Conversaciones y reacciones en relación con la hipoglucemia grave (CRASH): resultados de España de una encuesta global en personas con diabetes tipo 1 o diabetes tipo 2 tratada con insulina y cuidadores

F. Javier Ampudia-Blasco, Esther Artime*, Silvia Díaz, Miriam Rubio, Jesús Reviriego, Beth Mitchell, Beatrice Osumili, Mark Peyrot, Robin Pokrzywinski, Erik Spaepen, Frank Snoek

*Corresponding author for this work

Research output: Contribution to journalArticleProfessional


Introduction: Information on experience/management of severe hypoglycaemic events (SHEs) among people with insulin-treated diabetes (PWD) and caregivers (CGs) providing care to PWD was sought. Materials and methods: An online cross-sectional survey was conducted in eight countries. Inclusion criteria: PWD (aged ≥ 18 years; self-reported type 1 [T1D] or insulin-treated type 2 [T2D] diabetes; experienced ≥1 SHE [hypoglycaemia requiring external assistance] in past 3 years); CGs (layperson aged ≥18 years; caring for PWD meeting all criteria above except age [≥4 years]). This descriptive analysis provides data from Spain. SHE-associated data relate to the most recent SHE. Results: Across all groups (T1D PWD, n = 106; T2D PWD, n = 88, T1D CG, n = 87; T2D CG, n = 96), 76–89% reported that the SHE occurred at home; most common cause was eating less than planned (38–53%). Most usual action during the SHE was to intake carbohydrates (67–84%); glucagon use was low (9–36%). Discussion of the SHE with their healthcare provider (HCP) was reported by 70–75% of PWD. During the SHE, 35–69% of PWD/CGs reported feeling scared, unprepared and/or helpless. Conclusions: Most SHEs occurred outside the healthcare setting; treatment therefore depends greatly on CGs. SHEs have a negative emotional impact on PWD/CGs, underscoring the need for HCPs to discuss SHEs with PWD/CGs, and to provide tools and strategies to prevent and effectively manage SHEs.
Original languageSpanish
Pages (from-to)557-566
JournalEndocrinologia, Diabetes y Nutricion
Issue number8
Publication statusPublished - 1 Oct 2021

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