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Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus.
Patient Educ Couns. 2008 Oct; 73(1):50-9.PE

Abstract

OBJECTIVE

The objective of this study was to evaluate the impact of initiation of insulin therapy, metabolic control and structured patient education on the diabetes-related quality of life (QoL) in insulin-treated patients with type 2 diabetes mellitus.

METHODS

This prospective study was conducted with 71 consecutively recruited patients with insulin-treated diabetes at the University hospital. All patients participated an inpatient diabetes treatment and teaching program (DTTP) for conventional insulin therapy (mean age 68.9 years, HbA1c 10.1+/-1.4%, diabetes duration 11.2 years (range: 0-25.5 years), body-mass-index 28.7+/-5.7 kg/m(2). Diabetes-related quality of life was assessed before and 6 months after participation in the DTTP using the standardized questionnaire of Lohr analysing the subscales: social relations, physical complaints, worries about the future, dietary restrictions, fear of hypoglycaemia, and daily struggles.

RESULTS

Only patients switched on insulin therapy showed significant improvement in diabetes-related quality of life 6 months after participation in the DTTP (p=0.03), fewer physical complaints (p=0.03), fewer worries about the future (p=0.02), fewer daily struggles (p=0.01) and less fear of hypoglycaemia (p<0.001), while patients, who were already on insulin therapy showed no improvements in diabetes-related quality of life. Though, residual analysis reveals that effects on patients' QoL are mainly caused by improvements in metabolic control.

CONCLUSIONS

Improvements in metabolic control have a significant effect on different diabetes-related quality of life domains in patients with diabetes mellitus.

PRACTICE IMPLICATIONS

Appropriate interventions resulting in better metabolic control, such as starting on insulin therapy within a structured patient education program seem to be an effective approach to improve patients' diabetes-related quality of life.

Authors+Show Affiliations

Bethanien Hospital, Department of Geriatrics at the University of Heidelberg, Heidelberg, Germany. abraun@bethanien-heidelberg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article

Language

eng

PubMed ID

18583087

Citation

Braun, Anke, et al. "Effects of Metabolic Control, Patient Education and Initiation of Insulin Therapy On the Quality of Life of Patients With Type 2 Diabetes Mellitus." Patient Education and Counseling, vol. 73, no. 1, 2008, pp. 50-9.
Braun A, Sämann A, Kubiak T, et al. Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus. Patient Educ Couns. 2008;73(1):50-9.
Braun, A., Sämann, A., Kubiak, T., Zieschang, T., Kloos, C., Müller, U. A., Oster, P., Wolf, G., & Schiel, R. (2008). Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus. Patient Education and Counseling, 73(1), 50-9. https://doi.org/10.1016/j.pec.2008.05.005
Braun A, et al. Effects of Metabolic Control, Patient Education and Initiation of Insulin Therapy On the Quality of Life of Patients With Type 2 Diabetes Mellitus. Patient Educ Couns. 2008;73(1):50-9. PubMed PMID: 18583087.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus. AU - Braun,Anke, AU - Sämann,Alexander, AU - Kubiak,Thomas, AU - Zieschang,Tania, AU - Kloos,Christof, AU - Müller,Ulrich Alfons, AU - Oster,Peter, AU - Wolf,Gunter, AU - Schiel,Ralf, Y1 - 2008/06/25/ PY - 2007/06/15/received PY - 2008/05/07/revised PY - 2008/05/07/accepted PY - 2008/6/28/pubmed PY - 2008/12/17/medline PY - 2008/6/28/entrez SP - 50 EP - 9 JF - Patient education and counseling JO - Patient Educ Couns VL - 73 IS - 1 N2 - OBJECTIVE: The objective of this study was to evaluate the impact of initiation of insulin therapy, metabolic control and structured patient education on the diabetes-related quality of life (QoL) in insulin-treated patients with type 2 diabetes mellitus. METHODS: This prospective study was conducted with 71 consecutively recruited patients with insulin-treated diabetes at the University hospital. All patients participated an inpatient diabetes treatment and teaching program (DTTP) for conventional insulin therapy (mean age 68.9 years, HbA1c 10.1+/-1.4%, diabetes duration 11.2 years (range: 0-25.5 years), body-mass-index 28.7+/-5.7 kg/m(2). Diabetes-related quality of life was assessed before and 6 months after participation in the DTTP using the standardized questionnaire of Lohr analysing the subscales: social relations, physical complaints, worries about the future, dietary restrictions, fear of hypoglycaemia, and daily struggles. RESULTS: Only patients switched on insulin therapy showed significant improvement in diabetes-related quality of life 6 months after participation in the DTTP (p=0.03), fewer physical complaints (p=0.03), fewer worries about the future (p=0.02), fewer daily struggles (p=0.01) and less fear of hypoglycaemia (p<0.001), while patients, who were already on insulin therapy showed no improvements in diabetes-related quality of life. Though, residual analysis reveals that effects on patients' QoL are mainly caused by improvements in metabolic control. CONCLUSIONS: Improvements in metabolic control have a significant effect on different diabetes-related quality of life domains in patients with diabetes mellitus. PRACTICE IMPLICATIONS: Appropriate interventions resulting in better metabolic control, such as starting on insulin therapy within a structured patient education program seem to be an effective approach to improve patients' diabetes-related quality of life. SN - 0738-3991 UR - https://www.unboundmedicine.com/medline/citation/18583087/Effects_of_metabolic_control_patient_education_and_initiation_of_insulin_therapy_on_the_quality_of_life_of_patients_with_type_2_diabetes_mellitus_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(08)00222-X DB - PRIME DP - Unbound Medicine ER -