When my blood sugar drops… |
Social relationships |
5.1. I don’t feel like talking to anyone |
5.2. I can meet with my friends without waiting to recover |
5.3. I can have sex |
5.4. My family and friends understand what is happening to me |
5.5. I feel supported and aided by my family |
Mood |
5.6. I have the feeling that what my healthcare provider is telling me to do does not help to control a low blood sugar |
5.7. I feel down, because in spite of following the advice of my healthcare provider, my blood sugar level has dropped |
5.8. I get moody |
Sleep |
5.9. I wake up in the middle of the night and I have trouble sleeping the next few nights |
Changes in daily activity |
5.10. I can carry on with my regular activity for the rest of the day |
5.11. If I’m driving and I get dizzy, I have to stop immediately |
5.12. I have a hard time doing housework |
5.13. I can run to catch a bus or to cross the street |
Blood sugar control |
5.14. I check my blood sugar more often to be on the safe side until it is under control |
5.15. I don’t mind having to make changes in my medication |
Physical condition |
5.16. I feel so tired I don’t feel like doing anything |
Think of each of the following statements in relation to your drops in blood sugar. |
Social relationships |
6.1. The low blood sugar affects the relationship with my family. |
Relationship with healthcare provider |
6.2. A good relationship with the healthcare provider makes me feel more secure and I am less worried |
6.3. A good relationship with the healthcare provider is important to me to address the concerns I have about my drops in blood sugar |
6.4. Telling my healthcare provider the truth is fundamental so she/he can help me manage my blood sugar drops |
Mood |
6.5. Because of my blood sugar drops, I’ve lost self-confidence |
6.6. I’m afraid of being alone and fainting |
6.7. Generally speaking, I worry more about my blood sugar dropping |
6.8. When I go to bed I’m afraid my blood sugar will drop while I’m asleep |
Changes in daily activity |
6.9. When I’m job hunting, it’s better not to talk about my drops in blood sugar |
6.10. Holding on to my job may be hard if I have continuous drops in my blood sugar |
6.11. The drops in my blood sugar prevent me from performing my job normally |
6.12. I’m worried I won’t be able to get a driver’s license because of my drops in blood sugar |
6.13. I don’t drive because I’m afraid of something happening if my blood sugar drops while I’m driving |
Physical condition |
6.14. I exercise in spite of the drops in blood sugar |
6.15. My blood sugar drops quickly when I run so I always have to carry food with me |
6.16. I exercise less than I should because I’m afraid of my blood sugar dropping |
6.17. If I’m going to exercise more, I eat more to prevent my blood sugar from dropping |
Blood sugar control |
6.18. Because of my drops in blood sugar, I need to go to the emergency room more often |
6.19. My drops in blood sugar have made me more aware about what I eat and the activities I perform |
6.20. It’s annoying to have to eat when I’m not hungry in order to avoid a drop in blood sugar |
6.21. Having to check my blood sugar levels when I notice the symptoms that it is dropping helps me to take appropriate steps to control it |