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 .
Evaluation of a self-management-based patient education program for the treatment and prevention of hypoglycemia-related problems in type 1 diabetes.
OBJECTIVE Aim of this study was to investigate the effectiveness of a patient education program for the treatment of  hypoglycemia-associated problems in type 1 diabetic in patients . METHODS In this observational controlled pre-post study , the intervention group ( IG ; N = 105 ) participated in the new program ,  controls ( control group CG ; N = 102 ) received conventional patient education on hypoglycemia . RESULTS Follow-up data ( mean follow-up : 6.63 months ) were obtained from 177 patients ( 85.6 % ) . Though severe hypoglycemia also decreased in CG to some degree , the decrease in IG was higher than in CG , but fails to reach significance between groups . Hypoglycemia awareness remained constant in IG , whereas some deterioration was observed in CG ( p = 0.06 ) . Prevalence of hypoglycemia-related problems decreased in IG , whereas in CG it remained constant . No differential effects with regard to psychological well being , fear of hypoglycemia and late complications , and control beliefs were observed . CONCLUSION The results suggest that the new intervention program is an effective treatment . The effectiveness should be confirmed , however , in a r and omized controlled trial , also incorporating outpatient setting s. PRACTICE IMPLICATION S A self-management intervention targeting the patients ' health beliefs and attitudes towards hypoglycemia and their diabetes self-management , rather than knowledge-centered patient education , can help to ameliorate or even prevent hypoglycemia-associated problems
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 .