Pediatric Diabetes

 Nighttime is the worst time: Parental fear of hypoglycemia in young children with type 1 diabetes
 
Background Fear of hypoglycemia is common in parents of young children with type 1 diabetes (T1D), but little is known about the specific fears that parents most often experience. Hypoglycemia fear has been associated with poorer glycemic control in older children, though not yet studied in a large cohort of very young children. Materials and Methods Parents of 549 children <7?years (mean 5.2?±?1.2?years [19% <3?years]) with a mean diabetes duration of 2.4?±?1.0?years (range 1-6?years) and mean HbA1c 8.2%?±?1.1% (66?±?12?mmol/mol) registered in the T1D Exchange completed the worry scale of the Hypoglycemia Fear Survey modified for parents (HFS-P). Results Mean parental fear of hypoglycemia worry score was 36.1?±?23.1 (possible range 0-100), with most frequent worries related to the child having a low while asleep and the child not recognizing a low. The mean worry score was not associated with the child's age, glycemic control, or recent severe hypoglycemic event. Parental worries about lows while sleeping were significantly higher in pump users than non-users (61% vs. 45%; P?