Quality of life in people hospitalised with type 2 diabetes

A hand holding a pen filling in a questionnaire

A survey has reported quality of life of data from a cohort of hospitalis patients with type 2 diabetes on either oral antidiabetic agents or insulin regimens.

The study used a questionnaire-based instrument – WHOWOL-BREF – to measure quality of life.  The participants had at least 5 years duration of diagnosis and had been hospitalised due to some form of acute crisis.

For type 2 diabetics on insulin:

  • poor glycaemic control, poor diet and co-morbid diseases were associated with low quality of life.
  • frequent attendance of a clinic had a positive association with better quality of life.

For type 2 diabetics on OADs:

  • presence of complications, co-morbid diseases, lack of clinical attendance and poor weight control were associated with low quailty of life
  • good glycaemic control and place of residence were positively associated with better quality of life.

Appraisal hints

Readers of this research are advised to consider:

  • Was the sampling and recruitment procedure unbiased?
  • The sample population was very specific (hospitalised) and therefore the findings may not transfer to a different patient or population.
  • The individual domains within which results weresanalysed.
  • The spread and patterns of patient experience is as important as the “overall association” reported above.
  • The extent to which the study methods addressed patient-important outcomes.

Reference

This is an open access publication, with full-text available for free:

Fal AM, Jankowska B et al.  Type 2 diabetes quality of life patients treated with insulin and oral hypoglycemic medication.  Acta Diabetologica 2011; 48(3): 237-242, DOI: 10.1007/s00592-010-0244-y

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Badenoch

Badenoch
I am an information scientist with an interest in making knowledge from systematic research more accessible to people who need it. This means you. I've been attempting this in the area of Evidence-Based Health Care since 1995. So far the results have been mixed. For some reason we expected busy clinicians to search databases and appraise papers instead of seeing patients. We also expected publishers to make the research freely available to the people who paid for it.. Ha! Hence The National Elf service.

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