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Type 1 diabetes usually appears brutally in children or young adults. While many factors of poor glycemic balance have been identified in the literature (age, socio-cultural and socio-economic level, family structure, adherence etc.), it turns out that hypoglycemia is the most common acute complications. It would be an important physiological and psychological barrier for the patient and his parents to manage this diabetes, the latter seeking to keep the blood glucose levels above the objectives in order to avoid the occurrence of a hypoglycemia, especially nocturnal.
If there is a questionnaire currently validated as a tool to measure the fear of hypoglycemia (HFS, Hypoglycemia Fear Survey is available in three versions: L'HFS-Child (HFS-C) for children over 6 years old, HFS-Parents of Young children ( HFS-PYC) for parents of young children (under 8 years of age) and HFS-Parents (HFS-P)) for parents of children over 8 years of age, on the other hand, there are no French and no French studies have evaluated the prevalence and impact of the fear of hypoglycemia in French patients with type 1 diabetes.
It is therefore essential to use a reliable and valid tool to identify patients affected by the fear of hypoglycemia, which can be an obstacle to improve glycemic control and to an optimum quality of life. Having a tool in French and validated on the scientific level would allow to propose adapted therapeutic treatments (psychological follow-up, individual or collective sessions of therapeutic education, material assistance (sensor of blood glucose, pump with insulin stop...) In order to both improve metabolic balance while increasing the quality of life of patients by lowering secondary anxiety to hypoglycemia
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| Measure | Description | Time Frame |
|---|---|---|
| HFS-Child score, | Change of Behaviour adopted by the patient in order to avoid the occurrence of hypoglycemia and worry about low blood sugar | Month 0 |
| HFS-PYC score | Change in Anxiety related to the phenomenon of hypoglycemia | Month 0, Month 3 (+/- 30 days) |
| HFS-Parent score | Change of Behaviour adopted by the parent in order to avoid the occurrence of hypoglycemia | Month 0, Month 3 (+/- 30 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Questionnaire Survey "children " | Diabetes impact on relationships, activity, alimentation ... " children" | Month 0, Month 3 (+/- 30 days) |
| Questionnaire Survey "parents " | Diabetes impact on relationships, activity, alimentation ... " parents" |
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Inclusion Criteria:
Exclusion Criteria:
male or female
Child and teenager with Type 1 diabetes defined by an hyperglycemia higher than 2g/l, polyuria, polydipsia and positive antibody.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de Brest | Brest | 29609 | France | |||
| Centre Hospitalier de Bretagne Sud |
All collected data that underlie results in a publication
Data will be available after the publication of result and ending three years maximum following the last visit of the last patient
Data access requests will be reviewed by the internal committee of Brest UH. requestors will be required to sign and complete a data access agreement
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| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Month 0, Month 3 (+/- 30 days) |
| HbA1C | percentage value | Month 0, Month 3 (+/- 30 days) |
| Lorient |
| 56322 |
| France |
| Hôpital Universitaire Robert-Debré | Paris | 75 935 | France |
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |