نمونه ترجمه تخصصی پزشکی درباره تاثیر EMDR بر ترس از هیپوگلیسمی

The effect of EDMR on the fear of hypoglycemia

Mellitus diabetes is a chronic and complicated disease that requires permanent medical cares and strategies to attenuate the risk of recurrence of many side-effects [1]. Nowadays, advance hyperglycemia treatments have managed to alleviate the main side-effects of diabetes like microvascular and cardiac disorders [2]. However, these treatments increase the occurrence of hypoglycemia periods [3]. Hypoglycemia is a critical and life-threatening clinical concern in diabetic patients [4]. In some categorizations, hypoglycemia is categorized into trivial and severe categories. Severe hypoglycemia represents life-threatening conditions and the necessity of a third-party intervention [5]. Hypoglycemia might be accompanied by psychological symptoms that might lead to impairment and death in intense cases [6]. A hypoglycemia experiment might lead to fear of hypoglycemia recurrence [7]. The fear of hypoglycemia is experienced by diabetic patients, their family, care givers, and spouses at different levels. A higher anxiety was reported in 20 to 30% of patients under insulin treatment [8]. This fear affects health related behaviors of diabetes self-control like diet, physical activity, and required insulin dosage. The level of compatibility of treatments and strict glucose control program might intensify the fear of hypoglycemia [9, 10]. Studies have shown that the fear of hypoglycemia might lead to sleep disorders, a decrease in the quality of sleep, and a decrease in the quality of life in diabetics [11, 12]. The fear of hypoglycemia is one of the biggest obstacles of doing physical activities in adults with diabetes type I [12, 13]. A variety of interventions are available to control the fear and among them continuous glucose monitoring systems, insulin pen, insulin pump, insulin bolus, and smartphone applications are notable [14]. Barnard et al. [15] and Chaberline et al. [16] studied the use of new glucose controller systems and their effect on alleviation of the fear of hypoglycemia. Another group of interventions are featured with educating the patient, blood sugar level awareness practices, improving treatment motivation, improving awareness about hypoglycemia, and remote medical interventions [17, 18]. Among these treatments, group and individual cognitive behavioral treatment has drawn more attention as it has been effective in correcting cognitive misperceptions in the patient and improving the mechanisms to adapt to the fear of hypoglycemia [19, 20].