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[Quality of life with intensive insulin therapy: a prospective comparison of insulin pen and pump].
Psychother Psychosom Med Psychol. 1997 Jul; 47(7):249-54.PP

Abstract

The purpose of the following-study was to identify aspects of quality of life that are particularly affected by the mode of insulin therapy. 55 patients with insulin-dependent diabetes mellitus, who volunteered for a change of their intensive insulin therapy with pen injections to continuous subcutaneous insulin infusion (CSII) were studied 1 month before, and 6 months after, changing to CSII. The DCCT questionnaire was applied, measuring quality of life in the 4 subscales: satisfaction, impact, social/vocational worries, and diabetes related worries, respectively. The results demonstrate that the "satisfaction" subscale was scored significantly higher (p < 0.02), and the "impact" subscale was scored lower (p < 0.02) with CSII therapy. Single items showed that this was due to greater flexibility with leisure-time activities and with diet, and to significantly less problems with hypoglycaemia. The subscales "social/vocational worries" and "diabetes-related worries" were scored unchanged, HbA1c changed only slightly from 7.5% (SD 1.2) to 6.9% (SD 0.9): (p < 0.05). It is concluded that disease-related deficiencies in quality of life (satisfaction, impact) improve considerably in insulin-dependent diabetic patients after changing voluntarily from intensive insulin therapy with pen injections to continuous subcutaneous insulin infusion.

Authors+Show Affiliations

Schiffers T
Diabetesambulanz, Heinrich-Heine-Universität Düsseldorf.

MeSH

AdultDiabetes Mellitus, Type 1FemaleHumansInjections, IntradermalInsulinInsulin Infusion SystemsMaleMiddle AgedPatient SatisfactionProspective StudiesQuality of Life

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

9333836

Citation

Schiffers, T. "[Quality of Life With Intensive Insulin Therapy: a Prospective Comparison of Insulin Pen and Pump]." Psychotherapie, Psychosomatik, Medizinische Psychologie, vol. 47, no. 7, 1997, pp. 249-54.
Schiffers T. [Quality of life with intensive insulin therapy: a prospective comparison of insulin pen and pump]. Psychother Psychosom Med Psychol. 1997;47(7):249-54.
Schiffers, T. (1997). [Quality of life with intensive insulin therapy: a prospective comparison of insulin pen and pump]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 47(7), 249-54.
Schiffers T. [Quality of Life With Intensive Insulin Therapy: a Prospective Comparison of Insulin Pen and Pump]. Psychother Psychosom Med Psychol. 1997;47(7):249-54. PubMed PMID: 9333836.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Quality of life with intensive insulin therapy: a prospective comparison of insulin pen and pump]. A1 - Schiffers,T, PY - 1997/7/1/pubmed PY - 1997/10/23/medline PY - 1997/7/1/entrez SP - 249 EP - 54 JF - Psychotherapie, Psychosomatik, medizinische Psychologie JO - Psychother Psychosom Med Psychol VL - 47 IS - 7 N2 - The purpose of the following-study was to identify aspects of quality of life that are particularly affected by the mode of insulin therapy. 55 patients with insulin-dependent diabetes mellitus, who volunteered for a change of their intensive insulin therapy with pen injections to continuous subcutaneous insulin infusion (CSII) were studied 1 month before, and 6 months after, changing to CSII. The DCCT questionnaire was applied, measuring quality of life in the 4 subscales: satisfaction, impact, social/vocational worries, and diabetes related worries, respectively. The results demonstrate that the "satisfaction" subscale was scored significantly higher (p < 0.02), and the "impact" subscale was scored lower (p < 0.02) with CSII therapy. Single items showed that this was due to greater flexibility with leisure-time activities and with diet, and to significantly less problems with hypoglycaemia. The subscales "social/vocational worries" and "diabetes-related worries" were scored unchanged, HbA1c changed only slightly from 7.5% (SD 1.2) to 6.9% (SD 0.9): (p < 0.05). It is concluded that disease-related deficiencies in quality of life (satisfaction, impact) improve considerably in insulin-dependent diabetic patients after changing voluntarily from intensive insulin therapy with pen injections to continuous subcutaneous insulin infusion. SN - 0937-2032 UR - https://www.unboundmedicine.com/medline/citation/9333836/[Quality_of_life_with_intensive_insulin_therapy:_a_prospective_comparison_of_insulin_pen_and_pump]_ L2 - https://medlineplus.gov/diabetesmedicines.html DB - PRIME DP - Unbound Medicine ER -