Hypoglycaemic treatment adherence and the association with psychological, self‐management and glycaemic characteristics in adults with type 1 diabetes
journal contributionposted on 2019-04-18, 00:00 authored by Pamela Martyn-Nemeth, Reid Birlingmair, Esema Idemudia, Chang Park
Aim: The purpose of this study was to examine adherence to hypoglycaemia treatment guidelines in adults with type 1 diabetes (T1DM). The American Diabetes Association recommends consumption of 15–20 g of glucose to treat hypoglycaemia. Overtreatment may result in poor glycaemic control and greater glycaemic variability. It is not fully understood how well T1DM adults comply with hypoglycaemia treatment recommendations. Design:A secondary analysis using a descriptive comparative design. Methods: Using real‐time measures over six consecutive days, we examined (a) adherence to hypoglycaemia treatment guidelines and (b) comparisons of demographic self‐management behaviour, psychological characteristics and glycaemia between adherent and non‐adherent groups. Results:Findings revealed those who overtreated consumed more daily grain servings and reported higher stress and depressed mood compared with those who fol‐lowed treatment recommendations. Findings suggest that hypoglycaemia treatment practices and psychological factors influencing self‐management should be assessed.
This work was supported by the Chicago Center for Diabetes Translation Research (grant number NIDDK P30 DK092949); the Dean's Office of the Biological Sciences Division of the University of Chicago; the American Nurses Foundation; and Internal Research Support Program UIC College of Nursing. This publication was supported by the Research Open Access Publishing (ROAAP) Fund of the University of Illinois at Chicago
CitationMartyn‐Nemeth, P., Birlingmair, R., Idemudia, E., & Park, C. (2019). Hypoglycaemic treatment adherence and the association with psychological, self‐management and glycaemic characteristics in adults with type 1 diabetes. Nursing Open, doi:10.1002/nop2.267
PublisherWiley Open Access