Department of Diabetes, Metabolism and Endocrinology, Tokyo Medical University Hospital, Tokyo, Japan.
J Diabetes Investig. 2023 Nov;14(11):1318-1320. doi: 10.1111/jdi.14061. Epub 2023 Jul 26.
Needle phobia is a specific phobia classified as an anxiety disorder in the Diagnostic and Statistical Manual of Mental Disorders-5, and can be a serious problem for patients requiring insulin injections. However, there have been few reports to date on the management of adults with diabetes and needle phobia. We here report a case of a woman with pancreatic diabetes who developed needle phobia and could no longer perform self-injections. She started to use a sensor-augmented pump (SAP), and was able to perform a puncture for the insulin pump and the continuous glucose monitoring sensor by herself. The SAP treatment achieved self-management, better glycemic control, and high treatment satisfaction quantified using the Diabetes Treatment Satisfaction Questionnaire in this patient. Our case suggests the therapeutic potential of SAP in adults with needle phobia and diabetes requiring insulin therapy.
恐针症是一种特定恐惧症，在《精神障碍诊断与统计手册-5》中被归类为焦虑障碍，对于需要胰岛素注射的患者来说可能是一个严重的问题。然而，迄今为止，关于管理有恐针症的成年糖尿病患者的报告很少。我们在此报告一例患有胰腺糖尿病的女性患者，她出现了恐针症，无法再自行进行注射。她开始使用传感器增强型胰岛素泵（SAP），并且能够自行进行胰岛素泵和连续血糖监测传感器的穿刺。SAP 治疗使该患者实现了自我管理，更好的血糖控制，以及使用糖尿病治疗满意度问卷量化的高治疗满意度。我们的病例表明，SAP 对需要胰岛素治疗的有恐针症和糖尿病的成年患者具有治疗潜力。
