Effect of Lifestyle Intervention on Medical Treatment Cost and Health-Related Quality of Life in Type 2 Diabetes Mellitus Patients

Abstract

Diabetes is a costly, lifestyle disorder which increases the burden of disease and deteriorates the Health-Related Quality of Life (HRQOL) of diabetes patients and this study was conducted to assess the effect of lifestyle intervention on medical treatment cost and HRQOL in type 2 diabetes mellitus (T2DM) patients. This quasi-experimental prospective study was conducted in Delhi Diabetes Research Center, New Delhi and included 224 T2DM patients. Patients were divided into LMC and usual care group on the basis of receiving or not receiving lifestyle modification counseling. The follow-up of both groups was done at 6th and 12th months. Collected data were analyzed through IBM, SPSS software v 21 for mean, median (min-max), SD, t-test and Wilcoxon scores (rank sums) test. The results of this study showed a statistically significant reduction in diabetes medication costs, hospitalization and surgery costs in the LMC group as compared to the usual care group. The significant improvement was also observed in HRQOL domains which includes - physical functioning (62.40±6.738 to 83.67 ± 5.4920), physical health (35.30±22.069 to 64.50±13.62), emotional problem (37.90±28.93 to71.46±16.75), energy (54.31±11.858 to 80.75 ± 15.52), emotional well-being (63.06± 9.828 to 85.79±6.36), social functioning (38.848±20.805 to 65.54±8.39) and general health (54.51±11.679 to 82.398± 11.7) at 12th month follow up in LMC group. The ADS score also showed significant improvement in overall HRQOL of LMC group. This study concludes that lifestyle intervention may improve HRQOL and reduce medical treatment cost of T2DM patients.

Types of Nursing Intervention on Improving Quality of Life among Patients with Diabetes Mellitus: A Systematic Review

“…The difference in the cost of hospitalization in DM patients with surgery due to DM complications was higher in a group without lifestyle counseling intervention ( p -value 0.0111). Significant improvement was also found in the quality of life domain, which included physical, emotional, and social functioning [ 5 ].…”

“…To date, many studies have been investigated to improve the QoL of DM patients. A recent study conducted in 2020 described that health education intervention is effective in improving the QoL of DM patients [ 5 ]. The previous investigation also explored that exercise, blood glucose level management, and black garlic consumption can also improve the QoL of DM patients [ 6 ].…”

Quality of Life and Its Association With Time in Range Among People With Type 2 Diabetes Mellitus Following Different Dietary Interventions: A Crossover Clinical Trial

“…The dietary interventions studied were low-carbohydrate or low-fat diets for diabetes-specific QoL. Another study conducted in New Delhi, India, also investigated the effect of lifestyle interventions on health-related QoL, concluding that making lifestyle modifications would improve QoL among T2DM patients [ 25 ]. Similar findings were echoed by another author [ 26 ].…”

Integrative Approach for the Management of Diabetes Mellitus and Cardiovascular Disease

“…Emerging evidence for positive outcomes with certain natural products has been reported in glycemic parameters, cardiovascular risk markers, and quality of life in individuals with type 2 diabetes. [18][19][20][21] E. General Medicine There is evidence of the use of therapeutic modalities such as acupuncture, massage/energy therapy, acupressure and chiropractic and others, as an approach An integrative approach to the treatment of diabetes and its complications. These treatment modalities are collectively known as manual drugs.…”