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Original Articles
- Lifestyle
- Persistent Anxiety Is Associated with Higher Glycemia Post-Transition to Adult Services in Asian Young Adults with Diabetes
- Ling Zhu, Suresh Rama Chandran, Wee Boon Tan, Xiaohui Xin, Su-Yen Goh, Daphne Su-Lyn Gardner
- Diabetes Metab J. 2021;45(1):67-76. Published online June 15, 2020
- DOI: https://doi.org/10.4093/dmj.2019.0226
- 5,331 View
- 104 Download
- 5 Web of Science
- 6 Crossref
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Graphical Abstract
Abstract
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Supplementary Material
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ePub Background There is little longitudinal information on psychological burden and metabolic outcomes in young adults with diabetes (YAD) in Asia. We aimed to evaluate the association between psychological status and glycemia at baseline and 2 years following transition in a cohort of YAD in Singapore.
Methods Subjects with type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM), aged 17 to 25 years, were recruited from the YAD clinic in Singapore General Hospital. The Hospital Anxiety and Depression and Problem Areas for Diabetes scales were administered at transition (baseline) and at 18 to 24 months. Glycosylated hemoglobin (HbA1c) assessed during routine visits was tracked longitudinally.
Results A total of 98 T1DM (74.8%) and 33 T2DM (25.2%) subjects were recruited between January 2011 and November 2017. At baseline, mean HbA1c was 8.6%±1.7%. Only 26.0% achieved HbA1c of ≤7.5% and 16.8% achieved HbA1c of <7%. At baseline, prevalence of anxiety was 29.8%. At 24 months, 14.1% had persistent anxiety. Those with persistent anxiety had the highest mean HbA1c, particularly at 6 months (persistently anxious vs. persistently non-anxious: 9.9%±1.2% vs. 8.2%±1.9%,
P =0.009). At baseline, 9.2% of subjects had depression. This group also had poorer glycemia at baseline (HbA1c of depressed vs non-depressed: 9.6%±2.1% vs. 8.5%±1.6%,P =0.04), which persisted up to 24 months.Conclusion The majority of YAD in Singapore have suboptimal glycemia. Psychological distress is a critical harbinger of poorer metabolic outcomes.
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Citations
Citations to this article as recorded by
- The Cost-Effectiveness of an Advanced Hybrid Closed-Loop System Compared to Standard Management of Type 1 Diabetes in a Singapore Setting
Daphne Gardner, Mrinmayee Lakkad, Zhiyu Qiu, Yuta Inoue, Suresh Rama Chandran, Kael Wherry
Diabetes Technology & Therapeutics.2024;[Epub] CrossRef - Impact of diabetes distress on glycemic control and diabetic complications in type 2 diabetes mellitus
Hye-Sun Park, Yongin Cho, Da Hea Seo, Seong Hee Ahn, Seongbin Hong, Young Ju Suh, Suk Chon, Jeong-Taek Woo, Sei Hyun Baik, Kwan Woo Lee, So Hun Kim
Scientific Reports.2024;[Epub] CrossRef - The Interaction of Glycemia with Anxiety and Depression Is Related to Altered Cerebellar and Cerebral Functional Correlations
Grace E. Shearrer
Brain Sciences.2023; 13(7): 1086. CrossRef - The prevalence of anxiety in adult endocrinology outpatients: A systematic review and meta–analysis
Kelly Ann Kershaw, Ben Storer, Taylor Braund, Cassandra Chakouch, Matthew Coleshill, Sam Haffar, Samuel Harvey, Jill Newby, Gemma Sicouri, Michael Murphy
Psychoneuroendocrinology.2023; 158: 106357. CrossRef - Increased Levels of Serum Glycosylated Hemoglobin are Associated with Depressive Symptoms in a Population with Cancer (≥49 Years): An Antidepressant-Stratified Analysis
Ying Huang, Yilin Xu, Anwen Liu
Clinical Interventions in Aging.2021; Volume 16: 205. CrossRef - The Burden of Type 2 Diabetes and the Value of Achieving Near Normoglycemia from the Patient Perspective
Heather Gelhorn, Zaneta Balantac, Shraddha Shinde, Vivian Thuyanh Thieu, Kristina S. Boye
Diabetes Therapy.2021; 12(7): 1821. CrossRef
- The Cost-Effectiveness of an Advanced Hybrid Closed-Loop System Compared to Standard Management of Type 1 Diabetes in a Singapore Setting
- Factors Associated with Health-Related Quality of Life among Saudi Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Survey
- Ayman A. Al Hayek, Asirvatham A. Robert, Abdulghani Al Saeed, Aus A. Alzaid, Fahad S. Al Sabaan
- Diabetes Metab J. 2014;38(3):220-229. Published online June 17, 2014
- DOI: https://doi.org/10.4093/dmj.2014.38.3.220
- 5,215 View
- 111 Download
- 70 Web of Science
- 58 Crossref
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Abstract
PDFPubReader
Background Diabetes mellitus (DM) is associated with high mortality, morbidity, poor general health, and loss of health-related quality of life (HRQOL). The objective of the study was to assess the factors associated with HRQOL among patients with type 2 diabetes mellitus (T2DM).
Methods This was a cross sectional study conducted among 283 T2DM patients during June 2011 and September 2012 at a major tertiary hospital in Riyadh, Saudi Arabia. The respondents were purposively and conveniently selected according to their availability during their routine visit to the outpatient clinics and they were interviewed using the Arabic version of the Short-Form 36-item survey (SF-36) to assess the HRQOL.
Results The mean age of the participants was 56.4±13.2 years. Around 63% (178) were males and 37% (105) were females. Glycosylated hemoglobin level was found to be significantly higher among female and HRQOL was higher among male. Respondents who were more than 50 years old had poor HRQOL than less than 50 years age group. Poor economic status, reported diabetic complications and longer duration of diabetes were significantly associated with poor HRQOL. The respondents treated with combination of therapies (oral medication plus insulin) indicated better HRQOL than patients with insulin therapy alone. Multivariate analysis indicated that gender, economic status (except subscale energy), and complications of DM (except subscale energy) as independent risk factor for HRQOL.
Conclusion Gender, economic status, and complication of DM were independent risk factors for majority of the subscales of HRQOL.
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Citations
Citations to this article as recorded by- Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia
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Gassem A Gohal, Aqilah Majhali, Esaam Moafa, Sarah H Talebi, Bushra I Maashi, Amani Mutaen, Walaa J Alhamdan, Ibrahim M Dighriri
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Habtamu Esubalew, Ayele Belachew, Yimer Seid, Habtamu Wondmagegn, Kidus Temesgen, Tsegazeab Ayele
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BMJ Open.2023; 13(1): e068518. CrossRef - Illness Perception and Coping Strategies on the Perceived Quality of Life in Adults with Coronary Heart Diseases: A Model Evaluation
Maedeh Bagheri, Mohammadnaghi Farahani, Hamidreza Hasanabadi, Balal Izanloo
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Hafsa A. Abdirahman, Tasneem Hassan, Nada A. AbuAlUla, Kathryn H. Jacobsen
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BMJ Open.2021; 11(2): e043997. CrossRef - Health-related quality of life and associated factors among patients with type II diabetes mellitus: A study in the family medicine center (FMC) of Agricultural General Hospital in Hanoi, Vietnam
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