Interoceptive Awareness Is Associated With Impaired Awareness of Hypoglycemia in Adults With Type 1 Diabetes

figure

posted on 2024-11-15, 20:07 authored by Austin M. Matus, Barbara Riegel, Michael R. Rickels

Objective

Assess the association between impaired awareness of hypoglycemia (IAH) and interoceptive awareness in type 1 diabetes.

Research Design and Methods

154 adults with type 1 diabetes completed IAH surveys and the Multidimensional Assessment of Interoceptive Awareness (MAIA-2). Logistic regressions were performed to assess associations between IAH and MAIA-2, accounting for covariates.

Results

Significant relationships were observed between IAH and two MAIA-2 scales. Each 1-point increase in “Not Worrying” was associated with 87% increased odds of IAH (OR:1.87, CI:1.01–3.46), and in “Attention Regulation” was associated with 72% decreased odds of IAH (OR:0.28, CI:0.12–0.66). Compared to scoring >90th percentile for “Attention Regulation”, scoring <10th percentile and 10th–90th percentiles were associated with 71-fold (OR:71.26, CI:3.42–1482.10) and 12-fold (OR:12.73, CI:1.19–135.57) increased odds of IAH, respectively.

Conclusions

Less worry for and reduced ability to sustain and control attention to body sensations were associated with significantly increased odds of IAH.