OBJECTIVE To assess the association between impaired awareness of hypoglycemia (IAH) and interoceptive awareness in type 1 diabetes. RESEARCH DESIGN AND METHODS A total of 154 adults with type 1 diabetes completed IAH surveys and the Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). Logistic regression was performed for assessment of 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 on the Not-Worrying subscale was associated with 87% increased odds of IAH (odds ratio 1.87, CI 1.01–3.46) and on the Attention Regulation subscale was associated with 72% decreased odds of IAH (0.28, 0.12–0.66). Compared with scoring >90th percentile for Attention Regulation, scoring <10th percentile and scoring in the 10th–90th percentiles were associated with 71-fold (71.26, 3.42–1482.10) and 12-fold (12.73, 1.19–135.57) increased odds of IAH, respectively. CONCLUSIONS Less worry about and reduced ability to sustain and control attention to body sensations were associated with significantly increased odds of IAH.

中文翻译：

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内感受意识与 1 型糖尿病成人患者对低血糖的认识受损有关


目的 评估 1 型糖尿病患者低血糖意识受损 （IAH） 与内感受意识之间的关联。研究设计和方法 共有 154 名患有 1 型糖尿病的成年人完成了 IAH 调查和内感受意识多维评估，第 2 版 （MAIA-2）。进行 Logistic 回归以评估 IAH 和 MAIA-2 之间的关联，并考虑协变量。结果 观察到 IAH 与两个 MAIA-2 量表之间存在显著关系。在“不担心”子量表上每增加 1 分，IAH 的几率增加 87%（比值比 1.87，CI 1.01-3.46），在注意力调节子量表上，IAH 的几率降低 72% 相关（0.28,0.12-0.66）。与注意力调节得分 >第 90 个百分位数相比，得分 <第 10 个百分位数和第 10-90 个百分位数的得分分别与 IAH 的 71 倍 （71.26， 3.42–1482.10） 和 12 倍 （12.73， 1.19–135.57） 的几率相关。结论 对身体感觉的担忧减少和维持和控制注意力的能力降低与 IAH 的几率显着增加相关。