Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus

Braun, Anke; Sämann, A.; Kubiak, Thomas; Zieschang, Tania; Kloos, C; Müller, Ulrich A.; Oster, P.; Wolf, Günter; Schiel, Ralf

doi:10.1016/j.pec.2008.05.005

Cited by 45 publications

(30 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in a prospective, multicentre, randomized, open label, crossover study conducted in Holland, no differences were found between patients initiating insulin glargine and insulin NPH regarding QoL [23]. Initiation of insulin therapy in connection with structured education demonstrated a significant improvement in metabolic control, which was associated with positive changes in several domains of QoL [24].…”

Section: Discussionmentioning

confidence: 93%

Association between insulin therapy and quality of life in diabetes

Dąbrowski¹,

Filip²,

Huc³

2017

J Pre Clin Clin Res.

View full text Add to dashboard Cite

Introduction. Diabetes is associated with a lower quality of life (QoL). Insulin therapy is perceived as an additional factor affecting QoL. The objective of this study, using standardized tools, was to evaluate to what extent insulin treatment has an effect on QoL in diabetes. Materials and method. 60 diabetic patients treated with insulin and 90 with oral drugs, all aged over 30, were included into the study. To assess the QoL of patients, SF-36 v.2 and WHOQOL-BREF questionnaires were used. In addition, demographic data were collected. Results. Insulin treated patients had a significantly lower Mental Component Score in SF-36 v.2 questionnaire. No significant differences between the two groups were found in the components of physical domain of SF-36 v.2 and in four domains of WHOQOL-BREF questionnaires. Insulin therapy was significantly associated with lower educational level. The strongest association with QoL in both questionnaires was found for professional activity and age. Conclusions. The results of this study indicate the need for psychological support for patients with diabetes treated with insulin to improve their mental coping. Diabetic patients should also be advised to continue their professional activity for as long as possible due to its important role in maintaining QoL.

show abstract

Section: Discussionmentioning

confidence: 93%

Association between insulin therapy and quality of life in diabetes

Dąbrowski¹,

Filip²,

Huc³

2017

J Pre Clin Clin Res.

View full text Add to dashboard Cite

show abstract

“…The younger the age of a patient, the better it is to achieve diabetes control after attendance at educational programs. [14,15] Possible explanations for this observation include older patients' inability to sufficiently follow the variety of subjects of such educational programmes for type 2 DM due to impaired vision, inability to hear or remember well enough, as well as due to potential diabetes complications. [15] 4.2 BMI According to the results of the present study, there was a statistically significant reduction in BMI of the participants.…”

Section: Hba1cmentioning

confidence: 99%

“…[14,15] Possible explanations for this observation include older patients' inability to sufficiently follow the variety of subjects of such educational programmes for type 2 DM due to impaired vision, inability to hear or remember well enough, as well as due to potential diabetes complications. [15] 4.2 BMI According to the results of the present study, there was a statistically significant reduction in BMI of the participants. On the contrary, in a study on the effectiveness of health education and promotion programmes based on changing the BMI in patients with type 2 DM, Salinero-Fort et al (2011) reported that there was no statistically significant reduction in BMI between the two study groups (intervention and control).…”

Section: Hba1cmentioning

confidence: 99%

Group-based education for people with type 2 diabetes mellitus in Greece: An observational study

Merakou

Knithaki²,

Karageorgos

et al. 2015

JNEP

View full text Add to dashboard Cite

Objective: The objective of this study is the assessment of the impact of a brief patient group education intervention (Conversation Maps TM ) in people with type 2 Diabetes Mellitus.Methods: A total of 138 people with type 2 Diabetes Mellitus who were regular patients at the diabetic clinic of a Primary Health Care setting in Attica participated in the study. The intervention group attended a structured group, brief educational programme (three sessions of two hours each). The main outcome measures were glycated hemoglobin (HbA1c), Body Mass Index (BMI), triglycerides, High-density lipoprotein (HDL), Low-density lipoprotein (LDL), measured at baseline and six months after the intervention. Results: After 6 months, significant reductions were observed between the baseline and follow-up data in HbA1c (p < .001) in BMI (p < .007) in triglycerides (p < .003), in LDL-cholesterol (p < .001), while the mean HDL-cholesterol remained stable (p = .397). Conclusions: Group-based patient education with Conversation Maps TM for people with type 2 diabetes is effective in the improvement of clinical outcomes.

show abstract

“…First, it is important to discuss in detail with the patient her/his concerns regarding insulin and to dispel common misconceptions [19]. It is important to inform the patient that initiation of insulin treatment not only improves glycemic control but was also shown to improve the quality of life, mostly due to improved glycemic control [20,21]. Patients starting insulin also appear to be more satisfied with insulin than with oral antidiabetic treatment and to be more willing to recommend this treatment to other patients [9,22].…”

mentioning

confidence: 99%

Barriers to insulin treatment in patients with type 2 diabetes mellitus

Τζιόμαλος

2017

Expert Opinion on Pharmacotherapy

View full text Add to dashboard Cite

Effects of metabolic control, patient education and initiation of insulin therapy on the quality of life of patients with type 2 diabetes mellitus

Cited by 45 publications

References 20 publications

Association between insulin therapy and quality of life in diabetes

Association between insulin therapy and quality of life in diabetes

Group-based education for people with type 2 diabetes mellitus in Greece: An observational study

Barriers to insulin treatment in patients with type 2 diabetes mellitus

Contact Info

Product

Resources

About