Neuropathy Drives Hypoglycemia Cluelessness in T1D
In Japanese adults with type 1 diabetes insulin-pump treatment (continuous subcutaneous insulin infusion) and higher problem-solving perception appear protective against impaired awareness of hypoglycemia (IAH), while diabetic peripheral neuropathy (DPN) is associated with increased risk. Diabetes distress and fear of hypoglycemia are common in people with IAH.
@koushin Adults with type 1 diabetes and IAH have a reduced ability to perceive hypoglycemic symptoms and are at risk of severe hypoglycemic events because they are unable to take immediate corrective action. This is the first study to identify protective factors and risk factors of IAH in Japanese adults with type 1 diabetes. People with IAH may plan to loosen tight glucose management and intentionally omit insulin injection to prevent severe hypoglycemia. The information in this report may help improve the management of people with problematic hypoglycemia, the authors suggested. Treatment with an insulin pump and structured education aimed at improving problem-solving skills may be useful interventions for adults with type 1 diabetes and IAH, they suggested.