Affordable Access

deepdyve-link
Publisher Website

Management of severe hypoglycaemia: cultural similarities, differences and resource consumption in three European countries.

Authors
  • Lammert, M1
  • Hammer, M
  • Frier, B M
  • 1 Novo Nordisk Scandinavia AB, Region Denmark, Arne Jacobsen Alle 15, Copenhagen S, Denmark. [email protected] , (Denmark)
Type
Published Article
Journal
Journal of medical economics
Publication Date
Jan 01, 2009
Volume
12
Issue
4
Pages
269–280
Identifiers
DOI: 10.3111/13696990903310501
PMID: 20001569
Source
Medline
Language
English
License
Unknown

Abstract

To investigate the characteristics of people with insulin-treated diabetes, who have experienced severe hypoglycaemic events (SHEs), in Germany, Spain or UK. Patients with type 1 (n=319) or insulin-treated type 2 diabetes (n=320) who had experienced ≥ 1 SHE in the preceding year were enrolled. Their median age was 53 years (range, 16-94 years). Data were collected using a questionnaire administered by an experienced interviewer. The median number of reported SHEs was 2-3 in 12 months. Most events (69%) occurred at home, usually during the day or evening (74%) and most commonly due to insufficient food consumption (45%). In patients whose hypoglycaemia awareness was tested, 68% had normal awareness. Patients requiring emergency healthcare treatment frequently had impaired hypoglycaemia awareness, and developed hypoglycaemic coma more often. Hospital treatment was usually provided in an emergency department (72-94%). The duration of stay was longest in Germany. Following a SHE, patients receiving professional treatment were more likely to: consult their physician, test their blood glucose more often, adjust insulin dose and receive self-management training. This survey of diabetes patients aged 16-94 years showed that SHEs represent a substantial burden on national healthcare systems in Germany, UK and Spain. The pattern of occurrence and treatment was similar in all three countries, despite differences in cultures and healthcare systems.

Report this publication

Statistics

Seen <100 times