Impact Of A Type 2 Diabetes Diagnosis On Mental Health, Quality Of Life, And Social Contacts: A Longitudinal Study
Aims The aim was to examine whether a type 2 diabetes mellitus (T2DM) diagnosis increases the odds of psychological distress, a worsening in overall quality of life, and a potential reduction in social contacts. Method Longitudinal data were obtained from the 45 and Up Study (baseline 2006–2008; 3.4±0.95 years follow-up time). Fixed effects logistic and negative binomial regression models were fitted on a complete case on outcome sample that did not report T2DM at baseline (N=26 344), adjusted for time-varying confounders. The key exposure was doctor-diagnosed T2DM at follow-up. Outcome variables examined included the Kessler Psychological Distress Scale, self-rated quality of life, and four indicators of social contacts. Results A modest increase in the odds of psychological distress associated with T2DM diagnosis (OR=1.30) was not statistically significant (95% CI 0.75 to 2.25). A T2DM diagnosis was associated with a fivefold increase in the odds of a participant reporting that their quality of life had become significantly poorer (OR 5.49, 95% CI 1.26 to 23.88). T2DM diagnosis was also associated with a reduction in times spent with friends and family (RR 0.88, 95% CI 0.82 to 0.95), contacts by telephone (RR 0.95, 95% CI 0.87 to 1.02), attendance at social clubs or religious groups (RR 0.82, 95% CI 0.73 to 0.91), and the number of people nearby but outside the home that participants felt they could rely on (RR 0.92, 95% CI 0.86 to 0.98). Conclusions A T2DM diagnosis can have important impacts on quality of life and on social contacts, which may have negative impacts on mental health and T2DM management in the longer term. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which perm Continue reading >>
Quality Of Life In Women With Gestational Diabetes Mellitus: A Systematic Review
Copyright © 2017 Daniela Marchetti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background and Objective. Diagnosis of Gestational Diabetes Mellitus (GDM) could significantly increase the likelihood of health problems concerning both potential risks for the mother, fetus, and child’s development and negative effects on maternal mental health above all in terms of a diminished Quality of Life (QoL). The current systematic review study is aimed at further contributing to an advancement of knowledge about the clinical link between GDM and QoL. Methods. According to PRISMA guidelines, PubMed, Web of Science, Scopus, and Cochrane databases were searched for studies aimed at evaluating and/or improving levels of QoL in women diagnosed with GDM. Results. Fifteen research studies were identified and qualitatively analyzed by summarizing results according to the following two topics: GDM and QoL and interventions on QoL in patients with GDM. Studies showed that, in women with GDM, QoL is significantly worse in both the short term and long term. However, improvements on QoL can be achieved through different intervention programs by enhancing positive diabetes-related self-management behaviors. Conclusion. Future studies are strongly recommended to further examine the impact of integrative programs, including telemedicine and educational interventions, on QoL of GDM patients by promoting their illness acceptance and healthy lifestyle behaviors. 1. Introduction Gestational Diabetes Mellitus (GDM) is defined as “diabetes diagnosed in the second or third trimester of pregnancy that was not clearly overt d Continue reading >>
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- Women in India with Gestational Diabetes Mellitus Strategy (WINGS): Methodology and development of model of care for gestational diabetes mellitus (WINGS 4)
- Influence of uncontrolled diabetes mellitus on periodontal tissues during orthodontic tooth movement: a systematic review of animal studies
Diabetes, Depression, And Quality Of Life
A population study Abstract OBJECTIVE—The aim of the study was to assess the prevalence of diabetes and depression and their associations with quality of life using a representative population sample. RESEARCH DESIGN AND METHODS—The study consisted of a representative population sample of individuals aged ≥15 years living in South Australia comprising 3,010 personal interviews conducted by trained health interviewers. The prevalence of depression in those suffering doctor-diagnosed diabetes and comparative effects of diabetic status and depression on quality-of-life dimensions were measured. RESULTS—The prevalence of depression in the diabetic population was 24% compared with 17% in the nondiabetic population. Those with diabetes and depression experienced an impact with a large effect size on every dimension of the Short Form Health-Related Quality-of-Life Questionnaire (SF-36) as compared with those who suffered diabetes and who were not depressed. A supplementary analysis comparing both depressed diabetic and depressed nondiabetic groups showed there were statistically significant differences in the quality-of-life effects between the two depressed populations in the physical and mental component summaries of the SF-36. CONCLUSIONS—Depression for those with diabetes is an important comorbidity that requires careful management because of its severe impact on quality of life. A number of studies, including meta-analyses, have shown the association between diabetes and depression (1–10). This is an important public health issue because depressive disorders generally have been associated with the outcomes of chronic diseases like diabetes (8) and have contributed to the high economic burden of health care costs. Many of the studies have relied on clinical or Continue reading >>
Diabetes And Quality Of Life
Diabetes SpectrumVolume 13 Number , 2000, Page 48 Diabetes is a demanding disease, so it can affect your life in many ways. Managing your diabetes can be stressful. The way you feel when your blood glucose levels are low or really high adds to the stress. On top of that, there are the worries that you might develop complications, and the burden of dealing with any complications you may already have. It is no wonder that many people feel that diabetes affects their quality of life. Why is quality of life important for people with diabetes? Part of the answer is obvious: everyone wants to have the best possible quality of life. It just feels good to be satisfied and happy. But there is another reason, as well. Just as diabetes can affect your quality of life, your quality of life can affect your diabetes. When you are feeling good about your life in general and about your life with diabetes in particular, you have more energy to take good care of your diabetes. And when you take good care of yourself, you are likely to feel better day-to-day and to stay healthier in the long run. Feeling better and staying healthy give a further boost to your quality of life. So good quality of life activates a self-reinforcing positive cycle. How does diabetes affect quality of life? Aspects of life with diabetes that may affect your quality of life include: The never-ending demands of diabetes care, such as eating carefully, exercising, monitoring blood glucose, and scheduling and planning Symptoms of low or very high blood glucose Fears about or the reality of complications How can I judge my quality of life? The specific things each person needs to feel satisfied and happy are unique to him or her. Still, there are some things most people would agree are important. Your quality of lif Continue reading >>
Effect Of Diabetes On Outcome And Changes In Quality Of Life After Coronary Artery Bypass Grafting
Background An increasing proportion of patients undergoing coronary artery bypass grafting are diabetics who are known to carry a higher mortality and morbidity in association with operation, but data on whether health-related quality of life improves similarly after coronary artery bypass grafting in diabetic and nondiabetic patients are limited. We assessed in detail changes in health-related quality of life (RAND-36 Health Survey) during the first year after coronary artery bypass grafting. Methods Seventy-four of the 508 patients (14.6%) operated on in a single institution had a history of diabetes and were compared to nondiabetics. The RAND-36 Health Survey was used as an indicator of quality of life. Assessments were made preoperatively and repeated 12 months later. Results Thirty-day mortality was 2.7% versus 1.6% (p = 0.511) and one-year survival was 94.6% versus 97.0% (p = 0.287) in the diabetics and nondiabetics, respectively. Diabetics improved significantly (p < 0.005) in seven, nondiabetics (p < 0.001) in all eight RAND-36 dimensions. Physical component summary and mental component summary scores on the RAND-36 improved significantly (p < 0.001) in diabetics as well as in nondiabetics. Both groups experienced closely similar freedom from anginal symptoms at one year (86.2% vs 90.5%, p = 0.280). Conclusions Although diabetic patients differ from nondiabetics having slightly inferior quality of life before and one year after coronary artery bypass grafting, they gain similar improvement of quality of life in one year after surgery when compared to nondiabetics. Continue reading >>
- Unprocessed Red and Processed Meats and Risk of Coronary Artery Disease and Type 2 Diabetes An Updated Review of the Evidence
- Type 2 diabetes: What happens if symptoms go undetected? How to avoid dangerous outcome | Health | Life & Style | Express.co.uk
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
The Effect Of Diabetes On Adolescents' Quality Of Life.
Abstract This pilot study assessed the impact of diabetes on overall quality of life (QOL) of 23 adolescents (12-16 years old). The impact of diabetes on daily life, satisfaction with life, and common worries and frustrations were explored through the Diabetes Quality of Life for Youth scale (DQOLY) and semistructured interviews. The four major themes that emerged from the interviews were (a) restrictions, (b) differentness, (c) negative emotion, and (d) adaptation. Adolescents reported being most bothered by dietary restrictions, including the regimentation/scheduling of eating and its social ramifications. Adolescents in this study worried the most about the future and, in particular, complications. Older adolescents worried less, had lower Diabetes Impact scores, and had better Quality of Life scores on the DQOLY. The theme of adaptation and the negative emotion theme were both expressed most often by participants who had had diabetes for a longer period of time. Continue reading >>
Effect Of Exercise On The Quality Of Life In Type 2 Diabetes Mellitus: A Systematic Review
Purpose: Diabetic patients tend to have a poor quality of life. A sedentary lifestyle is considered to be a modifiable risk factor for type 2 diabetes and an independent predictor of poor quality of life. Exercise is a key treatment for people living with diabetes. The purpose of this study was to conduct a systematic review to assess the effect of exercise on the quality of life of people with type 2 diabetes. Methods: We conducted a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Web of Science, Embase, Cochrane Library, CINAHL and three Chinese databases were searched for studies published until January 2016. The review included all clinical trials that evaluated the effect of exercise on quality of life compared with that of usual care for people with type 2 diabetes. Two reviewers independently assessed the quality of all the included studies, by using the Downs and Black Quality Index (QI). Results: Thirty studies met inclusion criteria, with 2785 participants. We divided the exercise into four modes: aerobic, resistance, a combination of aerobic and resistance and yoga. Aerobic exercise showed a significant effect between groups. Resistance and combined exercise showed mixed results. Yoga also showed good intervention effects on quality of life. Conclusions: The effect of aerobic exercise on the quality of life in people with type 2 diabetes was safe and effective. Then, most of the studies on aerobic exercise were of good methodological quality. The effects of resistance exercise and combined exercise on the quality of life in people with type 2 diabetes were mixed, and the effect of yoga on quality of life still need more research. Continue reading >>
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials
- Effects of Insulin Plus Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) in Treating Type 1 Diabetes Mellitus: A Systematic Review and Meta-Analysis
Type 2 Diabetes And Quality Of Life
Go to: Abstract It is true that a primary goal of diabetes early diagnosis and treatment is quality of life (QoL). The term QoL is still confusing but it is agreed that it composes of four components: The physical component, mental, cogitative component, psychological and social component. Many articles have been written addressing those four components. During the last five years 15500 articles and reviews have been written addressing diabetes and coronary arterial disease, 16100 addressing diabetes and renal function, 28900 addressing diabetes and retinopathy, 16800 addressing diabetic foot ulcers and other 26300 addressing diabetic neuropathy. Moreover 17200 articles are dealing with diabetic sexual dysfunction, 24500 with the correlation of diabetes and depression 17500 about diabetes and dementia, only 1 about diabetes and family functioning and 1950000 about diabetes and QoL, indicating the worldwide interest. In order to confront this metabolic anomaly and its consequences, researchers developed numerous generic and disease specific psychometric tools. With the aid of those psychometric tools the scientific community has started to realize the gruesome effect of diabetes on patients’ lives. Diabetic’s QoL becomes worse when complications start to develop or comorbidities coexist. Dominant amongst complications, in health-related quality of life (HRQoL) lowering, but not related to risk factors (genetic, the weight of birth, or others) is coronary arterial disease followed by renal failure, blindness, and the combination of micro- and macro-vascular complications and in some studies by sexual dysfunction. Moreover many are the comorbidities which deteriorate further the effect of diabetes in a patient life. Among them obesity, hypertension, dyslipidemia, depre Continue reading >>
David G Marrero Ph.d. Director, Center For Border Health Disparities Professor Of Medicine And Public Health
David G Marrero Ph.D. Director, Center for Border Health Disparities Professor of Medicine and Public Health University of Arizona Tucson, AZ Disclosure to Participants • I have nothing to disclose Assessing Quality of Life in Diabetes: extending beyond glucose control David Marrero, PhD. Professor of Medicine and Public Health University of Arizona Past President of Healthcare and Education, American Diabetes Association Diabetes and Quality of Life • Diabetes is associated with both short†and longâ€term consequences that can significantly impact health and emotional wellâ€being • Regimen requirements include changes in diet and exercise, taking medications regularly, monitoring blood glucose multiple times a day, episodes and fear of hypoglycemia, medication side effects, and living in fear of longâ€term consequences • In addition to the actual development of diabetesâ€related complications,  diabetes may lead to reduced healthâ€related quality of life (HRQOL)  What is Health Related Quality of Life? • HRQOL refers to personal/emotional well†being as a function of diabetes and its treatment – Individuals with diabetes report reduced HRQOL compared with ageâ€matched persons without diabetes – HRQOL decreases with disease progression and the onset of different complications associated with diabetes – There are different experiences of HRQOL for people at different points in their life that Continue reading >>
Effect Of Insulin Therapy On Quality Of Life In Type 2 Diabetes Mellitus: The Fremantle Diabetes Study1
Abstract Previous studies investigating the relationship between insulin therapy on quality of life (QOL) in Type 2 diabetes have produced conflicting results that may reflect differences in patient samples, study design and context. To assess the effect of insulin on QOL in a community-based, prospective and observational setting, we studied 1290 Type 2 patients recruited from a region of 120 097 people and undergoing detailed annual assessments of metabolic control and complications. The average age of the cohort was 64.1 years, the median duration of diabetes was 4.4 years and 48.9% were males. A modified Diabetes Quality of Life (DQOL) questionnaire and a health measurement questionnaire providing the Rosser index were administered annually. At baseline, the 149 insulin-treated patients had greater satisfaction, worry, impact and total DQOL scores (indicating a worse QOL) than the 1141 non-insulin-treated patients (P≤0.018). Except in the case of satisfaction, these differences persisted after adjustment for potentially confounding demographic, socioeconomic and diabetes-specific variables (P<0.001). The Rosser index showed a similar pattern, with insulin-treated patients having lower values both before (P=0.012) and after (P<0.001) adjustment. During follow-up, 38 patients commenced insulin but there were no significant differences in DQOL scores or the Rosser index either side of this therapeutic change. In 389 patients on stable therapy and followed for 4 years, DQOL remained significantly higher in insulin-treated patients (P≤0.005). These findings suggest that, although positive factors including increased support and improved hyperglycaemic symptoms may initially offset unfavourable aspects of insulin self-administration, their effect wanes and a lower QOL Continue reading >>
Quality Of Life In Type 2 Diabetes Mellitus Patients Requiring Insulin Treatment In Buenos Aires, Argentina: A Cross-sectional Study
Background Decision-makers have begun to recognize Health-Related Quality of Life (HRQoL) as an important and measurable outcome of healthcare interventions; and HRQoL data is increasingly being used by policy-makers to prioritize health resources. Our objective was to measure HRQoL in a group of Type 2 Diabetes Mellitus (T2DM) patients receiving insulin treatment in Buenos Aires, Argentina. Methods We conducted a cross-sectional study of patients with T2DM over 21 years of age, treated with either Neutral Protamine Hagedorn (NPH) insulin or Insulin Glargine (IG), who had not changed their baseline schedule in the last 6 months. The recruitment was during 2006–7 in nine private diabetes specialists’ offices in Buenos Aires, Argentina. A standardized diabetes-specific HRQoL questionnaire, the Audit of Diabetes Dependent Quality of Life (ADDQoL), was used. Results A total of 183 patients were included (93 receiving NPH and 90 receiving IG). The mean QoL score was: 0.98 (SD: 0.89) and the diabetes specific QoL was: -1.49 (SD: 0.90). T2DM had a negative impact on HRQoL with a mean Average Weighted Impact (AWI) score on QoL of -1.77 (SD: 1.58). The greatest negative impact was observed for domains: ‘worries about the future’, ‘freedom to eat’, ‘living conditions’, ‘sex life’, and ‘family life’. The mean AWI score was -1.71 (SD: 1.48) in patients treated with IG and -1.85 (SD: 1.68) in patients receiving NPH, this difference was not statistically significant. Conclusion The ADDQoL questionnaire is a tool that can be used in Argentina to measure the QoL of patients with diabetes when evaluating diabetes care programs. The scores of QoL in our selected population did not differ from those reported in high-income countries. We expect that the results of t Continue reading >>
- Relative contribution of type 1 and type 2 diabetes loci to the genetic etiology of adult-onset, non-insulin-requiring autoimmune diabetes
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
The Quality Of Life Improvement In Patients With Type 2 Diabetes In West Of Iran In 2014, An Educational Intervention Study
Background and aims: Diabetes is considered as the most prevalent disease due to metabolic disorders. This study aimed to determine the effect of an educational on the quality of life) QOL( in patients with type 2 diabetes mellitus (T2DM ). Material and methods: This quasi-experimental study was conducted in the form of a pre-test/post-test with intervention. The statistical sample of this study included 70 patients with type 2 diabetes living in the rural areas in the city of Ilam (west of Iran). The data were analyzed using the SPSS software version 20 via descriptive statistics, paired t-student test, independent samples t-student test, and ANOVA. Results: Except social role functioning, all aspects of QOL significantly increased after intervention (p<0.001). Regardless of age groups, gender, and educational level the QOL scores increased at follow -up (p<0.001). Conclusions: Education to patients with type 2 diabetes leads to increased means of all dimensions of QOL that reflect the effects of educational interventions on each domain. 1. World Health Organization. Definition and diagnosis of diabetes mellitus and intermediate Hyperglycemia: WHO/IDF; 2006. Accessed at: 2. Moayeri A, Mohamadpour M, Mousavi SF et al. Fracture risk in patients with type 2 diabetes mellitus and possible risk factors: a systematic review and metaanalysis. Ther Clin Risk Manag 11: 455-468, 2017. 3. Sobhani S, Asayesh H, Sharifi F et al. Prevalence of diabetic peripheral neuropathy in Iran: a systematic review and meta-analysis. J Diabetes Metab Disord 13: 97-105, 2014. 5. World Health Organization. Prevalence of diabetes in the Who Eastern Mediterranean Region Diabetes Program. Accessed Oct 19, 2006. Accessed at: 6. Aghamolaei T, Eftekhar H, Mohammad K et al. Influence of educational inter Continue reading >>
- Type 2 diabetes, socioeconomic status and life expectancy in Scotland (2012–2014): a population-based observational study
- Quality of Life in Women with Gestational Diabetes Mellitus: A Systematic Review
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
Fatigue In Type 2 Diabetes: Impact On Quality Of Life And Predictors
Abstract Fatigue is a persistent symptom, impacting quality of life (QoL) and functional status in people with type 2 diabetes, yet the symptom of fatigue has not been fully explored. The purpose of this study was to explore the relationship between fatigue, QoL functional status and to investigate the predictors of fatigue. These possible predictors included body mass index (BMI), Hemoglobin A1C (HbA1C), sleep quality, pain, number of complications from diabetes, years since diagnosis and depression. Forty-eight individuals with type 2 diabetes (22 females, 26 males; 59.66±7.24 years of age; 10.45 ±7.38 years since diagnosis) participated in the study. Fatigue was assessed by using Multidimensional Fatigue Inventory (MFI-20). Other outcomes included: QoL (Audit of Diabetes Dependent QoL), and functional status (6 minute walk test), BMI, HbA1c, sleep (Pittsburg sleep quality index, PSQI), pain (Visual Analog Scale), number of complications, years since diagnosis, and depression (Beck’s depression Inventory-2). The Pearson correlation analysis followed by multivariable linear regression model was used. Fatigue was negatively related to quality of life and functional status. Multivariable linear regression analysis revealed sleep, pain and BMI as the independent predictors of fatigue signaling the presence of physiological (sleep, pain, BMI) phenomenon that could undermine health outcomes. Continue reading >>
Coping With Diabetes In Adults
Maintaining quality of life (QOL) for people with diabetes is an important challenge in diabetes treatment. Quality of life is a multi-dimensional concept representing an individual’s subjective evaluations of physical, emotional and social well-being. Specific to diabetes, quality of life refers to the impact diabetes and its treatment has on an individual’s physical and psychosocial functioning, health beliefs, and perceived well-being. People value feeling well and most individuals place high priority on maintaining and improving the way they feel; however, for people with diabetes, the rigorous demands of following a complex self-care regimen combined with the risk for developing complications may affect their health beliefs and feelings of well-being. Conditions commonly associated with diabetes such as distress, major depression and elevated depressive symptoms also negatively impact quality of life. Thus, a person’s diabetes-related quality of life is subject to change over time as their disease progresses. People with diabetes face major stressors or crises at different points during the course of their disease[1]. Individuals often struggle to cope effectively with stressors or crises[2], which may be reflected in new or existing social and emotional difficulties that further hamper individuals’ efforts to maintain self-care behaviors, glycemia and overall quality of life[3][4]. Four phases representing different stressors or crises warrant particular mention: 1) Onset of diabetes, 2) Health maintenance and prevention, 3) Onset of complications, and 4) Complications dominate(1) (see Figure 1). Treatment approaches and support by the treatment team typically differ across these phases. Often, individuals may respond to stressors in one of two ways. Indiv Continue reading >>
Complications Of Type 2 Diabetes Affect Quality Of Life, Care Can Lead To Diabetes Burnout
Philadelphia, December 1, 2016 - T2D Lifestyle, a national survey by Health Union of more than 400 individuals living with type 2 diabetes (T2D), reveals that patients not only struggle with commonly understood complications, but also numerous lesser known ones that people do not associate with diabetes. (A summary infographic about the survey is also available.) Managing diabetes on a daily basis can result in emotional stress. While T2D is a chronic health condition it can be controlled. However, control can be complicated by necessary lifestyle changes, often made difficult to maintain as related health conditions increase. Diabetes is a metabolic disorder characterized by high levels of sugar in the blood (or high blood glucose). In 2010 the Centers for Disease Control estimated that diabetes affected 25.8 million people in the U.S. Type 2 diabetes is by far the most common, accounting for more than ninety percent of all diabetes cases. In T2D the production and use of different hormones, predominately insulin, used to control glucose we get from food and convert to energy is affected. The loss of ability to use the produced insulin is called "insulin resistance." In addition to insulin resistance, the body also loses much of its natural ability to produce insulin. The cause of T2D is thought to be a combination of genetic and environmental factors. As a chronic condition, T2D is associated with a long list of complications that can affect health, as well as quality of life. Ninety-three percent of survey respondents said they are afraid of the long-term complications. Some of the issues are commonly known, such as cardiovascular disease and neuropathy. In addition, respondents reported experiencing lesser known complications, such as depression/loneliness (48%), sl Continue reading >>
