Association of Impaired Awareness of Hypoglycemia with Driving Safety and Hypoglycemia Problem-solving Abilities among Patients with Type 1 Diabetes in Japan: The PR-IAH Study
-
- Sakane Naoki
- Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Japan
-
- Kato Ken
- Diabetes Center, National Hospital Organization Osaka National Hospital, Japan
-
- Hata Sonyun
- Diabetes Center, National Hospital Organization Osaka National Hospital, Japan
-
- Nishimura Erika
- Diabetes Center, National Hospital Organization Osaka National Hospital, Japan
-
- Araki Rika
- Department of Diabetes and Endocrinology, National Hospital Organization National Mie Hospital, Japan
-
- Kouyama Kunichi
- Department of Diabetes and Metabolism, National Hospital Organization Hyogo-Chuo National Hospital, Japan
-
- Hatao Masako
- Department of Diabetes and Endocrinology, National Hospital Organization Himeji Medical Center, Japan
-
- Matoba Yuka
- Department of Diabetes, Endocrinology and Metabolism, National Hospital Organization Kokura Medical Center, Japan
-
- Matsushita Yuichi
- Department of Diabetology and Metabolism, National Hospital Organization Okayama Medical Center, Japan
-
- Domichi Masayuki
- Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Japan
-
- Suganuma Akiko
- Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Japan
-
- Sakane Seiko
- Division of Preventive Medicine, Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Japan
-
- Murata Takashi
- Department of Clinical Nutrition, National Hospital Organization Kyoto Medical Center, and Diabetes Center, National Hospital Organization Kyoto Medical Center, Japan
-
- Wu Fei Ling
- Department of Nursing, Chang Gung University of Science and Technology, Taiwan
この論文をさがす
抄録
<p>Objective Patients with type 1 diabetes (T1D) and impaired awareness of hypoglycemia (IAH) are at an elevated risk of experiencing automobile accidents. We therefore investigated the association of IAH with driving safety and hypoglycemia problem-solving abilities in adults with T1D. </p><p>Methods This cross-sectional survey used Gold's method in adult patients with T1D at the National Hospital Organization (NHO) Hospital from February 14, 2020, to October 31, 2021. The participants were divided into control and IAH groups. The data included information on demographics, worries and distress regarding hypoglycemia, hypoglycemia problem-solving abilities, and adverse driving events. </p><p>Patients We enrolled 233 participants (mean age: 48.5±12.8 years old, mean hemoglobin A1c level: 7.6%±0.9%) from NHO collaborating centers in Japan. </p><p>Results Among a total of 233 participants (mean age: 48.5±12.8 years old, mean hemoglobin A1c level: 7.6%±0.9%), the prevalence rate of IAH was 11.6% [95% confidence interval (CI): 7.8-16.4%]. IAH was significantly associated with near-miss car accidents (odds ratio: 5.41; 95% CI:1.64-17.80). Diabetic peripheral neuropathy was associated with an increased risk of IAH, while treatment with continuous subcutaneous insulin infusion was not associated with a decreased risk of IAH. The average hypoglycemia problem-solving perception, detection control, and seeking preventive strategies scores in the IAH group were significantly reduced compared with those in the control group. </p><p>Conclusion IAH was associated with an increased risk of near-miss car accidents among adults with T1D. Furthermore, good hypoglycemia problem-solving abilities were associated with a decreased risk of IAH. </p>
収録刊行物
-
- Internal Medicine
-
Internal Medicine 62 (10), 1431-1439, 2023-05-15
一般社団法人 日本内科学会