Background/Aim: Type 2 diabetic patients (T2DM) have lower quality of life (QoL) compared to the general population. This study was conducted to determine QoL of T2DM patients and analyze factors that affect patients' QoL. Methods: We conducted this cross-sectional study in January to February of 2019 at several primary care health centers (PCHC) in Riyadh, Saudi Arabia. All adult T2DM patients were invited to participate in the study. We used the EQ-5D-3L and EQ VAS tools to determine the patients' health state and their self-rated overall health. Results: A total of 274 T2DM patients were surveyed, 149 (54.4%) were males. The mean age was 59.7 ± 10.4 years. Of the five EQ-5D-5L domains, self-care had the highest proportion that reported no problem (n = 183, 66.8%). The mobility domain had the highest proportion of reported severe problems (n = 37, 13.5%) and extreme problems (n = 7, 2.6%). Nineteen (6.9%) patients reported with a full state of health. The mean EQVAS was 65.9 ± 22.1, with only 24.1% reported as between 81–100%. Females, patients above 75 years old, those who are in the low socioeconomic income, unemployed, widow had lower EQ VAS. Conclusion: Males, with higher socioeconomic status, employed, married and younger patients experience better QoL compared to their counterparts. The overall health related QoL among our diabetic patients is low. These findings suggest improvement of health-related QoL, and more efforts should be invested in patient education particularly among patients who are in the low socioeconomic status, the elderly, females and the unemployed.
Objectives: To assess the prevalence of diabetes-related distress (DRD) among Type 2 diabetics in the diabetic center of King Salman Hospital, Riyadh, Saudi Arabia. Methods: This was an observational descriptive study conducted between December 2019 and January 2020 among T2DM patients followed up at the diabetic clinics of the Diabetic Center of King Salman Hospital in Riyadh, Saudi Arabia. We used the 17-items Diabetes Distress Scale (DDS17) to measure DRD. Results: A total of 399 T2DM patients were included in the study, 58.4% were males. High distress was seen in 40 patients. Multivariate analysis showed that longer duration of diabetes (>15 years), female gender, longer intervals in-between visits (>6 months), and experience of episodes of severe hypoglycemia as the most significant factors related to higher levels of distress. The patients who were diabetics longer than 15 years had an increased risk for high distress by 3.6 times, infrequent clinic visits (longer than 6 months) increased the risk for high distress by 5.3 times×, and patients who experienced severe hypoglycemia had an increased risk for high distress by 5.8 times. Conclusion: This study showed a high (35.6%) prevalence of moderate to severe DRD. Long-standing diabetes, a longer interval of a clinic visit, and severe hypoglycemia increase the risk for DRD by 3.6, 5.3, and 5.8 folds. Health care providers should focus on reducing DRD and devise ways to increase self-care practices and coping skills.
Background: Obesity is a fast-growing global epidemic; it is associated with several comorbidities, including diabetes mellitus, hypertension, and dyslipidemia. Bariatric surgery is increasingly used due to its positive impacts on most of the comorbidities such as type 2 diabetes mellitus in patients with morbid obesity as it improves glycemia, lipids,blood pressure, andinflammation. Aim: To assess the effect of bariatric surgery on diabetic and dyslipidemic patients. Method: This is a retrospective study conducted on diabetic and dyslipidemic patients who underwent bariatric surgery. The study included the data of patients from 2009 to 2018 from KSMC. SPSS was used to analyze the collected data. Results: There were 808 diabetic patients included with a mean ±SD age of 42.1±11.05 years old, and 25 dyslipidemic patients with a mean ±SD age of 45.4±8.2 years. There were 72.4% of diabetic patients and 52% of dyslipidemic patients completed the treatment. Regarding diabetic patients, the outcome of patients was significantly associated with nationality (P˂0.0001) and the mean age of patients (P˂0.0001). The mean age had a significant impact on the outcome of the diabetic patients (P=˂0.0001) and had no effect in the case of the dyslipidemic patients (P=0.37). Conclusion: Bariatric surgery has a significant impact on chronic diseases such as diabetes and dyslipidemia, with a higher impact on diabetes compared to dyslipidemia.
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