Awareness and knowledge of diabetic ketoacidosis in people with type 1 diabetes: a cross-sectional, multicenter survey
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Awareness and knowledge of diabetic ketoacidosis in people with type 1 diabetes: a cross-sectional, multicenter survey. / Hepprich, Matthias; Roser, Pia; Stiebitz, Sebastian; Felix, Barbara; Schultes, Bernd; Schmitz, Daniela; Rutishauser, Jonas; Schubert, Sabine; Aberle, Jens; Rudofsky, Gottfried.
in: BMJ OPEN DIAB RES CA, Jahrgang 11, Nr. 6, e003662, 11.2023.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Awareness and knowledge of diabetic ketoacidosis in people with type 1 diabetes: a cross-sectional, multicenter survey
AU - Hepprich, Matthias
AU - Roser, Pia
AU - Stiebitz, Sebastian
AU - Felix, Barbara
AU - Schultes, Bernd
AU - Schmitz, Daniela
AU - Rutishauser, Jonas
AU - Schubert, Sabine
AU - Aberle, Jens
AU - Rudofsky, Gottfried
N1 - © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
PY - 2023/11
Y1 - 2023/11
N2 - INTRODUCTION: To evaluate awareness and knowledge of diabetic ketoacidosis (DKA), a common and potentially life-threatening complication in people living with type 1 diabetes (T1D).RESEARCH DESIGN AND METHODS: A survey was developed to assess individuals' current knowledge, management, and unmet needs regarding DKA. The study was conducted in six Swiss and three German endocrine outpatient clinics specialized in the treatment of diabetes.RESULTS: A total of 333 participants completed the questionnaire (45.7% female, mean age of 47 years, average duration of T1D at 22 years). Surprisingly, 32% of individuals were not familiar with the term 'diabetic ketoacidosis'. Participants rated their own knowledge of DKA significantly lower than their physicians (p<0.0001). 46% of participants were unable to name a symptom of DKA, and 45% were unaware of its potential causes. 64% of participants did not test for ketones at all. A significant majority (67%) of individuals expressed the need for more information about DKA.CONCLUSIONS: In patients treated in specialized centers, knowledge of DKA was found to be inadequate, with a lack of understanding regarding symptoms and causes. Healthcare professionals tended to overestimate individuals' knowledge. Future efforts should focus on addressing these knowledge gaps and incorporating protective factors into the treatment of T1D.
AB - INTRODUCTION: To evaluate awareness and knowledge of diabetic ketoacidosis (DKA), a common and potentially life-threatening complication in people living with type 1 diabetes (T1D).RESEARCH DESIGN AND METHODS: A survey was developed to assess individuals' current knowledge, management, and unmet needs regarding DKA. The study was conducted in six Swiss and three German endocrine outpatient clinics specialized in the treatment of diabetes.RESULTS: A total of 333 participants completed the questionnaire (45.7% female, mean age of 47 years, average duration of T1D at 22 years). Surprisingly, 32% of individuals were not familiar with the term 'diabetic ketoacidosis'. Participants rated their own knowledge of DKA significantly lower than their physicians (p<0.0001). 46% of participants were unable to name a symptom of DKA, and 45% were unaware of its potential causes. 64% of participants did not test for ketones at all. A significant majority (67%) of individuals expressed the need for more information about DKA.CONCLUSIONS: In patients treated in specialized centers, knowledge of DKA was found to be inadequate, with a lack of understanding regarding symptoms and causes. Healthcare professionals tended to overestimate individuals' knowledge. Future efforts should focus on addressing these knowledge gaps and incorporating protective factors into the treatment of T1D.
KW - Humans
KW - Female
KW - Middle Aged
KW - Male
KW - Diabetes Mellitus, Type 1/complications
KW - Diabetic Ketoacidosis/epidemiology
KW - Cross-Sectional Studies
KW - Ketones
KW - Ambulatory Care Facilities
U2 - 10.1136/bmjdrc-2023-003662
DO - 10.1136/bmjdrc-2023-003662
M3 - SCORING: Journal article
C2 - 37949471
VL - 11
JO - BMJ OPEN DIAB RES CA
JF - BMJ OPEN DIAB RES CA
SN - 2052-4897
IS - 6
M1 - e003662
ER -