Evidence map›Paper›PMID 34596292›Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2022

Changes in quality of life following hypoglycaemia in adults with type 2 diabetes: A systematic review of longitudinal studies.

Kevin A Matlock, Melanie Broadley, Christel Hendrieckx, Mark Clowes, Anthea Sutton, Simon R Heller, Bastiaan E de Galan, Frans Pouwer, Jane Speight, Hypo-RESOLVE consortium

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Kevin A MatlockPsychology Department, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-1658-7427
Melanie BroadleyPsychology Department, University of Southern Denmark, Odense, Denmark.ORCID 0000-0003-4408-6304
Christel HendrieckxAustralian Centre for Behavioural Research in Diabetes, Melbourne, Victoria, Australia.ORCID 0000-0002-0075-828X
Mark ClowesSchool of Health and Related Research, University of Sheffield, Sheffield, UK.ORCID 0000-0002-5582-9946
Anthea SuttonSchool of Health and Related Research, University of Sheffield, Sheffield, UK.ORCID 0000-0003-2449-2516
Simon R HellerSheffield Teaching Hospitals Foundation Trust, Sheffield, UK.ORCID 0000-0002-2425-9565
Bastiaan E de GalanDepartment of Internal Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.ORCID 0000-0002-1255-7741
Frans PouwerPsychology Department, University of Southern Denmark, Odense, Denmark.ORCID 0000-0002-8172-9818
Jane SpeightAustralian Centre for Behavioural Research in Diabetes, Melbourne, Victoria, Australia.ORCID 0000-0002-1204-6896
Hypo-RESOLVE consortium
Diabetes Australia · AUUniversity of Sheffield · GBUniversity of Southern Denmark · DKRadboud University Nijmegen · NLSheffield Teaching Hospitals NHS Foundation Trust · GBSteno Diabetes Centers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo conduct a systematic review of published studies reporting on the longitudinal impacts of hypoglycaemia on quality of life (QoL) in adults with type 2 diabetes.

methodDatabase searches with no restrictions by language or date were conducted in MEDLINE, Cochrane Library, CINAHL and PsycINFO. Studies were included for review if they used a longitudinal design (e.g. cohort studies, randomised controlled trials) and reported on the association between hypoglycaemia and changes over time in patient-reported outcomes related to QoL.

resultsIn all, 20 longitudinal studies published between 1998 and 2020, representing 50,429 adults with type 2 diabetes, were selected for review. A descriptive synthesis following Synthesis Without Meta-analysis guidelines indicated that self-treated symptomatic hypoglycaemia was followed by impairments in daily functioning along with elevated symptoms of generalised anxiety, diabetes distress and fear of hypoglycaemia. Severe hypoglycaemic events were associated with reduced confidence in diabetes self-management and lower ratings of perceived health over time. Frequent hypoglycaemia was followed by reduced energy levels and diminished emotional well-being. There was insufficient evidence, however, to conclude that hypoglycaemia impacted sleep quality, depressive symptoms, general mood, social support or overall diabetes-specific QoL.

conclusionsLongitudinal evidence in this review suggests hypoglycaemia is a common occurrence among adults with type 2 diabetes that impacts key facets in the physical and psychological domains of QoL. Nonetheless, additional longitudinal research is needed-in particular, studies targeting diverse forms of hypoglycaemia, more varied facets of QoL and outcomes assessed using hypoglycaemia-specific measures.

Indexed as

Quality of LifeSelf CareAdultDiabetes Mellitus, Type 2Global HealthHumansHypoglycemiaIncidenceLongitudinal Studiesadultblood glucosehealth-related quality of lifehypoglycaemiaquality of lifesystematic reviewtype 2 diabetes

Identifiers

PMID34596292
PMCPMC9293422
OpenAlexW3202396820

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.