TY - JOUR
T1 - Conversations et réactions autour de l'hypoglycémie sévère
T2 - enquête internationale auprès de patients ayant un DT1 ou un DT2 et d'aidants: résultats de la cohorte française
AU - Chevalier, Nicolas
AU - Penfornis, Alfred
AU - Riveline, Jean-Pierre
AU - Chartier, Florence
AU - Mitchell, Beth
AU - Osumili, Beatrice
AU - Spaepen, Erik
AU - Snoek, Frank
AU - Peyrot, Mark
AU - Benabbad, Imane
N1 - Funding Information: This work was supported by Eli Lilly and Company . Eli Lilly and Company were also involved in the collection, analysis, and interpretation of the data, the writing of the report, and the decision to submit the article for publication. Publisher Copyright: © 2021 Eli Lilly and Company
PY - 2022/2/1
Y1 - 2022/2/1
N2 - Aim: The objective of the CRASH (Conversations and Reactions Around Severe Hypoglycemia) survey was to further our understanding of the characteristics, experience, behavior and conversations with healthcare professionals (HCPs) of people with diabetes (PWD) receiving insulin, and of caregivers (CGs) caring for such people, concerning hypoglycemia requiring external assistance (severe hypoglycemic events [SHEs]). Methods: CRASH was an online cross-sectional survey conducted across eight countries. PWD with self-reported type 1 (T1D) or insulin-treated type 2 (T2D) diabetes were aged ≥ 18 years and had experienced one or more SHEs in the past 3 years; CGs were non-medical professionals aged ≥ 18 years, caring for PWD meeting all the above criteria except for PWD age (≥ 4 rather than ≥ 18 years). The present report is a descriptive analysis of data from France. Results: Among PWD who had ever discussed SHEs with an HCP, 38.9% of T1D PWD and 50.0% of T2D PWD reported that SHEs were discussed at every consultation; 26.3% and 8.8%, respectively, had not discussed the most recent SHE with an HCP. In total, 35.7% of T1D PWD and 53.8% of T2D PWD reported that glucagon was not available to them at the time of their most recent SHE. Only 16.9% of T1D PWD and 6.5% of T2D PWD who had discussed their most recent SHE with an HCP reported that the HCP recommended obtaining a glucagon kit or asked them to confirm that they already had one. High proportions of PWD and CGs reported that the most recent SHE had made them feel unprepared, scared and helpless and had affected mood, emotional state and activities. Conclusion: CRASH survey data from France identify a need for greater discussion about SHEs between HCPs and PWD and the CGs of such people, and reveal gaps in the diabetes education of PWDs and CGs.
AB - Aim: The objective of the CRASH (Conversations and Reactions Around Severe Hypoglycemia) survey was to further our understanding of the characteristics, experience, behavior and conversations with healthcare professionals (HCPs) of people with diabetes (PWD) receiving insulin, and of caregivers (CGs) caring for such people, concerning hypoglycemia requiring external assistance (severe hypoglycemic events [SHEs]). Methods: CRASH was an online cross-sectional survey conducted across eight countries. PWD with self-reported type 1 (T1D) or insulin-treated type 2 (T2D) diabetes were aged ≥ 18 years and had experienced one or more SHEs in the past 3 years; CGs were non-medical professionals aged ≥ 18 years, caring for PWD meeting all the above criteria except for PWD age (≥ 4 rather than ≥ 18 years). The present report is a descriptive analysis of data from France. Results: Among PWD who had ever discussed SHEs with an HCP, 38.9% of T1D PWD and 50.0% of T2D PWD reported that SHEs were discussed at every consultation; 26.3% and 8.8%, respectively, had not discussed the most recent SHE with an HCP. In total, 35.7% of T1D PWD and 53.8% of T2D PWD reported that glucagon was not available to them at the time of their most recent SHE. Only 16.9% of T1D PWD and 6.5% of T2D PWD who had discussed their most recent SHE with an HCP reported that the HCP recommended obtaining a glucagon kit or asked them to confirm that they already had one. High proportions of PWD and CGs reported that the most recent SHE had made them feel unprepared, scared and helpless and had affected mood, emotional state and activities. Conclusion: CRASH survey data from France identify a need for greater discussion about SHEs between HCPs and PWD and the CGs of such people, and reveal gaps in the diabetes education of PWDs and CGs.
KW - Caregivers
KW - Cross-sectional survey
KW - Diabetes
KW - Glucagon
KW - Insulin
KW - Severe hypoglycemia
UR - http://www.scopus.com/inward/record.url?scp=85123998211&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ando.2021.11.003
DO - https://doi.org/10.1016/j.ando.2021.11.003
M3 - Article
C2 - 34871601
SN - 0003-4266
VL - 83
SP - 16
EP - 26
JO - Annales d endocrinologie
JF - Annales d endocrinologie
IS - 1
ER -