CGM users than non-users (62% vs 51%; P = .02).
CONCLUSIONS: The greatest worries of parents of young children with T1D were related to hypoglycemia during sleep and other times/circumstances during which it would be difficult to detect hypoglycemia. Using advanced diabetes technologies may be an effort to temper fears about hypoglycemia during sleep, though the directionality of this relationship is undetermined. Additional studies can clarify this association and leverage use of diabetes technologies to improve glycemic control.

First Authors:
Michelle A Van Name,Marisa E Hilliard

Correspondence Authors:
Claire T Boyle

All Authors:
Michelle A Van Name,Marisa E Hilliard,Claire T Boyle,Kellee M Miller,Daniel J DeSalvo,Barbara J Anderson,Lori M Laffel,Stephanie E Woerner,Linda A DiMeglio,William V Tamborlane