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Glucose Regulation after Partial Pancreatectomy: A Comparison of Pancreaticoduodenectomy and Distal Pancreatectomy in the Short and Long Term
Jun Suh Lee, Minji Sohn, Kyuho Kim, Yoo-Seok Yoon, Soo Lim
Diabetes Metab J. 2023;47(5):703-714.   Published online June 22, 2023
DOI: https://doi.org/10.4093/dmj.2022.0205
  • 1,906 View
  • 164 Download
AbstractAbstract PDFSupplementary MaterialPubReader   ePub   
Background
Long term quality of life is becoming increasingly crucial as survival following partial pancreatectomy rises. The purpose of this study was to investigate the difference in glucose dysregulation after pancreaticoduodenectomy (PD) or distal pancreatectomy (DP).
Methods
In this prospective observational study from 2015 to 2018, 224 patients who underwent partial pancreatectomy were selected: 152 (67.9%) received PD and 72 (32.1%) received DP. Comprehensive assessment for glucose regulation, including a 75 g oral glucose tolerance test was conducted preoperatively, and 1, 12, and 52 weeks after surgery. Patients were further monitored up to 3 years to investigate development of new-onset diabetes mellitus (NODM) in patients without diabetes mellitus (DM) at baseline or worsening of glucose regulation (≥1% increase in glycosylated hemoglobin [HbA1c]) in those with preexisting DM.
Results
The disposition index, an integrated measure of β-cell function, decreased 1 week after surgery in both groups, but it increased more than baseline level in the PD group while its decreased level was maintained in the DP group, resulting in a between-group difference at the 1-year examination (P<0.001). During follow-up, the DP group showed higher incidence of NODM and worsening of glucose regulation than the PD group with hazard ratio (HR) 4.29 (95% confidence interval [CI], 1.49 to 12.3) and HR 2.15 (95% CI, 1.09 to 4.24), respectively, in the multivariate analysis including dynamic glycemic excursion profile. In the DP procedure, distal DP and spleen preservation were associated with better glucose regulation. DP had a stronger association with glucose dysregulation than PD.
Conclusion
Proactive surveillance of glucose dysregulation is advised, particularly for patients who receive DP.
Lifesytle
Changes in the Quality of Life in Patients with Type 2 Diabetes Mellitus According to Physician and Patient Behaviors
Young-Joo Kim, In-Kyung Jeong, Sin-Gon Kim, Dong Hyeok Cho, Chong-Hwa Kim, Chul-Sik Kim, Won-Young Lee, Kyu-Chang Won, Jin-Hye Cha, Juneyoung Lee, Doo-Man Kim
Diabetes Metab J. 2020;44(1):91-102.   Published online October 23, 2019
DOI: https://doi.org/10.4093/dmj.2018.0251
  • 6,069 View
  • 95 Download
  • 6 Web of Science
  • 5 Crossref
AbstractAbstract PDFSupplementary MaterialPubReader   
Background

Diabetes mellitus (DM) is the most common chronic metabolic disorder with an increasing prevalence worldwide. According to a previous study, physicians' treatment patterns or patients' behaviors change when they become aware of the risk for cardiovascular (CV) disease in patients with DM. However, there exist controversial reports from previous studies in the impact of physicians' behaviors on the patients' quality of life (QoL) improvements. So we investigate the changes in QoL according to physicians and patients' behavioral changes after the awareness of CV risks in patients with type 2 DM.

Methods

Data were obtained from a prospective, observational study where 799 patients aged ≥40 years with type 2 DM were recruited at 24 tertiary hospitals in Korea. Changes in physicians' behaviors were defined as changes in the dose/type of antihypertensive, lipid-lowering, and anti-platelet therapies within 6-month after the awareness of CV risks in patients. Changes in patients' behaviors were based on lifestyle modifications. Audit of Diabetes Dependent Quality of Life comprising 19-life-domains was used.

Results

The weighted impact score change for local or long-distance journey (P=0.0049), holidays (P=0.0364), and physical health (P=0.0451) domains significantly differed between the two groups; patients whose physician's behaviors changed showed greater improvement than those whose physician's behaviors did not change.

Conclusion

This study demonstrates that changes in physicians' behaviors, as a result of perceiving CV risks, improve QoL in some domains of life in DM patients. Physicians should recognize the importance of understanding CV risks and implement appropriate management.

Citations

Citations to this article as recorded by  
  • Spline Longitudinal Multi-response Model for the Detection of Lifestyle- Based Changes in Blood Glucose of Diabetic Patients
    Anna Islamiyati
    Current Diabetes Reviews.2022;[Epub]     CrossRef
  • Characteristics of Glycemic Control and Long-Term Complications in Patients with Young-Onset Type 2 Diabetes
    Han-sang Baek, Ji-Yeon Park, Jin Yu, Joonyub Lee, Yeoree Yang, Jeonghoon Ha, Seung Hwan Lee, Jae Hyoung Cho, Dong-Jun Lim, Hun-Sung Kim
    Endocrinology and Metabolism.2022; 37(4): 641.     CrossRef
  • Agriophyllum Oligosaccharides Ameliorate Diabetic Insulin Resistance Through INS-R/IRS/Glut4-Mediated Insulin Pathway in db/db Mice and MIN6 Cells
    Shuyin Bao, Xiuzhi Wang, Sung Bo Cho, Yan-Ling Wu, Chengxi Wei, Shuying Han, Liming Bao, Qiong Wu, Wuliji Ao, Ji-Xing Nan
    Frontiers in Pharmacology.2021;[Epub]     CrossRef
  • Glycolipid metabolism and liver transcriptomic analysis of the therapeutic effects of pressed degreased walnut meal extracts on type 2 diabetes mellitus rats
    Yulan Li, Dan Chen, Chengmei Xu, Qingyujing Zhao, Yage Ma, Shenglan Zhao, Chaoyin Chen
    Food & Function.2020; 11(6): 5538.     CrossRef
  • Cause-of-death statistics in 2018 in the Republic of Korea
    Hyun-Young Shin, Jin Kim, Seokmin Lee, Min Sim Park, Sanghee Park, Sun Huh
    Journal of the Korean Medical Association.2020; 63(5): 286.     CrossRef
Clinical Care/Education
Association of Self-Care Behaviors and Quality of Life among Patients with Type 2 Diabetes Mellitus: Chaldoran County, Iran
Towhid Babazadeh, Mostafa Dianatinasab, Amin Daemi, Hossein Ali Nikbakht, Fatemeh Moradi, Saber Ghaffari-fam
Diabetes Metab J. 2017;41(6):449-456.   Published online December 20, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.6.449
  • 5,460 View
  • 93 Download
  • 44 Web of Science
  • 41 Crossref
AbstractAbstract PDFPubReader   
Background

Self-care of diabetes is an essential part for controlling the disease and improvement of quality of life in type 2 diabetes mellitus (T2DM) patients. This study aimed to analyze the associated factors of quality of life in patients with T2DM in order to design effective interventions.

Methods

This cross-sectional study was conducted on 120 T2DM patients referred to health centers of Chaldoran, West Azerbaijan Province, Iran. The quality of life's questionnaires from World Health Organization and the self-care behaviors' questionnaires were used for data collection.

Results

The mean age of patients was 46.30% and 53.30% of them were male. Among demographic variables, gender (P=0.002), age groups (P=0.007), and household monthly income (P=0.009) were significantly associated with total quality of life. Also, self-care nutrition (odds ratio [OR], 1.47; P=0.001), self-management of blood glucose control (OR, 1.29; P=0.002), and self-medication behavior (OR, 1.18; P=0.030) were identified as factors significantly associated with quality of life.

Conclusion

Self-care behaviors were significantly associated with quality of life; among them, the greatest influence was observed in self-care nutrition behavior. According to the findings of this study, appropriate interventions on self-care behaviors about nutrition can improve the quality of life for T2DM patients.

Citations

Citations to this article as recorded by  
  • Cross-cultural adaptation and validation of Diabetes Quality of Life Brief Clinical Inventory in Turkish patients with type 2 diabetes mellitus
    Tülay Çevik Saldıran, İlke Kara, Erhan Dinçer, Özgül Öztürk, Rumeysa Çakıcı, Thomas Burroughs
    Disability and Rehabilitation.2024; 46(5): 995.     CrossRef
  • The Association between Self-Care Activities and Depression in Adult Patients with Type 2 Diabetes in Saudi Arabia: A Cross-Sectional Web-Based Survey Study
    Sawsan M. Kurdi, Ahmad Alamer, Aya Albaggal, Marwa Alsuwaiket, Fawaz M. Alotaibi, Ibrahim M. Asiri, Dhfer M. Alshayban, Mohammed M. Alsultan, Bashayer Alshehail, Bassem A. Almalki, Dania Hussein, Mansour M. Alotaibi, Osamah M. Alfayez
    Journal of Clinical Medicine.2024; 13(2): 419.     CrossRef
  • Role of diabetes health literacy, psychological status, self-care behaviors, and life satisfaction in predicting quality of life in type 2 diabetes
    Alireza Jafari, Mahdi Moshki, Mousa Ghelichi-Ghojogh, Mahbobeh Nejatian
    Scientific Reports.2024;[Epub]     CrossRef
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    Emanuela Basilici Zannetti, Noemi Cittadini, Paolo Iovino, Maddalena De Maria, Daniela D’Angelo, Annalisa Pennini, Ercole Vellone, Umberto Tarantino, Rosaria Alvaro
    Orthopaedic Nursing.2024; 43(3): 151.     CrossRef
  • Relationship between Self-management and Quality of Life among Patients with Diabetes Mellitus: A Cross-Sectional, Correlational Study
    Ekhlas Al Gamal, Zahra Alnaser, Isra Mohammed, Logapriya Kaliyaperumal, Amal AL Qudah, Saba Hyarat, Haneen Alawas, Jawharah Alrashed, Almaha Alhamad, Tony Long
    The Open Nursing Journal.2024;[Epub]     CrossRef
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    Agung Samsu Alam, Amin Samiasih, Mohammad Fatkhul Mubin, Satriya Pranata, Reina Dhamanik
    Current Diabetes Reviews.2024;[Epub]     CrossRef
  • Prevalence of type 2 diabetes complications and its association with diet knowledge and skills and self‐care barriers in Tabriz, Iran: A cross‐sectional study
    Habib Jalilian, Elnaz Javanshir, Leila Torkzadeh, Saeedeh Fehresti, Nazanin Mir, Majid Heidari‐Jamebozorgi, Somayeh Heydari
    Health Science Reports.2023;[Epub]     CrossRef
  • Portuguese adaptation of the Chronic Heart Failure Knowledge Questionnaire (KQCHF)
    Ana Paula Azzam, Tatiane Fidelis, Andreia Nunes, Rui Valdiviesso, Teresa Limpo, Emília Moreira, José Silva-Cardoso, São Luís Castro
    BMC Cardiovascular Disorders.2023;[Epub]     CrossRef
  • Effects of Hirudotherapy in Alloxan-induced Diabetic Male Rats: Histopathological and Biochemical Changes
    Abdolrasoul Namjou, Ebrahim Razavie, Esfandiar Heidarian, Nasser Yazdani, Mahmoud Rafieian-Kopaei
    Jundishapur Journal of Natural Pharmaceutical Products.2023;[Epub]     CrossRef
  • Use of Protein By-Products Obtained from Aquatic Organisms as Bioactive Compounds: A Bibliometric Review
    Rerisson do Nascimento Alves, José Robenilson Sousa dos Santos, Francisco Lucas Chaves Almeida, Fábio Anderson Pereira da Silva, Íris Braz da Silva Araújo
    Food Reviews International.2023; : 1.     CrossRef
  • The relationship between diabetes burden and health-related quality of life in elderly people with diabetes
    Gülay Yildirim, Mahruk Rashidi, Funda Karaman, Aslı Genç, Gülşah Ünsal Jafarov, Neşe Kiskaç, İbrahim Ulusoy, Nurten Elki̇n, Sultan Çakmak
    Primary Care Diabetes.2023; 17(6): 595.     CrossRef
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    Citra Gabriella Mamahit, Kimiko Inaoka, Windy Mariane Virenia Wariki, Erika Ota
    Pacific Rim International Journal of Nursing Research.2023; 28(1): 150.     CrossRef
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    Maddalena De Maria, Diletta Fabrizi, Michela Luciani, Rosario Caruso, Stefania Di Mauro, Barbara Riegel, Claudio Barbaranelli, Davide Ausili
    Annals of Behavioral Medicine.2022; 56(6): 632.     CrossRef
  • The effects of formal nutrition education on anthropometric indices, lipid profile, and glycemic control of patients with type 2 diabetes: a systematic review and meta-analysis
    Seyedeh-Masomeh Derakhshandeh-Rishehri, Motahar Heidari-Beni, Shiva Faghih, Asghar Mirfardi
    International Journal of Diabetes in Developing Countries.2022; 42(3): 395.     CrossRef
  • The prevalence and predictors of pre-diabetes and diabetes among adults 40–70 years in Kharameh cohort study: A population-based study in Fars province, south of Iran
    Masoumeh Ghoddusi Johari, Kimia Jokari, Alireza Mirahmadizadeh, Mozhgan Seif, Abbas Rezaianzadeh
    Journal of Diabetes & Metabolic Disorders.2022; 21(1): 85.     CrossRef
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    Noppamas Pipatpiboon, Nut Koonrungsesomboon, Wachira Suriyawong, Jirapas Sripetchwandee, Sue Turale
    Nursing & Health Sciences.2022; 24(1): 274.     CrossRef
  • Factors Associated with Quality of Life in Patients with Type 2 Diabetes of South Benin: A Cross-Sectional Study
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    International Journal of Environmental Research and Public Health.2022; 19(4): 2360.     CrossRef
  • The relationship between medical comorbidities and health-related quality of life among adults with type 2 diabetes: The experience of different hospitals in southern Bangladesh
    Adnan Mannan, Farhana Akter, Naim Uddin Hasan A. Chy, Nazmul Alam, Md. Mashud Rana, Nowshad Asgar Chowdhury, Md. Mahbub Hasan, Mohammad Farris Iman Leong Bin Abdullah
    PLOS ONE.2022; 17(5): e0267713.     CrossRef
  • Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review
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    Global Health Action.2022;[Epub]     CrossRef
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    Kitbordin Thongduang, Waraporn Boonchieng, Sineenart Chautrakarn, Parichat Ong-Artborirak
    International Journal of Environmental Research and Public Health.2022; 19(16): 10216.     CrossRef
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    Healthcare.2022; 10(10): 1983.     CrossRef
  • A Novel User Utility Score for Diabetes Management Using Tailored Mobile Coaching: Secondary Analysis of a Randomized Controlled Trial
    Min-Kyung Lee, Da Young Lee, Hong-Yup Ahn, Cheol-Young Park
    JMIR mHealth and uHealth.2021; 9(2): e17573.     CrossRef
  • Association between self-care management practices and glycemic control of patients with type 2 diabetes mellitus in Saud Arabia: A cross –sectional study
    Abdulaziz Alodhayani, Khalid M. Almutairi, Jason M. Vinluan, Turky H. Almigbal, Wadi B. Alonazi, Mohammed Ali Batais, Muhanna Mohammed Alnassar
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    Stefan Köberich, Naoko P Kato, Christiane Kugler, Anna Strömberg, Tiny Jaarsma
    European Journal of Cardiovascular Nursing.2021;[Epub]     CrossRef
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    Clinical Diabetes and Endocrinology.2021;[Epub]     CrossRef
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    Shiferaw Letta, Fekadu Aga, Tesfaye Assebe Yadeta, Biftu Geda, Yadeta Dessie
    Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy.2021; Volume 14: 4335.     CrossRef
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    Maria Polikandrioti, Georgios Vasilopoulos, Evangelos Dousis, Georgia Gerogianni, Georgios Panoutsopoulos, Vasileios Dedes, Ioannis Koutelekos
    Journal of Caring Sciences.2021; 10(4): 184.     CrossRef
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    Ravi Kant, Poonam Yadav, Shruti Barnwal, Vishal Dhiman, Bruzily Abraham, Kanchan Gawande
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    Soheila Ansarzadeh, Leili Salehi, Zohreh Mahmoodi, Abolfazl Mohammadbeigi
    Health and Quality of Life Outcomes.2020;[Epub]     CrossRef
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    Frontiers in Psychiatry.2020;[Epub]     CrossRef
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    Mohsen Alyami, Anna Serlachius, Ibrahim Mokhtar, Elizabeth Broadbent
    Health Psychology and Behavioral Medicine.2020; 8(1): 329.     CrossRef
  • Self-Care in Adults with Type 2 Diabetes Mellitus: A Systematic Review
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    Current Diabetes Reviews.2020; 16(6): 598.     CrossRef
  • Adherence to a Health Literacy and Healthy Lifestyle with Improved Blood Pressure Control in Iran


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    Patient Preference and Adherence.2020; Volume 14: 499.     CrossRef
  • Can a modified theory of planned behavior explain the effects of empowerment education for people with type 2 diabetes?
    Chung-Ying Lin, Mike K. T. Cheung, Anchor T. F. Hung, Peter K. K. Poon, Sam C. C. Chan, Chetwyn C. H. Chan
    Therapeutic Advances in Endocrinology and Metabolism.2020; 11: 204201881989752.     CrossRef
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    Saber Gaffari-fam, Yosef Lotfi, Amin Daemi, Towhid Babazadeh, Ehsan Sarbazi, Ghader Dargahi-Abbasabad, Hamed Abri
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    Mi Ah Han
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    Towhid Babazadeh , Saber Ghaffari-Fam, Shahram Oliaei, Ehsan Sarbazi, Arash Shirdel , Parvin Mostafa-Gharabaghi, Hosein Azizi
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  • Diabetes Self-Management: A Key to Better Health-Related Quality of Life in Patients with Diabetes
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Clinical Care/Education
The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
Nicola R. Gawlik, Malcolm J. Bond
Diabetes Metab J. 2018;42(2):130-136.   Published online November 7, 2017
DOI: https://doi.org/10.4093/dmj.2018.42.2.130
  • 3,727 View
  • 34 Download
  • 2 Web of Science
  • 4 Crossref
AbstractAbstract PDFPubReader   
Background

The purpose of this study is to determine the impact of negative affect (defined in terms of lack of optimism, depressogenic attributional style, and hopelessness depression) on the quality of life of women with type 1 diabetes mellitus.

Methods

Participants (n=177) completed either an online or paper questionnaire made available to members of Australian diabetes support groups. Measures of optimism, attributional style, hopelessness depression, disease-specific data, and diabetes-related quality of life were sought. Bivariate correlations informed the construction of a structural equation model.

Results

Participants were 36.3±11.3 years old, with a disease duration of 18.4±11.2 years. Age and recent glycosylated hemoglobin readings were significant contextual variables in the model. All bivariate associations involving the components of negative affect were as hypothesized. That is, poorer quality of life was associated with a greater depressogenic attributional style, higher hopelessness depression, and lower optimism. The structural equation model demonstrated significant direct effects of depressogenic attributional style and hopelessness depression on quality of life, while (lack of) optimism contributed to quality of life indirectly by way of these variables.

Conclusion

The recognition of negative affect presentations among patients, and an understanding of its relevance to diabetes-related quality of life, is a valuable tool for the practitioner.

Citations

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  • Menopoz dönemindeki diyabetik kadınlarda yaşanılan semptomların yaşam kalitesi parametreleri üzerindeki etkisinin incelenmesi (Prospektif Tek Grup Çalışma)
    Ayşegül KOÇ, Betül ÇAKMAK, Birgül GENÇ
    Turkish Journal of Diabetes and Obesity.2021; 5(2): 137.     CrossRef
  • Type 1 Diabetes Home Care Project and Educational Consultation
    Eun Chong Shin
    The Journal of Korean Diabetes.2020; 21(2): 88.     CrossRef
  • Poorer Quality of Life and Treatment Satisfaction is Associated with Diabetic Retinopathy in Patients with Type 1 Diabetes without Other Advanced Late Complications
    Minerva Granado-Casas, Esmeralda Castelblanco, Anna Ramírez-Morros, Mariona Martín, Nuria Alcubierre, Montserrat Martínez-Alonso, Xavier Valldeperas, Alicia Traveset, Esther Rubinat, Ana Lucas-Martin, Marta Hernández, Núria Alonso, Didac Mauricio
    Journal of Clinical Medicine.2019; 8(3): 377.     CrossRef
  • Is Diabetes & Metabolism Journal Eligible to Be Indexed in MEDLINE?
    Sun Huh
    Diabetes & Metabolism Journal.2018; 42(6): 472.     CrossRef
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
  • 5,500 View
  • 115 Download
  • 70 Web of Science
  • 60 Crossref
AbstractAbstract 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.

Citations

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  • Quality of life, stress, anxiety and depression and associated factors among people with type 2 diabetes mellitus in Western region Saudi Arabia
    Shahad Abduljalil Abualhamael, Mukhtiar Baig, Waleed Alghamdi, Zohair Jamil Gazzaz, Majid Al-Hayani, Abdulrahman Bazi
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    BMJ Open.2023; 13(1): e068518.     CrossRef
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    Journal of Kermanshah University of Medical Sciences.2023;[Epub]     CrossRef
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    Fernanda Martins, Tamara C. Lopes de Castro, Sara T. Olalla Saad, Rose C. G. Trevisane, Ricardo P. Moreira, Edite Taninaga, Mary L. S. Queiroz, Cristiane Okuda Torello
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    Areej Homady, Osama Albasheer, Amenah Bajawi, Shatha Hamdi, Aisha Awaf, Tahani Madkhali, Abdallah Sabai, Mohammad R. Zaino, Mohammed Somaili
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Review
Current Status of Diabetic Peripheral Neuropathy in Korea: Report of a Hospital-Based Study of Type 2 Diabetic Patients in Korea by the Diabetic Neuropathy Study Group of the Korean Diabetes Association
Jong Chul Won, Sang Soo Kim, Kyung Soo Ko, Bong-Yun Cha
Diabetes Metab J. 2014;38(1):25-31.   Published online February 19, 2014
DOI: https://doi.org/10.4093/dmj.2014.38.1.25
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AbstractAbstract PDFPubReader   

Diabetic peripheral neuropathy (DPN) is the most common complication associated with diabetes. DPN can present as a loss of sensation, may lead to neuropathic ulcers, and is a leading cause of amputation. Reported estimates of the prevalence of DPN vary due to differences in study populations and diagnostic criteria. Furthermore, the epidemiology and clinical characteristics of DPN in Korean patients with type 2 diabetes mellitus (T2DM) are not as well understood as those of other complications of diabetes such as retinal and renal disease. Recently, the Diabetic Neuropathy Study Group of the Korean Diabetes Association (KDA) conducted a study investigating the impact of DPN on disease burden and quality of life in patients with T2DM and has published some data that are representative of the nation. This review investigated the prevalence and associated clinical implications of DPN in Korean patients with diabetes based on the KDA study.

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Original Articles
The Relationship between Diabetes Mellitus and Health-Related Quality of Life in Korean Adults: The Fourth Korea National Health and Nutrition Examination Survey (2007-2009)
Yong Jun Choi, Min Suk Lee, So Yeon An, Tae Ho Kim, Seung Jin Han, Hae Jin Kim, Yoon-Sok Chung, Kwan Woo Lee, Dae Jung Kim
Diabetes Metab J. 2011;35(6):587-594.   Published online December 26, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.6.587
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AbstractAbstract PDFPubReader   
Background

Diabetes is a major health problem in Korea. However, interest in the quality of life in patients with diabetes is low. We examined the effects of diabetes on health-related quality of life (HRQoL) and compared it with HRQoL in the general Korean population using the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) (2007-2009).

Methods

Using KNHANES IV data, we compared EuroQol (EQ)-5D and EQ-visual analogue scale (VAS) scores after adjusting for sociodemographic and psychosocial factors as well as for comorbidities (hypertension, heart disease, stroke, arthritis, and chronic renal disease). Logistic regressions were used to explore determinants for the lowest quintile HRQoL scales in the diabetes group.

Results

The mean age of the 14,441 enrolled subjects (6,129 men and 8,312 women) was 52.5±14.5 years. The mean EQ-5D and EQ-VAS scores were significantly lower in the diabetes group (EQ-5D. 0.87; EQ-VAS, 71.94) than in the non-diabetes group (EQ-5D, 0.94; EQ-VAS, 77.40) (P<0.001). Self-reported depressive symptom had a significant effect on lowering the EQ-VAS (odds ratio [OR], 1.7; 95% confidence interval [CI], 1.1 to 2.6) in the diabetes group. Stress level had a significant effect in lowering both the EQ-5D (OR, 2.0; 95% CI, 1.3 to 2.9) and the EQ-VAS (OR, 1.9; 95% CI, 1.3 to 2.9). HbA1c, diabetes duration, and treatment modalities had no significant effect on lowering HRQoL.

Conclusion

Diabetes was clearly associated with impaired HRQoL compared with the non-diabetic population regardless of comorbidities. Therapeutic approaches should focus much more on the subjective perception of health in patients with diabetes.

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Comparison of Attitudes Regarding Quality of Life between Insulin-Treated Subjects with Diabetes Mellitus and Healthy Populations
Fariba Hashemi Hefz Abad, Maryam Shabany Hamedan
Diabetes Metab J. 2011;35(4):397-403.   Published online August 31, 2011
DOI: https://doi.org/10.4093/dmj.2011.35.4.397
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AbstractAbstract PDFPubReader   
Background

Diabetes mellitus is a chronic disease and one of the main causes of mortality in developing countries. The main objective of treating all chronic diseases, of course, is to improve well-being and attain a satisfactory quality of life (QOL). The major goal of this study is comparison of attitude toward QOL in insulin-dependent subjects with diabetes mellitus and healthy subjects.

Methods

In this study, insulin-dependent subjects with diabetes mellitus and healthy subjects were gathered via convenience sampling. The subjects were asked to complete the Hanestad & Albrektsen Attitude to Quality of Life Questionnaire. The questionnaire evaluates five quality of life dimensions-physical, social, mental-emotional, behavioral-activity, and economic-using a scoring system similar to the Likert scale. The Wilcoxon test was used to compare scores between the two groups.

Results

The mean total score on attitude toward QOL in the healthy control group was 53.8, and it in the insulin-dependent subjects with diabetes mellitus group was 35.9. The mean total score of attitude toward QOL in the physical dimension, mental-emotional and feelings of well-being dimension, and behavioral-activity dimension were significantly higher in the healthy population than they were in diabetes mellitus groups. Such a difference was not seen in the social and economic dimensions.

Conclusion

Since the attitudes of insulin-dependent subjects with diabetes mellitus toward QOL are used as an index of individual and societal health levels, it appears that this group may benefit from education and professional counseling to improve their QOLs.

Citations

Citations to this article as recorded by  
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Self-Management and Health-Related Quality of Life in Adolescent and Adulthood Diabetic Patients.
Bong Suk Park, Gi Nam Jin, Youn Chung Choi, Ji Hee Chung, Kyoung Hoe Kim, Mi Young Lee, Jang Hyun Koh, Choon Hee Chung
Korean Diabetes J. 2005;29(3):254-261.   Published online May 1, 2005
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AbstractAbstract PDF
BACKGROUND
The purposes of this study are to analyze the factors that influence selfmanagement and health-related QOL, and to provide useful informations to improve the QOL in adolescent and adult diabetic patients. METHODS: For this study, we interviewed 126 adolescent and adult diabetic patients who visited the Yonsei University Wonju Christian Hospital from March 4th, 2004 to April 5th, 2004. RESULTS: We examined the relationship between the socio-demographic characteristics and the health-related quality of life(QOL). There were statistically significant relationships between the QOL-and employment, years of education, income level and marriage status, but not between the health-related QOL and age and gender. Furthermore, there were no statistically significant relationships between the health-related QOL and smoking or drinking, nor between type 1 and 2 diabetic patients. The health-related QOL was significantly higher for an increased diabetes duration and for a greater number of symptoms, but the QOL was significantly lower in the presence of complications and hospital admission. The health-related QOL was lower when the preprandial blood glucose levels and HbA1c concentrations were higher, but it was higher when the hemoglobin and hematocrit levels were higher. Regarding the treatment methods, the health-related QOL was significantly lower for those patients who took insulin injection. The QOL was higher when the general self-management and diet therapy were well-controlled. Meanwhile, those subjects who had obtained medical informations from doctors, the media(including the internet and TV) and nurses in that order, they selected diet therapy as the hardest factor in the management of their diabetes. CONCLUSION: Adolescent and adult diabetic patients need continuous education and assistance to improve their health-related QOL and to keep from developing complications

Diabetes Metab J : Diabetes & Metabolism Journal
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