| Affiliation: | 1. Division of Preventive Medicine, Clinical Research Institute, Kyoto, Japan;2. Department of Clinical Laboratory Medicine, Juichi Medical University, Tochigi, Japan;3. Okada Clinic, Fukuoka, Japan;4. Hyogo Health Service Association, Hyogo, Japan;5. Diabetes Center, National Hospital Organization Kyoto Medical Center, Kyoto, Japan;6. Department of Development for Community‐oriented Healthcare System, Nagoya University Graduate School of Medicine, Nagoya, Japan;7. Souen Diabetes Clinic, Sapporo, Japan;8. Kenichi Yamada Internal Medicine Clinic, Miyagi, Japan;9. Misakinaika Clinic, Chiba, Japan;10. Chofu Tozan Hospital, Chofu, Japan;11. Japanese Red Cross Medical Center, Tokyo, Japan;12. Department of Internal Medicine, Asama General Hospital, Nagano, Japan;13. Tokyo Adventist Hospital, Tokyo, Japan;14. Department of Internal Medicine, National Hospital Organization Matsumoto Medical Center, Nagano, Japan;15. Shizuoka City Shizuoka Hospital, Shizuoka, Japan;16. Department of Endocrinology, Tenri Hospital, Nara, Japan;17. Department of Internal Medicine, Seikeikai Hospital, Osaka, Japan;18. Oishi Clinic, Kyoto, Japan;19. Department of Diabetes, The Sakakibara Heart Institute of Okayama, Okayama, Japan;20. Saiseikai Matsuyama Hospital, Ehime, Japan;21. Kariyushikai Heartlife Hospital, Okinawa, Japan |
| Abstract: | The aim of the present study was to investigate the prevalence of fear of hypoglycemia, in association with severe hypoglycemia and social factors, in insulin‐treated patients with type 2 diabetes mellitus. A questionnaire survey on hypoglycemia and patient–physician communication was carried out in 355 patients with insulin‐treated type 2 diabetes mellitus patients at 16 hospitals and clinics. A fear of hypoglycemia was reported by 27.7% of patients. A stepwise logistic regression analysis found that severe hypoglycemia during the past 1 year was a significant determinant of fear of hypoglycemia (odds ratio 2.16, 95% confidence interval 1.06–4.41; P = 0.034), and age (odds ratio 1.02, 95% confidence interval 1.00–1.05, P = 0.038) and living alone (odds ratio 1.93, 95% confidence interval 1.00–3.73, P < 0.05) were significantly higher in patients with fear of hypoglycemia than in those without it. |
