Table 2

Changes made to HFS-II following cognitive interviews

Original HFS-IIHFS-II modified for Singapore
HFS-B1Ate large snacksAte larger than usual snacks
HFS-B2Tried to keep my blood sugar above 150 mg/dLTried to keep my blood sugar above 8.3 mmol/L
HFS-B6Limited my out of town travelLimited my overseas travel
HFS-B7Limited by driving (car, truck, or bicycle)Limited my driving (car, truck, bicycle) or operating a machine
HFS-B13Kept my blood sugar higher than usual in social situationskept my blood sugar higher than usual while interacting with others
HFS-B14Kept my blood sugar higher than usual when doing important tasksKept my blood sugar higher than usual when doing important tasks (‘eg, attending a meeting or cooking’)
HFS-B15Had people check on me several times during the day or nightHad people check on me several times a day
HFS-W3Passing out in publicFainting in public
HFS-W5Having a hypoglycemic episode while aloneHaving a low blood sugar episode while alone
HFS-W7Losing controlLosing control of thoughts, emotions or behavior
HFS-W8No one being around to help me during a hypoglycemic episodeNo one being around to help me during a low blood sugar episode
HFS-W9Having a hypoglycemic episode while drivingHaving a low blood sugar episode while driving
HFS-W11Getting a bad evaluation or being criticizedLeaving a bad impression on others
HFS-W12Difficulty thinking clearly when responsible for otherDifficulty thinking clearly when I need to take care of others
HFS-W13Feeling lightheaded or dizzyFeeling giddy
HFS-W16Low blood sugar interfering with important things I was doingLow blood sugar interfering with important things I was doing (‘eg, Attending a meeting or cooking’)
HFS-W17Becoming hypoglycemic during sleepLow blood sugar episode