Background A global cross-sectional survey (CRASH) was designed to provide information about the experiences of people with diabetes (PWD) and their caregivers in relation to severe hypoglycaemic events. Methods Adults with type 1 diabetes or insulin-treated type 2 diabetes who had experienced one or more severe hypoglycaemic events within the past 3 years, and adult caregivers for such people, were recruited from medical research panels using purposive sampling. We present here results from Germany. Results Approximately 100 individuals in each of the four participant groups completed a 30-minute online survey. Survey results indicated that the most recent severe hypoglycaemic event made many participants feel scared (80.4%), unprepared (70.4%), and/or helpless (66.5%). Severe hypoglycaemia was discussed by healthcare professionals at every visit with only 20.2% of participants who had ever had this conversation, and 53.5% of participants indicated that their insulin regimen had not changed following their most recent event. 37.1% of PWD/people with diabetes cared for by caregivers owned a glucagon kit at the time of survey completion. Conclusions The survey identified areas for improvement in the prevention and management of severe hypoglycaemic events. For healthcare professionals, these include enquiring more frequently about severe hypoglycaemia and adjusting blood glucose-lowering medication after a severe hypoglycaemic event. For individuals with diabetes and their caregivers, potential improvements include ensuring availability of glucagon at all times. Changes in these areas could lead not only to improved patient wellbeing but also to reduced use of emergency services/hospitalisation and, consequently, lower healthcare costs.

中文翻译：

---

围绕严重低血糖症 (CRASH) 的对话和反应：德国 1 型糖尿病患者或经胰岛素治疗的 2 型糖尿病患者和护理人员全球调查的结果

背景 一项全球横断面调查 (CRASH) 旨在提供有关糖尿病患者 (PWD) 及其护理人员与严重低血糖事件相关的经历的信息。方法 使用有目的抽样从医学研究小组中招募在过去 3 年内经历过一次或多次严重低血糖事件的 1 型糖尿病或经胰岛素治疗的 2 型糖尿病成人，以及这些人的成人照料者。我们在这里展示来自德国的结果。结果 四个参与者组中的每一组大约有 100 人完成了一项 30 分钟的在线调查。调查结果表明，最近的严重低血糖事件使许多参与者感到害怕（80.4%）、毫无准备（70.4%）和/或无助（66.5%）。医疗保健专业人员在每次就诊时都会讨论严重低血糖，只有 20.2% 的参与者曾经进行过这种对话，53.5% 的参与者表示他们的胰岛素治疗方案在最近一次事件后没有改变。在完成调查时，37.1% 的由护理人员护理的 PWD/糖尿病患者拥有胰高血糖素试剂盒。结论 该调查确定了在预防和管理严重低血糖事件方面需要改进的领域。对于医疗保健专业人员，这些包括更频繁地询问严重低血糖和在严重低血糖事件后调整降血糖药物。对于糖尿病患者及其护理人员而言，潜在的改进包括确保始终获得胰高血糖素。