Hostility in fantasy: A further test of the hypoglycemia-aggression hypothesis

In a recent investigation carried out among the Qolla Indians of Peru, Bolton (1973a) tested the hypothesis that hypoglycemia tends to produce high levels of individual aggressiveness. Glycemic condition was determined by the readings on a 4-hour glucose tolerance test performed on a sample of 54 adult males. Key informants then ranked these subjects on overt aggressiveness. A correlational analysis of the data supported the hypothesis that moderately hypoglycemic subjects would be more aggressive than the normoglycemic subjects. The present paper responds to questions raised about this study and describes the results of an additional test of the hypoglycemia-aggression hypothesis. The dependent variable in this follow-up study is fantasy aggression. Aggression scores were derived from Sentence Completion Test protocols for the same sample of subjects used in the first study. The results indicate a significant correlation between glycemic condition and aggression scores (Biserial, 0.57), thus providing further confirmation of the hypoglycemia-aggression hypothesis.     

Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH‐15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH‐15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.     

Insulin secretion during the glucose tolerance test among habitually violent and impulsive offenders

Male habitually violent and impulsive offenders were studied by means of the glucose tolerance tests (GTTs) and insulin measurements. Both in intermittent explosive disorder and in violent antisocial personality, there was a tendency for there to be reactive hypoglycemia. There was a more rapid decline of glucose from hyperglycemia and more rapid return from hypoglycemia to the original basal values in intermittent explosive disorder than in violent antisocial personality. Consistent with this, the enhanced insulin secretion started rapidly but lasted a short time in intermittent explosive disorder.     

Exposure-based treatment to control excessive blood glucose monitoring.

We investigated an exposure‐based procedure for reducing excessive checking of blood glucose by a child with diabetes. In a changing criterion design, an exposure‐based procedure was implemented by systematically exposing the child to decreasing amounts of information about blood sugar levels (checking) and thereby increasing exposure to potential hypoglycemia. Access to information was reduced in graduated increments, with the parents setting criteria to levels at which they were willing to adhere. Results demonstrated that the procedure was effective in reducing excessive blood glucose checking and in improving metabolic control.     

围手术期血糖控制

糖尿病患者围手术期血糖控制是临床糖尿病处理的一大难题,围手术期血糖控制状况对术后病死率及感染等并发症有重要影响。良好的血糖控制可以改善患者预后,但严格控制血糖也会增加低血糖和多项不良事件发生的风险。目前对围手术期血糖控制的目标尚无统一标准,缺乏充分的前瞻性对比研究和循证证据。本文作者对近几年关于围手术期血糖控制相关文献...