Parental fear of hypoglycemia: young children treated with continuous subcutaneous insulin infusion

doi:10.1111/j.1399-5448.2007.00242.x

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Wiley InterScience

Pediatric Diabetes

Volume 8 Issue 6, Pages 362 - 368

Published Online: 21 Nov 2007

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Original Article

Parental fear of hypoglycemia: young children treated with continuous subcutaneous insulin infusion

Susana R Patton ^a , Lawrence M Dolan ^b,c , Racquel Henry ^d Scott W Powers ^c,d

^a Division of Child Behavioral Health, Department of Pediatrics and Communicable Diseases, C.S. Mott Children's Hospital and the University of Michigan, Ann Arbor, MI, USA; ^bDivision of Endocrinology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; ^cDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA; and ^dDivision of Behavioral Medicine and Clinical Psychology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA

Correspondence to Susana R. Patton, PhD
Division of Child Behavioral Health
University of Michigan
1924 Taubman Center
Box 0318
1500 E Medical Center Drive
Ann Arbor, MI 48109-0318
USA.
Tel: (734) 936-4220;
fax: (734) 936-6897;
e-mail: susanap@med.umich.edu

KEYWORDS

assessment • children • hypoglycemia • insulin pump

Patton SR, Dolan LM, Henry R, Powers SW. Parental fear of hypoglycemia: young children treated with continuous subcutaneous insulin infusion.
Pediatric Diabetes 2007: 8: 362–368.

ABSTRACT

Background: The objective of this study was to examine the association between parental fear of hypoglycemia and average daily blood glucose control of young children with type 1 diabetes receiving continuous subcutaneous insulin infusion (CSII). We hypothesized that parental fear of hypoglycemia would correlate positively with children's average daily blood glucose control.

Methods: Twenty-four families of children with type 1 diabetes who were receiving CSII were recruited from a pediatric hospital. Children had a mean age of 5.7 ± 1.8 yr (range 2–8 yr) and were evenly split on gender. Parents completed a modified version of the Hypoglycemia Fear Survey – Parents of Young Children (HFS-PYC), a measure designed to assess fear and avoidance behaviors associated with hypoglycemia. Blood glucose was assessed for the 2 wk following completion of the HFS-PYC using a standard home blood glucose meter.

Results: Parents of young children obtained a mean total HFS-PYC score of 81 ± 14.1 (possible range 26–130), suggesting a moderate level of fear. The HFS-PYC was found to be internally consistent and had good test–retest reliability. For parents of young children receiving CSII, fear of hypoglycemia correlated positively with children's mean daily blood glucose levels (r = 0.41, p = 0.05).

Conclusions: Parents of young children with type 1 diabetes who are receiving CSII report significant fear of hypoglycemia. Parental fear of hypoglycemia may be a barrier to prevent optimal glycemic control.

Submitted 15 November 2006. Accepted for publication 3 April 2007

DIGITAL OBJECT IDENTIFIER (DOI)

10.1111/j.1399-5448.2007.00242.x About DOI