Objective To explore the hypoglycemia risk prevention self-attitude in diabetes mellitus patients so as to provide a basis for medical staff to participate in hypoglycemia risk prevention. Methods From February 2019 to March 2019, we selected 15 patients with diabetes mellitus at a ClassⅢ Grade A diabetes specialized hospital by purposive sampling to carry out semi-structured interview. Interview data were analyzed with the Colazizzi phenomenology seven-step method. Results After analyzing interview data, a total of four themes were refined including neglect, fluke, contradiction and puzzle as well as unbalanced focus. Conclusions Diabetes mellitus patients puzzle about and are not active in hypoglycemia risk prevention, and they don't implement positive and effective hypoglycemia risk prevention. Medical staff should strengthen hypoglycemia education and help patients develop a positive attitude with hypoglycemia risk to reduce the hypoglycemia risk.

Objective:To investigate the various factors that contribute to self-reported hypoglycemia in elderly patients with type 2 diabetes mellitus.Methods:This is a prospective cohort study that included 1, 010 elderly patients with type 2 diabetes mellitus who were hospitalized in Tianjin Medical University Chu Hsien-I Memorial Hospital from April to September 2019.Patients were selected using the convenient sampling method and were between the ages of 60-90(66.7±5.3)years with a disease course of 0.5-40.0 years.Baseline data was collected through questionnaires and patients were followed up for six months.The study observed self-reported hypoglycemia events and analyzed the influencing factors of self-reported hypoglycemia using logistic regression.Results:Out of the 1, 010 patients who participated in the study, 901(89.2%)completed it.Of those who completed the study, 321(35.6%)reported experiencing hypoglycemia.The median frequency of hypoglycemia was found to be 3(2, 4)times.Several factors were found to be influential in self-reported hypoglycemia in elderly patients with type 2 diabetes.These factors included waist circumference, HbA1c, thiazolidinediones combined with insulin therapy, frequency of hypoglycemia in the past year, blood glucose prevention education, and fear of hypoglycemia.All of these factors had a significant impact on self-reported hypoglycemia(all P<0.05). Conclusions:Medical professionals should prioritize patients who are undergoing thiazolidinediones combined with insulin therapy and frequently experience hypoglycemia.They should address the patients' fear of hypoglycemia and provide them with comprehensive education.