CHRONIC COMPLICATIONS OF DIABETES AND QUALITY OF LIFE

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SUMMARY

The course of diabetes is marked by the development of chronic complications that, in addition to affecting health, also affect the quality of life of patients. The purpose of this study was to compare the quality of life of patients with type 2 diabetes based on their chronic complications. The study, which was conducted from March 2019 until March 2020, included 382 diabetic patients, specific data from medical records, and the application of the World Health Organization Quality of Life-Brief questionnaire. There were more men than women included in the study, with the majority of respondents belonging to the age group of 61 to 70 years. In the quality-of-life assessment, the mean value of physical functioning was 57.14 (42.86-71.43), psychological functioning was 66.67 (54.17-79.17), social functioning 66.67 (50.00-75.00), and environmental functioning was 68.75 (50.00-75.00). The domains of social functioning were lowest in patients with diabetic retinopathy and neuropathy, while the physical functioning domains were rated lowest in patients with diabetic nephropathy, diabetic foot ulcer, and multiple chronic complications. All domains were rated lowest by patients with multiple complications and highest by those without any complications. In conclusion, differences in the assessment of quality of life of diabetic patients depend on the type of chronic complication.

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Most cited references 21

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IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045

J.D. da Rocha Fernandes, Y. Huang, J.E. Shaw … (2018)

Since the year 2000, IDF has been measuring the prevalence of diabetes nationally, regionally and globally.

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The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group.

S M Skevington, M. Lotfy, K A O'Connell (2004)

Quality of life (QOL) assessments that are easily administered and which do not impose a great burden on the respondent are needed for use in large epidemiological surveys, clinical settings and clinical trials. Using data from the WHOQOL-BREF field trials, the objectives of this work are to examine the performance of the WHOQOL-BREF as an integrated instrument, and to test its main psychometric properties. The WHOQOL-BREF is a 26-item version of the WHOQOL-100 assessment. Its psychometric properties were analysed using cross-sectional data obtained from a survey of adults carried out in 23 countries (n = 11,830). Sick and well respondents were sampled from the general population, as well as from hospital, rehabilitation and primary care settings, serving patients with physical and mental disorders and with respect to quotas of important socio-demographic variables. The WHOQOL-BREF self-assessment was completed, together with socio-demographic and health status questions. Analyses of internal consistency, item-total correlations, discriminant validity and construct validity through confirmatory factor analysis, indicate that the WHOQOL-BREF has good to excellent psychometric properties of reliability and performs well in preliminary tests of validity. These results indicate that overall, the WHOQOL-BREF is a sound, cross-culturally valid assessment of QOL, as reflected by its four domains: physical, psychological, social and environment.

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Epidemiology of diabetes and diabetes-related complications.

Sean Hayes, Hrishikesh Deshpande, Mario Schootman (2008)

In 2005, it was estimated that more than 20 million people in the United States had diabetes. Approximately 30% of these people had undiagnosed cases. Increased risk for diabetes is primarily associated with age, ethnicity, family history of diabetes, smoking, obesity, and physical inactivity. Diabetes-related complications--including cardiovascular disease, kidney disease, neuropathy, blindness, and lower-extremity amputation--are a significant cause of increased morbidity and mortality among people with diabetes, and result in a heavy economic burden on the US health care system. With advances in treatment for diabetes and its associated complications, people with diabetes are living longer with their condition. This longer life span will contribute to further increases in the morbidity associated with diabetes, primarily in elderly people and in minority racial or ethnic groups. In 2050, the number of people in the United States with diagnosed diabetes is estimated to grow to 48.3 million. from randomized controlled trials provide evidence that intensive lifestyle interventions can prevent or delay the onset of diabetes in high-risk individuals. In addition, adequate and sustained control of blood sugar levels, blood pressure, and blood lipid levels can prevent or delay the onset of diabetes-related complications in people with diabetes. Effective interventions, at both the individual and population levels, are desperately needed to slow the diabetes epidemic and reduce diabetes-related complications in the United States. This report describes the current diabetes epidemic and the health and economic impact of diabetes complications on individuals and on the health care system. The report also provides suggestions by which the epidemic can be curbed.

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Author and article information

Journal

Journal ID (nlm-ta): Acta Clin Croat

Journal ID (iso-abbrev): Acta Clin Croat

Journal ID (publisher-id): ACC

Title: Acta Clinica Croatica

Publisher: Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb

ISSN (Print): 0353-9466

ISSN (Electronic): 1333-9451

Publication date (Print and electronic): November 2022

Publication date (Print): November 2022

Volume: 61

Issue: 3

Pages: 520-527

Affiliations

[1 ] University of Novo mesto Faculty of Health Sciences

[2 ]Vuk Vrhovac University Clinic , deptMerkur Clinical Hospital

[3 ]deptDepartment of Neurosurgery , UHC Sestre milosrdnice

[4 ] University of Applied Health Sciences Zagreb

[5 ] Ministry of Health of the Republic of Slovenia

Author notes

Correspondence to: Vilma Kolarić, dipl. med. techn., Vuk Vrhovac University Clinic for Diabetes, Endocrinology and Metabolic Diseases, Merkur University Hospital, Dugi dol 4a, 10 000 Zagreb, Croatia, E-mail: vilma.kolaric6@ 123456gmail.com

Article

Publisher ID: acc-61-520

DOI: 10.20471/acc.2022.61.03.18

PMC ID: 10364111

PubMed ID: 37492372

SO-VID: c5e1756d-fcc3-4e5f-962b-692afda098ef

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This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.

CHRONIC COMPLICATIONS OF DIABETES AND QUALITY OF LIFE

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Asian Journal of Quality of Life (AjQoL)

Most cited references 21

IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045

The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group.

Epidemiology of diabetes and diabetes-related complications.

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