Severe Hypoglycemia and the Role of the Significant Other

King, Jennie; Overland, Jane; Fisher, Murray; White, Kathryn

doi:10.1177/0145721715606223

Cited by 15 publications

(58 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fear and distress related to hypoglycemia and complications are frequently experienced by T1D partners resulting in a caregiver emotional burden (Barnard et al, 2016;Johnson and Melton, 2015;King et al, 2015;Lawton et al, 2014;Morris M et al, 2006;Polonsky et al, 2016;Rajaram, 1997;Rintala, 2017;Rintala et al, 2013b;Stödberg et al, 2007;Trief et al, 2013 (Rajaram, 1997: 289).…”

Section: Diabetes Specific Emotional Impactsmentioning

confidence: 99%

“…The fear of hypoglycaemia, long-term complications and a shortened life expectancy of their partner made many T1D partners strive to be more involved in the direct diabetes care (Johnson and Melton, 2015;King et al, 2015;Rintala, 2017;Rintala et al, 2013b;Stödberg et al, 2007). But, being attentive to how their partner with diabetes was at any particular moment and feeling they have to take full responsibility made many T1D partners feel exhausted (Lawton et al, 2014;Stödberg et al, 2007).…”

Section: Diabetes Specific Emotional Impactsmentioning

confidence: 99%

“…The emotional strain on T1D partners extended to embarrassment for their partners, when having a hypo in public. T1D partners were worried the 'odd' behaviour may compromise their partners' personal and professional credibility and dignity (King et al, 2015;Morris et al, 2006).…”

Section: Diabetes Specific Emotional Impactsmentioning

confidence: 99%

See 2 more Smart Citations

Couples living with type 1 diabetes: An integrative review of the impacts on health and wellbeing

et al. 2018

View full text Add to dashboard Cite

Contribution to authorship statementJS, EP and MDC originated the research idea. RM and MDC conducted the search and selected papers. RM, MDC, JS, AKS, EP, extracted data, assessed study quality and undertook data synthesis. RM and JS drafted the manuscript. MDC, AKS, EP, MPF reviewed, and contributed intellectual content to, the manuscript. All the authors approved the final version. Statement of conflict of interestThe authors have no conflict of interest to declare in relation to the present work and no supporting grant to declare. AcknowledgmentsWe acknowledge the support of Richard Meier and Andrew Balfour of Tavistock Relationships for their support in conducting this research and undergraduate student nurses Saheed Yakubi and Georgiana Morar for extracting quotations from the qualitative manuscripts. We thank Emma Berry for affording us the privilege of having her PhD thesis inform our programme of work. Abstract Impacts of type 1 diabetes and relationship factors on health and wellbeing of both personswith diabetes (PWD) and partners (T1D partners) have not been investigated. Integrative review methods evaluated the evidence. From 323 titles we included 24 studies involving 16,083 PWD and 1,020 T1D partners. Studies were quantitative (n=13), qualitative (n=9) and mixed methods (n=2). Maintaining resilient, good quality, intimate relationships optimises physical and psychological outcomes for PWD. Partners experience disturbed sleep and whilst general psychological health is maintained, distress surrounding hypoglycemia is overwhelming for over a third of partners. Nurturing quality relationships could reap significant health benefits.

show abstract

Section: Diabetes Specific Emotional Impactsmentioning

confidence: 99%

Section: Diabetes Specific Emotional Impactsmentioning

confidence: 99%

See 1 more Smart Citation

Couples living with type 1 diabetes: An integrative review of the impacts on health and wellbeing

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Journeys that most participants found to be unexpected, challenging and unwelcome. Social factors were also observed to interplay significantly with self-management, including areas that have previously been identified in people with longstanding diabetes, such as work performance [21], managing relationships [22,23], social identity and self-image [24], and the experience of stigma or discrimination [25]; therefore, providing adults with strategies to navigate the social impact of diabetes after diagnosis may help improve their self-confidence in attending to diabetes in public contexts, thereby enhancing their selfmanagement and well-being. The narratives suggested that, while adaptation to the condition is an ongoing process, it is also clear that many of the common psychological problems observed in diabetes gestate soon after diagnosis, such as fear of hypoglycaemia and complications [17,18].…”

Section: Discussionmentioning

confidence: 87%

“…Attending to these psychological needs may also impact positively on clinical outcomes, as the narratives show how psychological problems can lead to sub-optimal selfmanagement, such as running blood glucose too high to avoid hypoglycaemia. Social factors were also observed to interplay significantly with self-management, including areas that have previously been identified in people with longstanding diabetes, such as work performance [21], managing relationships [22,23], social identity and self-image [24], and the experience of stigma or discrimination [25]; therefore, providing adults with strategies to navigate the social impact of diabetes after diagnosis may help improve their self-confidence in attending to diabetes in public contexts, thereby enhancing their selfmanagement and well-being.…”

Section: Discussionmentioning

confidence: 87%

Learning about Type 1 diabetes and learning to live with it when diagnosed in adulthood: two distinct but inter‐related psychological processes of adaptation A qualitative longitudinal study

et al. 2018

View full text Add to dashboard Cite

Aim To explore the experiences of adults with newly diagnosed Type 1 diabetes in order to understand the adaptive processes that occur in the early phase of the condition.Methods We conducted longitudinal semi-structured interviews with 30 adults newly diagnosed with Type 1 diabetes (age range 20-67 years; 16 men; median diabetes duration 23.5 months), recruited from hospitals in Denmark and the UK. The data were analysed using a narrative approach.Results The narratives could be grouped into three thematic areas: the diagnosis; learning about diabetes; and learning to live with diabetes. Diabetes was characterized as a major disruptor to the established and future life plans of participants, causing significant emotional distress. The narratives showed how early experiences triggered the development of ongoing psychological problems (fear of complications or hypoglycaemia) and diabetes distress, and that navigating different social scenarios (relationships and employment) could be challenging, leading to suboptimal selfmanagement behaviours. The narratives also showed that health professionals often did not attend effectively to participants' emotional needs after diagnosis, and that the language used frequently triggered negative feelings, such as fear or a sense of failure.Conclusions Many of the common psychosocial problems associated with Type 1 diabetes seem to gestate in the early phase of life with the condition. There appear to be opportunities to enhance the support provided in this phase to minimize these problems.

show abstract

The health promotion role of Australian early primary school teachers supporting students with type 1 diabetes

Marks

Wilson

Blythe

et al. 2019

Health Prom J of Aust

View full text Add to dashboard Cite

Issue Addressed: Early primary school children with diabetes require adult support for insulin therapy and primary school teachers often fulfil this health promotion role. Availability of support is inconsistent across Australia and insulin administration at school is avoided for some children. The aims of the study were to explore the experiences of Australian early primary school teachers who were supporting a student using intensive insulin therapy and to identify facilitators and implications of this support. Method:A qualitative research design using narrative inquiry was utilised. Early primary school teachers (n = 11) from six Australian states/territories and across Government, Catholic and independent schools participated in semi-structured telephone interviews between August 2015 and May 2016. Narrative analysis was used to interpret the interview data.Results: Six narrative threads told a collective story of early primary school teachers' experience of supporting a student using intensive insulin therapy. The factors that facilitated support were: suitable class allocation, a transition process, and diabetes education and diabetes models of care. The implications of providing intensive insulin therapy support were legal considerations and burden of responsibility. The outcome was that all teachers supported intensive insulin therapy. Conclusion:School teachers in this study had a pivotal role in promoting the health of students with type 1 diabetes. This role was often associated with anxiety and the burden of responsibility. Support strategies for teachers include formal diabetes skills training, ongoing assistance from both teacher's aides and Diabetes Educators, and greater understanding of the legal aspects of intensive insulin therapy support. The development of consistent health promotion policy for students with type 1 diabetes across all Australian schools is required.So what? Adopting the supportive strategies for teachers identified in this study will further promote the health of early primary school children with type 1 diabetes. K E Y W O R D Schildren, chronic disease, diabetes, health education, health promoting schools | 241 MARKS et Al.

show abstract

Severe Hypoglycemia and the Role of the Significant Other

Abstract: This study highlights the important role that significant others play in the management of severe hypoglycemia. It also emphasizes the need for health care professionals to provide appropriate education and support.

Cited by 15 publications

References 27 publications

Couples living with type 1 diabetes: An integrative review of the impacts on health and wellbeing

Couples living with type 1 diabetes: An integrative review of the impacts on health and wellbeing

Learning about Type 1 diabetes and learning to live with it when diagnosed in adulthood: two distinct but inter‐related psychological processes of adaptation A qualitative longitudinal study

The health promotion role of Australian early primary school teachers supporting students with type 1 diabetes

Contact Info

Product

Resources

About