| Title: |
Exploring the gap between sensor-detected (SDH) and person-reported hypoglycaemia (PRH): The voice of people living with diabetes. |
| Authors: |
Cigler, M.; El-Hakouni, O.; Mecani, R.; Pouwer, F.; Abbink, E.J.; Moser, M.; de Galan, B.E.; Renard, E.; Evans, M.; Brøsen, J.M.B.; Pedersen-Bjergaard, U.; McCrimmon, R.J.; Heller, S.; Baumann, P.M.; Søholm, U.; Basta, S.; Divilly, P.; Zaremba, N.; Amiel, S.A.; Choudhary, P.; Mader, J.K.; Hypo‐RESOLVE consortium |
| Publisher Information: |
Wiley |
| Publication Year: |
2026 |
| Collection: |
White Rose Research Online (Universities of Leeds, Sheffield & York) |
| Description: |
Background and Aims In people with insulin-treated diabetes experiencing hypoglycaemia, the multicentre Hypo-METRICS study found that 60% of sensor-detected hypoglycaemic episodes (SDH) were asymptomatic, and over 40% of person-reported hypoglycaemia (PRH) occurred at glucose levels ≥70 mg/dL (3.9 mmol/L). This subanalysis explored participants' experiences of these episodes to identify possible clinical implications. Methods Fifty-eight Austrian participants received a 15-item questionnaire on their experience of asymptomatic hypoglycaemia and symptoms at glucose levels ≥70 mg/dL (3.9 mmol/L). Results The response rate was 86% (n = 50). Among all participants, 56% (n = 28) reported experiencing hypoglycaemic symptoms at glucose levels ≥70 mg/dL (3.9 mmol/L) “sometimes” or “often.” They attributed this to a combination of a threshold shift due to chronic hyperglycaemia, rapid glucose decline and fear of hypoglycaemia. 68% of all SDH < 70 mg/dL and 59% of those below the clinically critical level of 54 mg/dL were asymptomatic. Conclusion These results demonstrate that SDH and PRH each capture different, yet equally important, dimensions of the hypoglycaemia experience. Relying on only one source of information inevitably provides an incomplete picture. By integrating the patient's voice, diabetes professionals can provide appropriate support and tailor continuous glucose monitoring (CGM) alarm settings and treatment plans to truly meet individual needs. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
0742-3071 |
| Relation: |
https://eprints.whiterose.ac.uk/id/eprint/239844/1/Diabetic%20Medicine%20-%202026%20-%20Cigler%20-%20Exploring%20the%20gap%20between%20sensor%E2%80%90detected%20%20SDH%20%20and%20person%E2%80%90reported%20hypoglycaemia%20%20PRH%20.pdf; Cigler, M. orcid.org/0000-0001-5827-7991 , El-Hakouni, O. orcid.org/0009-0009-1616-6711 , Mecani, R. orcid.org/0000-0003-2697-8544 et al. (19 more authors) (2026) Exploring the gap between sensor-detected (SDH) and person-reported hypoglycaemia (PRH): The voice of people living with diabetes. Diabetic Medicine. e70301. ISSN: 0742-3071 |
| Availability: |
https://eprints.whiterose.ac.uk/id/eprint/239844/ |
| Rights: |
cc_by_nc_nd_4 |
| Accession Number: |
edsbas.F54C85BD |
| Database: |
BASE |