Current Status of the Knowledge of Hypoglycemia and Analysis of Its Influencing Factors in Patients with Type 2 Diabetes Mellitus in China_West China Medical Journal

Authors：

 LiRao ¹ , YuanLi ¹ , GuoXiaohui ² , LouQingqing ³ , ZhaoFang ⁴ , ShenLi ⁵ , ZhangMingxia ⁶ , SunZilin ⁷

1. Department of Endocrinology, West China Hospital, Sichuan University, Chengdu, Sichuan 6100471, P. R. China;
2. Department of Endocrinology, Peking University First Hospital, Beijing 100034, P. R. China;
3. Health Education Department, Jiangsu Provincial Hospital of Integration of Chinese and Western Medicine, Nanjing, Jiangsu 210028, P. R. China;
4. Department of Endocrinology, China-Japan Friendship Hospital, Beijing 100029, P. R. China;
5. Nursing Department, Tsinghua University, Beijing Tsinghua Changgeng Hospital, Beijing 100084, P. R. China;
6. Department of Endocrinology, Peking University People's Hospital, Beijing 100044, P. R. China;
7. Department of Endocrinology, Zhongda Hospital, Affilated to Southeast University, Nanjing, Jiangsu 210009, P. R. China;

Corresponding author：

Keywords：

Diabetes mellitus; Hypoglycemia; Knowledge; Influencing factor

DOI：

10.7507/1002-0179.20160004

Video：

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Objective To investigate the knowledge of hypoglycemia in patients with type 2 diabetes mellitus, analyze its influential factors, and explore the measure of hypoglycemia education. Methods A questionnaire survey was conducted with a sample of 5 961 patients with type 2 diabetes mellitus from 144 hospitals in China between April and July 2010. The investigation contents included patients' demographic data and the knowledge of hypoglycemia. Results The score of the knowledge of hypoglycemia was 62.71±10.34 and the status was medium. Multiple stepwise regression analysis showed that degree of education, duration of diabetes mellitus, periodic inspection, education about diabetic complications, times of hypoglycemia were influencing factors for the knowledge of hypoglycemia (P<0.05). Conclusion The status of the knowledge of hypoglycemia is not optimistic. Educators should pay attention to the characteristics of patients and provide a safe regiment for controlling blood sugar with a comprehensive introduction of hypoglycemia.

Citation： LiRao, YuanLi, GuoXiaohui, LouQingqing, ZhaoFang, ShenLi, ZhangMingxia, SunZilin. Current Status of the Knowledge of Hypoglycemia and Analysis of Its Influencing Factors in Patients with Type 2 Diabetes Mellitus in China. West China Medical Journal, 2016, 31(1): 13-16. doi: 10.7507/1002-0179.20160004 Copy

1.	Mccoy RG, Van Houten HK, Ziegenfuss JY, et al. Increased mortality of patients with diabetes reporting severe hypoglycemia[J]. Diabetes Care, 2012, 35(9):1897-1901.
2.	中华医学会糖尿病学分会学. 中国2型糖尿病防治指南(2010 版)[J]. 中华糖尿病杂志, 2010, 2(增刊2):52-54.
3.	万巧琴, 王群, 尚少梅. 2型糖尿病患者自我管理行为与应对方式的相关性[J]. 解放军护理杂志, 2008, 25(2):18-20, 23.
4.	Green AJ, Fox KM, Grandy S, et al. Self-reported hypoglycemia and impact on quality of life and depression among adults with type 2 diabetes mellitus[J]. Diabetes Res Clin Pract, 2012, 96(3):313-318.
5.	Engler B, Koehler C, Hoffmann C, et al. Relationship between HbA1c on target, risk of silent hypoglycemia and glycemic variability in patients with type 2 diabetes mellitus[J]. Exp Clin Endocrinol Diabetes, 2011, 119(1):59-61.
6.	曹明明, 童南伟. 中国成人2型糖尿病HbA_1c控制目标的专家共识解读[J]. 中国实用内科杂志, 2011, 31(2):113-115.
7.	Bremer JP, Jauch-Chara K, Hallschmid M, et al. Hypoglycemia unawareness in older compared with middle-aged patients with type 2 diabetes[J]. Diabetes Care, 2009, 32(8):1513-1517.
8.	Schopman JE, Geddes J, Frier BM. Prevalence of impaired awareness of hypoglycaemia and frequency of hypoglycaemia in insulin-treated type 2 diabetes[J]. Diabetes Res Clin Pract, 2010, 87(1):64-68.
9.	Mufunda E, Wikby K, Björn A, et al. Level and determinants of diabetes knowledge in patients with diabetes in Zimbabwe:a cross-sectional study[J]. Pan Afr Med J, 2012, 13:78.
10.	Trouilloud D, Regnier J. Therapeutic education among adults with type 2 diabetes:effects of a three-day intervention on perceived competence, self-management behaviours and glycaemic control[J]. Glob Health Promot, 2013, 20(2 suppl):94-98.
11.	安丹, 王春菊. 健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响[J]. 华西医学, 2015, 30(4):736-739.
12.	晏玫, 梁泽容. 健康教育路径在55例2型糖尿病患者首次住院治疗中的应用[J]. 检验医学与临床, 2015, 12(2):230-231.
13.	冯佳佳, 兰洁. 住院糖尿病患者知信行模式及健康教育需求的调查研究[J]. 中国健康教育, 2015, 31(5):508-510.
14.	黄丽亚, 符兴南. 知信行健康教育联合辨证施膳对糖尿病患者血糖及生活质量的影响[J]. 护理学杂志, 2015, 30(9):85-87.

1. Mccoy RG, Van Houten HK, Ziegenfuss JY, et al. Increased mortality of patients with diabetes reporting severe hypoglycemia[J]. Diabetes Care, 2012, 35(9):1897-1901.
2. 中华医学会糖尿病学分会学. 中国2型糖尿病防治指南(2010 版)[J]. 中华糖尿病杂志, 2010, 2(增刊2):52-54.
3. 万巧琴, 王群, 尚少梅. 2型糖尿病患者自我管理行为与应对方式的相关性[J]. 解放军护理杂志, 2008, 25(2):18-20, 23.
4. Green AJ, Fox KM, Grandy S, et al. Self-reported hypoglycemia and impact on quality of life and depression among adults with type 2 diabetes mellitus[J]. Diabetes Res Clin Pract, 2012, 96(3):313-318.
5. Engler B, Koehler C, Hoffmann C, et al. Relationship between HbA1c on target, risk of silent hypoglycemia and glycemic variability in patients with type 2 diabetes mellitus[J]. Exp Clin Endocrinol Diabetes, 2011, 119(1):59-61.
6. 曹明明, 童南伟. 中国成人2型糖尿病HbA_1c控制目标的专家共识解读[J]. 中国实用内科杂志, 2011, 31(2):113-115.
7. Bremer JP, Jauch-Chara K, Hallschmid M, et al. Hypoglycemia unawareness in older compared with middle-aged patients with type 2 diabetes[J]. Diabetes Care, 2009, 32(8):1513-1517.
8. Schopman JE, Geddes J, Frier BM. Prevalence of impaired awareness of hypoglycaemia and frequency of hypoglycaemia in insulin-treated type 2 diabetes[J]. Diabetes Res Clin Pract, 2010, 87(1):64-68.
9. Mufunda E, Wikby K, Björn A, et al. Level and determinants of diabetes knowledge in patients with diabetes in Zimbabwe:a cross-sectional study[J]. Pan Afr Med J, 2012, 13:78.
10. Trouilloud D, Regnier J. Therapeutic education among adults with type 2 diabetes:effects of a three-day intervention on perceived competence, self-management behaviours and glycaemic control[J]. Glob Health Promot, 2013, 20(2 suppl):94-98.
11. 安丹, 王春菊. 健康教育路径干预对肠造口术患者自我护理能力和健康行为的影响[J]. 华西医学, 2015, 30(4):736-739.
12. 晏玫, 梁泽容. 健康教育路径在55例2型糖尿病患者首次住院治疗中的应用[J]. 检验医学与临床, 2015, 12(2):230-231.
13. 冯佳佳, 兰洁. 住院糖尿病患者知信行模式及健康教育需求的调查研究[J]. 中国健康教育, 2015, 31(5):508-510.
14. 黄丽亚, 符兴南. 知信行健康教育联合辨证施膳对糖尿病患者血糖及生活质量的影响[J]. 护理学杂志, 2015, 30(9):85-87.

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Current Status of the Knowledge of Hypoglycemia and Analysis of Its Influencing Factors in Patients with Type 2 Diabetes Mellitus in China

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