The Relationship Between Fear Of Hypoglycemia And Psychological Insulin Resistance In Individuals with Type 2 Diabetes

Abstract

Giriş: Tip 2 diyabetli bireylerde hipoglisemi korkusu ile psikolojik insülin direnci arasındaki ilişki daha önce incelenmemiştir. Bu ilişkinin anlaşılması, diyabetli bireylerde başarılı hastalık yönetiminin sağlanması açısından önemlidir. Amaç: Bu çalışma, tip 2 diyabetli bireylerde hipoglisemi korkusu ve psikolojik insülin direnci arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Yöntem: Çalışma, Mart-Haziran 2024 tarihleri arasında bir üniversite hastanesinin endokrinoloji ve dahiliye kliniğinde yatan ve dahil edilme kriterlerini karşılayan 246 tip 2 diyabetli bireyle ile yapıldı. Veriler, hasta tanıtım formu, Hipoglisemi Korku Ölçeği (HKÖ) ve Psikolojik İnsülin Direnci Ölçeği (PİDÖ) kullanılarak toplandı. Veriler, tanımlayıcı ve analitik istatistikleri birleştiren SPSS İstatistiksel yazılımı (Sürüm 22) kullanılarak analiz edildi. Bulgular: Katılımcıların HKÖ ve PİDÖ toplam puan ortalamaları sırasıyla 18,08±20,95 ve 42,03±9,14 olarak bulundu. Katılımcıların HKÖ ve PİDÖ toplam puan ortalamaları arasında düşük düzeyde, negatif yönde (r:-0,159; p: 0.013) anlamlı bir ilişki bulundu (r: 0,467, p:0,000). Ayrıca, hipoglisemi korkusunun psikolojik insülin direncinin bir yordayıcısı olduğu belirlendi. Sonuç: Diyabetli bireylerde hipoglisemi korkusu arttıkça psikolojik insülin direncinin azaldığı tespit edilmiştir. Bu nedenle, sağlık profesyonellerinin diyabetli bireylerde hastalığın başarılı bir şekilde yönetilmesini sağlamak için hipoglisemi korkusunu ve psikolojik insülin direncini değerlendirmeleri önerilmektedir.

Keywords

• Tip 2 diyabet
• hipoglisemi korkusu
• psikolojik insülin direnci

The Relationship Between Fear Of Hypoglycemia And Psychological Insulin Resistance In Individuals with Type 2 Diabetes

Abstract

Abstract Introduction: The relationship between fear of hypoglycemia and psychological insulin resistance in individuals with type 2 diabetes has not been previously investigated. Understanding this relationship is crucial for successful disease management in individuals with diabetes. Objectives: The relationship between fear of hypoglycemia and psychological insulin resistance in individuals with type 2 diabetes has not been previously examined. This study was conducted to examine the relationship between fear of hypoglycemia and psychological insulin resistance in individuals with type 2 diabetes. Understanding this relationship is important for ensuring successful disease management in individuals with diabetes. Methods: The study was conducted with 246 individuals with type 2 diabetes who met the inclusion criteria and were hospitalized in the endocrinology and internal medicine clinic of a university hospital between March and June 2024. Data were collected using a patient identification form, the Hypoglycemia Fear Scale, and the Psychological Insulin Resistance Scale. Data were analyzed using SPSS Statistical Software (Version 22), which combines descriptive and analytical statistics. Results: The participants' total mean scores on the hypoglycemia fear scale and psychological insulin resistance scale were 18.08±20.95 and 42.03±9.14, respectively. A low-level, negative correlation (r: -0.159; p: 0.013) was found between participants' total hypoglycemia fear scale and psychological insulin resistance scale scores (r: 0.467, p: 0.000). Furthermore, fear of hypoglycemia was found to predict psychological insulin resistance. Conclusion: It has been found that as fear of hypoglycemia increases in individuals with diabetes, psychological insulin resistance decreases. Therefore, healthcare professionals are advised to assess hypoglycemia fear and psychological insulin resistance to ensure successful disease management in individuals with diabetes.

Keywords

• Type 2 diabetes
• fear of hypoglycemia
• psychological insulin resistance

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