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 .
Blood glucose awareness training (BGAT-2): long-term benefits.
OBJECTIVE Blood glucose awareness training ( BGAT ) has been shown to improve awareness of blood glucose ( BG ) fluctuations among adults with type 1 diabetes . This study investigates the long-term ( 12-month ) benefits of BGAT-2 . RESEARCH DESIGN AND METHODS A total of 73 adults with type 1 diabetes participated in a 6-month repeated baseline design with a 12-month follow-up . At 6 months and 1 month before BGAT-2 and at 1,6 , and 12 months after BGAT-2 , subjects used a h and held computer for 50 trials and completed psychological tests . Throughout assessment , subjects completed diaries , recording occurrences of diabetic ketoacidosis , severe hypoglycemia , and motor vehicle violations During follow-up , 50 % of the subjects received booster training . RESULTS During the first and last halves of both the baseline period and the follow-up period , dependent variables were generally stable . However , from baseline to follow-up , BGAT-2 led to 1 ) improved detection of hypoglycemia and hyperglycemia ; 2 ) improved judgment regarding when to lower high BG , raise low BG , and not drive while hypoglycemic ; 3 ) reduction in occurrence of diabetic ketoacidosis , severe hypoglycemia , and motor vehicle violations ; and 4 ) improvement in terms of worry about hypoglycemia , quality of life , and diabetes knowledge . Reduction in severe hypoglycemia was not associated with a worsening of metabolic control ( HbA1 ) . The presence or absence of booster training did not differentially affect these benefits . CONCLUSION BGAT has sustained broad-ranging benefits , independent of booster intervention
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 .