{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:10:45Z","timestamp":1789186245147,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004907","name":"IHI","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004907","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100013322","name":"European Federation of Pharmaceutical Industries and Associations","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>In people with insulin\u2010treated diabetes experiencing hypoglycaemia, the multicentre Hypo\u2010METRICS study found that 60% of sensor\u2010detected hypoglycaemic episodes (SDH) were asymptomatic, and over 40% of person\u2010reported hypoglycaemia (PRH) occurred at glucose levels \u226570\u2009mg\/dL (3.9\u2009mmol\/L). This subanalysis explored participants' experiences of these episodes to identify possible clinical implications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010eight Austrian participants received a 15\u2010item questionnaire on their experience of asymptomatic hypoglycaemia and symptoms at glucose levels \u226570\u2009mg\/dL (3.9\u2009mmol\/L).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The response rate was 86% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200950). Among all participants, 56% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928) reported experiencing hypoglycaemic symptoms at glucose levels \u226570\u2009mg\/dL (3.9\u2009mmol\/L) \u201csometimes\u201d or \u201coften.\u201d They attributed this to a combination of a threshold shift due to chronic hyperglycaemia, rapid glucose decline and fear of hypoglycaemia. 68% of all SDH\u2009&lt;\u200970\u2009mg\/dL and 59% of those below the clinically critical level of 54\u2009mg\/dL were asymptomatic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results demonstrate that SDH and PRH each capture different, yet equally important, dimensions of the hypoglycaemia experience. Relying on only one source of information inevitably provides an incomplete picture. By integrating the patient's voice, diabetes professionals can provide appropriate support and tailor continuous glucose monitoring (CGM) alarm settings and treatment plans to truly meet individual needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70301","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T03:41:35Z","timestamp":1774842095000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring the gap between sensor\u2010detected (\n                    <scp>SDH<\/scp>\n                    ) and person\u2010reported hypoglycaemia (\n                    <scp>PRH<\/scp>\n                    ): The voice of people living with diabetes"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5827-7991","authenticated-orcid":false,"given":"Monika","family":"Cigler","sequence":"first","affiliation":[{"name":"Division of Endocrinology 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