Self-treated hypoglycemia is common in Canadian patients According to GAPP2™:
- More than a quarter of Canadian patients surveyed had missed, mis-timed (by more than two hours) and reduced doses and 26 per cent had done so five or more times in a 30-day period
- 20 per cent of Canadian patients deliberately did not take their insulin as prescribed and one in seven let blood glucose levels go higher to reduce their risk of nocturnal self-treated minor nocturnal hypoglycemia
- On the last occasion of missed, mis-timed or reduced insulin dosing, 87 per cent of Canadian patients had done so intentionally because their blood sugar level was low and to reduce the risk of having a hypoglycemic event
- HCPs believe that patients under-report frequency or severity of hypoglycemia
"Sometimes, taking insulin at the exact time I am supposed to is simply not possible. Like anyone else, I lead a busy life, and sometimes I cannot take a break for my insulin. At the same time, I often worry about experiencing hypoglycemia," says Mohamed Eltawil, who lives with type 2 diabetes. "I would look for treatment options that could be flexible with my lifestyle. I also encourage everyone with type 2 diabetes to work with their doctor to develop an action plan to prevent hypoglycemia."
The results of GAPP2™ reveal that patients experience a negative impact on overall quality of life due to the inflexible routine associated with long acting insulin treatments.
- Six in ten Canadian patients worry about missing occasional long acting insulin doses and seven in ten feel guilty when they do
- More Canadian patients worry about experiencing a hypoglycemic event at night ( 34 per cent) than during the day ( 20 per cent)
"Patients do not always report the full extent of hypoglycemic events with their doctors," says Dr. Woo. "This creates a challenge in understanding why the patient isn't adhering to prescribed insulin treatment. It is important for patients to recognize signs and symptoms of hypoglycemia and discuss hypoglycemia with their physicians."