Pinhas-Hamiel Orit, Tisch Efrat, Levek Noa, Ben-David Rachel Frumkin, Graf-Bar-El Chana, Yaron Mariana, Boyko Valentina, Lerner-Geva Liat
Maccabi Juvenile Diabetes Center, Raanana, Israel.
Pediatric Endocrine and Diabetes Unit, The Edmond and Lily Safra Children's Hospital, Tel Hashomer, Ramat-Gan, Israel.
Diabetes Metab Res Rev. 2017 Feb;33(2). doi: 10.1002/dmrr.2837. Epub 2016 Aug 16.
Sexual lifestyles including sexual activity, problems, satisfaction, and the formation and maintenance of relationships are greatly affected by physical health. Data are limited regarding the sexual lifestyle of adolescents and young adults with type 1 diabetes mellitus (T1DM). Fear of hypoglycemic episodes during sexual intercourse and intimacy issues can impact individuals with T1DM. The aim of this study was to assess sexual lifestyles of individuals with T1DM.
Fifty-three patients with T1DM, 27 (51%) males, mean ± SD age 27.9 ± 8.3 years completed the Hypoglycemia Fear Survey-II and the Sex Practices and Concerns questionnaire.
Thirty-seven (70%) reported they never or almost never had concerns in their sexual lifestyles that were related to their diabetes. None experienced severe hypoglycemia during sex, but 21 (40%) reported occasional mild hypoglycemic events. More than two-thirds do not take any measures to prevent hypoglycemia before sex (decreasing insulin dose, snacks, and measuring blood glucose levels). Fear of hypoglycemia during sex was reported by 18 (35%); those who reported increased fear experienced mild hypoglycemic events during sex (61.1% vs 26.5%, P = .01), were singles (94.4% vs 64.7%, P = .02), and had higher scores on the Worries subscale of the Hypoglycemia Fear Survey-II (42.8 ± 12.8 vs 34.9 ± 10.5, P = .04) compared with those who did not.
Among young people with T1DM, most do not have concerns regarding sex that are related to their diabetes, and most do not take specific measures before or after sex. One-third, however, fear of hypoglycemia during sex, mostly singles and those who experienced hypoglycemia in the past. Caregivers should be aware and address these concerns. Copyright © 2016 John Wiley & Sons, Ltd.
包括性活动、问题、满意度以及人际关系的形成与维持等在内的性生活方式会受到身体健康的极大影响。关于1型糖尿病（T1DM）青少年和青年人性生活方式的数据有限。性交期间对低血糖发作的恐惧以及亲密关系问题会对T1DM患者产生影响。本研究的目的是评估T1DM患者的性生活方式。
53例T1DM患者，其中27例（51%）为男性，平均年龄±标准差为27.9±8.3岁，完成了低血糖恐惧调查-II以及性实践与担忧问卷。
37例（70%）报告称他们在性生活中从未或几乎从未有过与糖尿病相关的担忧。无人在性交期间经历严重低血糖，但21例（40%）报告偶尔有轻度低血糖事件。超过三分之二的人在性交前不采取任何预防低血糖的措施（减少胰岛素剂量、吃零食以及测量血糖水平）。18例（35%）报告了性交期间对低血糖的恐惧；报告恐惧增加的人在性交期间经历轻度低血糖事件（61.1%对26.5%，P = 0.01），为单身（94.4%对64.7%，P = 0.02），并且在低血糖恐惧调查-II的担忧子量表上得分更高（42.8±12.8对34.9±10.5，P = 0.04），与未报告恐惧的人相比。
在患有T1DM的年轻人中，大多数人在性生活方面没有与糖尿病相关的担忧，并且大多数人在性交前后不采取特定措施。然而，三分之一的人恐惧性交期间的低血糖，主要是单身者以及过去经历过低血糖的人。护理人员应意识到并解决这些担忧。版权所有©2016约翰威立父子有限公司。
