Children's Hospital of New Orleans, Department of Psychology, New Orleans, LA 70118, USA.
Diabetes Res Clin Pract. 2010 Jun;88(3):234-41. doi: 10.1016/j.diabres.2010.02.010. Epub 2010 Mar 24.
To prospectively examine the effects of fear of hypoglycemia (FH), adherence to blood glucose testing, and anxiety on metabolic control in youth with Type 1 diabetes. To examine the relationships among these variables in the context of a hurricane.
Participants included 158 children completing measures at two times, with 58 participants completing measures pre- and post-Hurricane Katrina. Hierarchical regressions were run predicting indices of metabolic control.
HbA1c was a unique predictor of subsequent HbA1c although a significant interaction between children's FH and hurricane group was found for HbA1c. Percent of low blood glucose (BG) was the only unique predictor of subsequent low BG. Percent of high BG and demographic variables were predictors of subsequent high BG. There was also a significant interaction between children's FH and hurricane group for high BG.
Prior metabolic control is a strong predictor of subsequent metabolic control. Youth who exhibit FH are at risk for poor metabolic control, specifically demonstrating high BG levels and HbA1c if they have experienced a major stressor such as a natural disaster.
前瞻性研究青少年 1 型糖尿病患者对低血糖的恐惧（FH）、血糖检测依从性和焦虑对代谢控制的影响。在飓风的背景下，研究这些变量之间的关系。
参与者包括 158 名儿童，他们在两个时间点完成了测量，其中 58 名参与者在卡特里娜飓风前后完成了测量。分层回归用于预测代谢控制指数。
HbA1c 是随后 HbA1c 的唯一预测指标，尽管儿童 FH 和飓风组之间存在显著的交互作用。低血糖（BG）的百分比是随后低 BG 的唯一预测指标。高 BG 的百分比和人口统计学变量是随后高 BG 的预测指标。儿童 FH 和飓风组之间也存在高 BG 的显著交互作用。
先前的代谢控制是随后代谢控制的有力预测指标。表现出 FH 的青少年面临代谢控制不良的风险，如果他们经历了重大压力源，如自然灾害，他们会表现出高血糖水平和 HbA1c。
