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.	中華醫學會糖尿病學分會學. 中國2型糖尿病防治指南(2010 版)[J]. 中華糖尿病雜志, 2010, 2(增刊2):52-54.
3.	萬巧琴, 王群, 尚少梅. 2型糖尿病患者自我管理行為與應對方式的相關性[J]. 解放軍護理雜志, 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, 童南偉. 中國成人2型糖尿病HbA_1c控制目標的專家共識解讀[J]. 中國實用內科雜志, 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, Bj?rn 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. 健康教育路徑干預對腸造口術患者自我護理能力和健康行為的影響[J]. 華西醫學, 2015, 30(4):736-739.
12.	晏玫, 梁澤容. 健康教育路徑在55例2型糖尿病患者首次住院治療中的應用[J]. 檢驗醫學與臨床, 2015, 12(2):230-231.
13.	馮佳佳, 蘭潔. 住院糖尿病患者知信行模式及健康教育需求的調查研究[J]. 中國健康教育, 2015, 31(5):508-510.
14.	黃麗亞, 符興南. 知信行健康教育聯合辨證施膳對糖尿病患者血糖及生活質量的影響[J]. 護理學雜志, 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. 中華醫學會糖尿病學分會學. 中國2型糖尿病防治指南(2010 版)[J]. 中華糖尿病雜志, 2010, 2(增刊2):52-54.
3. 萬巧琴, 王群, 尚少梅. 2型糖尿病患者自我管理行為與應對方式的相關性[J]. 解放軍護理雜志, 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, 童南偉. 中國成人2型糖尿病HbA_1c控制目標的專家共識解讀[J]. 中國實用內科雜志, 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, Bj?rn 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. 健康教育路徑干預對腸造口術患者自我護理能力和健康行為的影響[J]. 華西醫學, 2015, 30(4):736-739.
12. 晏玫, 梁澤容. 健康教育路徑在55例2型糖尿病患者首次住院治療中的應用[J]. 檢驗醫學與臨床, 2015, 12(2):230-231.
13. 馮佳佳, 蘭潔. 住院糖尿病患者知信行模式及健康教育需求的調查研究[J]. 中國健康教育, 2015, 31(5):508-510.
14. 黃麗亞, 符興南. 知信行健康教育聯合辨證施膳對糖尿病患者血糖及生活質量的影響[J]. 護理學雜志, 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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