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Original Research



A Comprehensive Guide to Interpreting Quality of Life in Elderly patients with Controlled and Uncontrolled Diabetes

Mohd Shakir Hussain,Sartaj Hussain,Arun Jakhar,Kauser Usman,K.K Sawlani,Sanjay Khattri.




Abstract

Background: Because old adults with Type 2 diabetes are associated with an increase in mortality and complications when compared to young diabetics and non-diabetic people of the same age group, the elderly are at a high risk for this condition. Diabetes affected nearly 19 million people in 2010, accounting for 26.9% of all those in this age range. The most important factor in determining a person's level of health is their quality of life (QOL).
Aim and Objectives: The aims of this study are to determine the Quality of Life (QOL) in controlled and uncontrolled geriatric type 2 diabetes mellitus patients receiving antidiabetic drug therapy using the World Health Organization Quality of Life – BREF (WHOQOL-BREF) and Appraisal of Diabetes Scale (ADS) questionnaire.
Materials and Methods: This prospective, cross-sectional, observational study began following ethical approval. The study covered 182 patients. Categorical data were compared using the chi-square test, whilst normally distributed continuous data were examined using the unpaired t-test. The odd ratios for quality-of-life impairment were determined using univariate binary logistic regression analysis (QOL).
Results: Across the groups of people with controlled and uncontrolled diabetes, there were significant differences in family structure and marital status (p 0.05). When compared to the group with controlled diabetes (133.55±49.01 and 6.16±0.33) the FPG and HbA1c were considerably higher in the uncontrolled diabetes group (154.73±55.18 and 7.81±1.11). In the two groups, there was a substantially different duration of diabetes mellitus (p=0.004).
Conclusions: There were significant variations in the mean age, HbA1c (%), FPG, and duration of diabetes mellitus and widowed patients between the uncontrolled and controlled diabetes groups, resulting in a reduced quality of life in uncontrolled diabetes patients.

Key words: Quality of life (QOL), Elderly, HbA1c, FPG, Type 2 DM






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