Characteristics, Antihyperglycemics Utilization, and Quality of Life in Patients with Type 2 Diabetes Mellitus Admitted to a Primary Health Center

Abstract

Abstract. This study aimed to assess the characteristics, utilization of antihyperglycemic drugs, and to analyze the quality of life (QOL) in type 2 diabetes mellitus (T2DM) patients. This two-month prospective descriptive cross-sectional study was undertaken by distributing the European Quality of Life - 5 Dimensions 3 Level (EQ-5D-3L) questionnaire to the patients with T2DM (n=50) admitted to Helvetia primary health center Medan to assessed their QOL. The patients’ characteristics and the utilization of antihyperglycemic drugs were assessed from the patients’ medical records using a self-designed questionnaire. The inclusion criteria were T2DM patients with age of 18 years or older, had no mental disorders, and agreed to sign the informed consent. The patients’ characteristics, their QOL, utilization of antihyperglycemic drugs, and association among their characteristics and QOL were analyzed using descriptive and Chi-Square tests. All analyses were performed using the Statistical Package for the Social Sciences (SPSS, version 19, Chicago, IL, USA) (p value <0.05 was considered significant). It was found that the mean age of the T2DM patients was 59.70 ± 10.44 (years). Most (66%) of them were females. Majority (80%) of the patients graduated from primary to senior high schools. Nearly half (44%) of the patients was provided glibenclamide. The mean QOL of the patients was 0.79 ± 0.14. There was no significant association between the patients’ QOL and their characteristics (p values >0.05). This study proved that most of the T2DM patients were females. Glibenclamide was the most frequently prescribed drug for the patients. The QOL of the patients was 79% of full health.
 Keyword: Antihyperglycemic Drugs , EQ-5D, QOL, T2DM

Impact of Pharmacist Intervention on Improving the Quality of Life of Patients with Type 2 Diabetes Mellitus

“…By age, most of the T2DM patients were at the age range of 56-65 years and older. There was a similar study conducted in Helvetia primary health centre in Medan, Indonesia [16], in the rural areas of Kumarapalayam, India [17] and Alimosho general hospital, Nigeria [18]. This finding also supported the statement of the American Diabetes Association, that people at the age of 45 years or older are more prone to develop T2DM [22].…”

“…Most of them (67%) were females. A study on T2DM patients conducted in Indonesia also revealed that most (66%) of T2DM patients were females [16]. Previous studies undertaken in India in the rural areas of Kumarapalayam and Alimosho general hospital, Nigeria revealed that the proportion of female T2DM patients were 60% and 72,4%, respectively [17], [18].…”

Normal Fasting Blood Sugar Levels and Medication Adherence Improve the Quality of Life of Type 2 Diabetes Mellitus Patients in Primary Health Facilities

“…Research in Singapore and Indonesia shows that both hypoglycemia and hyperglycemia conditions are associated with a decrease in the QOL of DM patients [31,32]. Factors that play a role in failure of blood glucose control such as patients' medication adherence need to be considered in the care of DM patients in the primary health center (PHC) [33]. Blood glucose levels that are not appropriately controlled can cause both acute and chronic complications.…”