Abstract
Quality of life is an important outcome to accomplish, representing the final goal for the management of all general diseases. Diabetes mellitus is a chronic general disease with a high prevalence all over the world, mainly in adults and elderly. Patients with diabetes type 2 seem to have a worst quality of life in comparison to healthy ones. The objective of this study was to assess the oral health-related quality of diabetic type 2 patients in relation to general health status, medication and demographic factors. Methods: One hundred and thirty-five patients, 68 type 2 DM and 67 nondiabetic were interviewed. Health-related quality of life was evaluated using the GOHAI questionnaire and related to general health, clinical and sociodemographic variables. Statistical analyses were determined using SPSS 18, t-test, ANOVA test, Pearson’s correlation coefficient for quantitative variables and chi-test for qualitative variables. P value < 0.05 was considered significant. Results: Among the studied population, the mean age was 66 for diabetic patients and 69 for the nondiabetic ones. Females, from rural environment, obese, with more than 7% HbA1C levels reported worse quality of life. Smoking din not influenced significantly the results. Type 2 diabetic patients, with insulin therapy, with more than 10 years duration of disease, with other comorbidity present had lower results in all the three quality of life domains. Conclusion: We found that the quality of life in diabetic type 2 patients was lower in all the domains (psychological, physical, pain) in comparison with nondiabetic persons, but with little difference between study groups.
Highlights
Diabetes is a chronic pancreatic disease which affects many people worldwide
The main goal of this study was to assess the relation between these factors and health related quality of life in type 2 diabetic patients using GOHAI (Geriatric Oral Health Assessment Index) test
As per the study criteria, the 135 patients were included in the study sample, from which 68 (50,4%) with Diabetes mellitus, and 67 (49,6) nondiabetic patients
Summary
Diabetes is a chronic pancreatic disease which affects many people worldwide. The World Health Organization (WHO) estimated that the number of diabetic patients will increase to 439 millions till 2030. The most common form is type 2 diabetes which appears in 90% of individuals with diabetes, summing 10% of population over 65 years old worldwide [1]. The disease is known as the fourth leading cause of death according to WHO [2]. In Romania diabetes is the 7th cause of death with 1.785300 diabetic patients (12,4% of population) [3, 4]. Diabetes mellitus or type 2 diabetes is associated with hyperglycemia and can lead to microvascular complications (nephropathy, neuropathy and retinopathy) and accelerate the macro vascular complications (cardiovascular disease, diabetic foot). Oral changes involve xerostomia and impairment of healing process which lead to plaque accumulation, candidiasis, periodontitis, periodontal abscess, burning mouth syndrome
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