These were able to reduce SH and improve glycemic control , with greater benefit from the latter two techniques in improving IAH .
Technological interventions ( insulin pump therapy , continuous glucose monitoring , and sensor-augmented pump ) reduced SH , improved glycemic control , and restored awareness when used in combination with structured education and frequent contact .
This review provides evidence for the effectiveness of a stepped-care approach in the management of patients with IAH  , initially with structured diabetes education in flexible insulin therapy , which may incorporate psychotherapeutic and behavioral therapies , progressing to diabetes technology , incorporating sensors and insulin pumps , in those with persisting need
OBJECTIVE Impaired awareness of hypoglycemia ( IAH ) increases the risk of severe hypoglycemia ( SH ) sixfold and affects 30 % of adults with type 1 diabetes ( T1D ) .
This systematic review and meta- analysis looks at the educational , technological , and pharmacological interventions aim ed at restoring hypoglycemia awareness ( HA ) in adults with T1D .
Intensive versus standard blood glucose awareness training (BGAT) with insulin‐dependent diabetes: mechanisms and ancillary effects.
& NA ; Insulin‐dependent diabetes mellitus ( IDDM ) patients make critical daily self‐care decisions on the basis of what they estimate their blood glucose ( BG ) levels to be . This study : a ) replicated efficacy of St and ard Blood Glucose Awareness Training ( BGAT ) , b ) evaluated the relative efficacy of an Intensive Blood Glucose Awareness Training ( BGAT ) to enhance patient accuracy of BG estimation , and c ) evaluated the mechanisms and ancillary effects of BGAT . Thirty‐nine subjects were r and omly assigned to one of three groups . Compared with Control , both St and ard and Intensive BGAT  improved accuracy ( p less than 0.001 ) . Intensive BGAT post‐treatment accuracy relative to St and ard BGAT did not reach statistical significance ( p = 0.177 ) . Greater improvement in accuracy was associated with poorer pretreatment accuracy . Only Intensive BGAT improved metabolic control ( glycosylated hemoglobin ) , and this improvement was associated with poorer pretreatment control . The effects of BGAT were highly specific , affecting only accuracy and metabolic control , and not affecting fear of hypoglycemia , diabetes knowledge , of frequency of blood glucose monitoring
These were able to reduce SH and improve glycemic control , with greater benefit from the latter two techniques in improving IAH .
Technological interventions ( insulin pump therapy , continuous glucose monitoring , and sensor-augmented pump ) reduced SH , improved glycemic control , and restored awareness when used in combination with structured education and frequent contact .
This review provides evidence for the effectiveness of a stepped-care approach in the management of patients with IAH  , initially with structured diabetes education in flexible insulin therapy , which may incorporate psychotherapeutic and behavioral therapies , progressing to diabetes technology , incorporating sensors and insulin pumps , in those with persisting need
OBJECTIVE Impaired awareness of hypoglycemia ( IAH ) increases the risk of severe hypoglycemia ( SH ) sixfold and affects 30 % of adults with type 1 diabetes ( T1D ) .
This systematic review and meta- analysis looks at the educational , technological , and pharmacological interventions aim ed at restoring hypoglycemia awareness ( HA ) in adults with T1D .