INSÄNT AV Red DiabetologNytt DEN 11 :e FEBRUARI, 1997 vid 18 - tiden
Poor Glycemic Control Associated With Phobias In Type 1 Diabetics
French researchers have found that type 1
diabetics with phobic symptoms, particularly fear of blood and injury, monitor
their glucose less frequently, which often leads to poor glycemic control.
Dr. Ivan Berlin of the Hospital Pitie-Salpetriere in Paris and colleagues evaluated
102 adults with type 1 diabetes who had previously received counseling in diabetes
care. The investigators used various questionnaires to look for the presence of
"[P]oor glycemic control [was] associated with higher levels of psychological
suffering, phobic symptoms (mainly the fear of blood and injury), and
anxiety-depression," Dr. Berlin reports in the February issue of Diabetes Care.
Specifically, "...[blood glucose] was found to be increased in patients who
performed few blood glucose measurements per day, and this effect is mediated by
the fear of blood and injury."
The fear of blood and injury is usually a phobia from childhood, according to Dr.
Berlin, who adds that type 1 diabetics may represent a subset of psychiatric
patients whose phobia is triggered by home glucose monitoring and insulin
The research team concludes that "...diabetes education programs should be
directed to disclose and treat this phobic symptom to improve glycemic control."
Diabetes Care 1997;20:176-178.
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