summary. Patients with Type-1- Diabetes have around 3 - 5 Hypoglycemias weekly, if they adjust to a nearly normal blood glucose level. Severe Hypoglycemia are rare, but often ar ed bei the patients, especially if they have Hypo-unawareness. This anxiety can provoke a behaviour of avoidness, so these people try to avoid even mild Hypoglycemia. They attitude themselves to high niveau of blood glucose. So they have a higher risk to get complications or they are living with an over estimated behaviour of safety. Hypo-unawareness and Hypo-anxiety have an urgent need of psychotherapy.