Correlation between parameters of self-monitoring of blood glucose and the perception of health-related quality of life in patients with type 1 diabetes mellitus

Paula, Juliana Santos; Braga, Letícia Dinis da C.; Moreira, Rodrigo O.; Kupfer, Rosane

doi:10.1590/2359-3997000000222

Cited by 16 publications

(18 citation statements)

References 25 publications

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“…SMBG is recognized as a valuable tool for diabetes management, having been demonstrated to help patients achieve better biological outcomes, 3-6,13,25-29 and to increase their disease self-awareness and improve on their management strategies, both at a clinical and lifestyle levels. 3,7-11,13,30-34 The results of this 6-month observational study show that SMBG via OneTouch blood glucose meter, with its characteristics, including its color-coded display and easy-to-understand results, contributes to helping not only to improve glycemic control but also to may lead to a better disease self-management.…”

Section: Discussionmentioning

confidence: 91%

Impact on Diabetes Self-Management and Glycemic Control of a New Color-Based SMBG Meter

Schnell

Klausmann

Gutschek

et al. 2017

J Diabetes Sci Technol

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Section: Discussionmentioning

confidence: 91%

Impact on Diabetes Self-Management and Glycemic Control of a New Color-Based SMBG Meter

Schnell

Klausmann

Gutschek

et al. 2017

J Diabetes Sci Technol

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“…Interestingly, glycemic instability emerged as a female-specific factor which adversely affected QoL. Published data are not consistent with the association of QoL and metabolic control, assessed by HbA 1c levels [ 11 , 36 – 39 ], the standard method for assessing glycemic control. However, used as a sole marker of glycemic control, HbA 1c does not reflect intra- and interday glycemic excursions that may lead to hypoglycemia or hyperglycemia events.…”

Section: Discussionmentioning

confidence: 99%

Gender differences in quality of life in adults with long-standing type 1 diabetes mellitus

Castellano-Guerrero

Guerrero

Ruiz-Aranda

et al. 2020

Diabetol Metab Syndr

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Background: To assess gender differences in Quality of life (QoL) and in sociodemographic, clinical and psychological factors associated with impaired QoL in adults with long-standing type 1 diabetes mellitus (DM1). Methods: Cross-sectional evaluation in a random cohort of DM1 adult patients from a tertiary care hospital. QoL was evaluated using translated and validated self-administered Diabetes QoL questionnaire (Es-DQoL), and results transformed into a 0-100 scale. Psychological assessment included a planned psychological interview and self-reported questionnaires (Beck Depression Inventory II, State-Trait Anxiety Inventory Form Y, Fear of hypoglycaemia Scale, Medical Outcomes Study Social Support Survey). Results: A total of 312 patients (51.6% male; 38.2 ± 12.7 years; HbA 1c 7.5 ± 1.1% (58.5 ± 14.2 mmol/mol); 20.4 ± 12.0 years of DM1) were included in the analysis. Male and female subgroups showed similar sociodemographic and diabetes-related features and comparable social support. Among female patients, higher frequency of depression [31.7% (IC95% 26.2-40.8) vs. 14.9% (IC95% 10.1-20.8), p < 0.05] and anxiety [23.2% (IC95% 19.3-33.14) vs. 13.0% (IC95% 8.1-18.4), p < 0.05] and severity of depressive and anxious symptoms were also found. Compared to male patients, female patients showed lower QoL [75 (IC95% 73.6-77.5) vs. 80 (IC95% 75.7-83.1), p < 0.05] and scored significantly worse in subscale Diabetes-related worries [69 (IC95% 50.0-81.0) vs. 75 (IC95% 72.9-79.0), p < 0.05]. Fear of hypoglycemia and severity of depressive and anxious symptoms were factors independently associated to lower QoL in men and women while high frequency of glycemic excursions was a female-specific predictive one. Conclusions: Adult women with long-standing DM1 showed lower QoL probably related to higher frequency and severity of psychopathological syndromes. Depressive and anxious symptoms and, among women, exposure to glycemic excursions were identified as modifiable, QoL-related variables. Educational, technological and psychological interventions are needed in order to improve QoL in DM1 patients.

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“…Some previous studies have reported that because of the aversive nature of hypoglycemic episodes and the associated risk for harm thereof, individuals with T1D can develop a significant FOH, which can negatively affect their QoL. 17,30 Although some extent of fear can be considered appropriate and adaptive given the potential risk of hypoglycemia, it may become life-threatening and challenging for some patients. For these patients, FOH may cause great anxiety about diabetes management, obsessive self-monitoring, deliberate maintenance of high blood glucose levels, co-dependency, feelings of guilt and frustration, a perceived sense of loss of control, embarrassment, relationship stress, and avoidant behavior.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of FreeStyle Libre Flash Glucose Monitoring System on Glycemic Control, Health-Related Quality of Life, and Fear of Hypoglycemia in Patients with Type 1 Diabetes

Hayek

Robert

Dawish

2017

Clin Med Insights Endocrinol Diabetes

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Background/objectives:In the current era of modern technology and the development of smart devices such as the flash glucose monitoring (FGM) systems, patients can easily monitor their glucose levels more frequently without any inconvenience. In this study, we evaluate the effect of FreeStyle Libre FGM system on glycemic control, hypoglycemia, health-related quality of life (QoL), and the fear of hypoglycemia (FOH) among children and young people with type 1 diabetes (T1D).Design and methods:A prospective study was conducted at the Diabetes Treatment Center, Prince Sultan Military Medical City, Riyadh, Saudi Arabia, between January 2017 and May 2017 on 47 (aged 13-19 years) registered patients with T1D who used conventional finger-pricking method for self-testing the glucose. At baseline visit, the FGM sensors were placed on each participant by a trained diabetes educator. The data collected from the sensors were computed to generate the respective ambulatory glucose profiles so as to determine the total number of scans conducted during the study period. At the baseline and at 3 months of the experiment, a trained interviewer administered the questionnaire Hypoglycemia Fear Survey-Child Version (HFS-C) and PedsQL 3.0 (QoL questionnaire) to each patient. The age, sex, weight, height, adjusted body mass index, duration of diabetes, treatment modality, and glycosylated hemoglobin A1c (HbA1c) levels of each patient were recorded.Results:As compared with the baseline, a significant improvement was noted in the behavior of FOH (P = .0001), worry (P = .0001), QoL (P = .002), HbA1c level (P = .008), and hypoglycemia (P = .023) at 3 months. Significant improvement was noted in the behavior (P = .0001), worry (P = .0001), QoL (P = .003), HbA1c level (P = .014), and hypoglycemia (P = .001) among the multiple-dose insulin injection–treated patients as compared with baseline. Significant improvement was noted in the behavior (P = .0001), worry (P = .0001), and hypoglycemia (P = .001) among the insulin pump–treated patients as compared with baseline. A positive correlation was recorded in the behavior (r = .47; P < .001), QoL (r = .70; P < .001), and the mean number of FGM scans. A negative correlation was recorded in the worry (r = −.43; P = .002), HbA1c level (r = −.58; P < .001), hypoglycemia (r = −.65; P < .001), and the mean number of FGM scans.Conclusions:The frequent use of FGM scanning reduced the frequency of hypoglycemia, HbA1c level, and worry and increased the behavior and QoL. As compared with self-testing by the conventional finger-pricking method, the use of FGM increased the frequency of self-testing and thus diabetes control.

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Correlation between parameters of self-monitoring of blood glucose and the perception of health-related quality of life in patients with type 1 diabetes mellitus

Cited by 16 publications

References 25 publications

Impact on Diabetes Self-Management and Glycemic Control of a New Color-Based SMBG Meter

Impact on Diabetes Self-Management and Glycemic Control of a New Color-Based SMBG Meter

Gender differences in quality of life in adults with long-standing type 1 diabetes mellitus

Evaluation of FreeStyle Libre Flash Glucose Monitoring System on Glycemic Control, Health-Related Quality of Life, and Fear of Hypoglycemia in Patients with Type 1 Diabetes

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