Abstract
Diabetic complications, comorbidities, and cost of treatment affect the quality of life (QoL) of an individual. The QoL assessment is considered an important measure of outcome in chronic disease management. The objective of our study was to assess the quality of life in Type II diabetes mellitus patients with and without complications using the modified diabetes quality of life (MDQoL)-17. A prospective descriptive study was conducted over 6 months, after taking ethical committee approval. As per the inclusion criteria from medicine wards of tertiary care hospital, 250 patients were selected. Demographic characteristics were documented in the data collection form and the patients were administered with the MDQoL questionnaire in different languages. The data was analyzed using IBM SPSS version 20. Majority of the patients were male (64.4%). The average age of the study population was 60.34±12.04 years. Most of the patients had a diabetes history of more than 10 years and HbA1c > 8%. The average QoL score was 65.47±15.07. Majority of the diabetic patients had the QoL score between 70 and 50. Patients without complication had a better QoL. As the number of complications increased, there was a decrease in the QoL. The presence of comorbidity also decreased the QoL. There was a statistically significant correlation with various parameters such as age, duration of diabetes history, HbA1c, number of complications and type of complication verses QoL of diabetic patients (p<0.05). The overall QoL in diabetic patients is reduced. Thus, proper management and strict glycemic control is necessary to prevent progression and occurrence of complications to maintain a better QoL in diabetes patients.
Highlights
The quality of life (QoL) in general is decreased in diabetic patients regardless of the gender
Among the 250 Diabetic patients enrolled, the majority of them were male, the mean age of diabetic patients was 60.34±12.04 years, and majority had a history of diabetes for more than 10 years
Most of the patients [106(42.4%)] had a moderate QoL score between 50 and 70.There are various factors such as age of the patient, duration of history of diabetes, and HbA1c significantly reduce the QoL of diabetic patients (p
Summary
The quality of life (QoL) in general is decreased in diabetic patients regardless of the gender. The patients with complications of diabetes mellitus suffer from a variety of lifestyle problems. In the end, it affects the renal system by causing nephropathy, vision loss, heart problems, erectile dysfunction, and peripheral neuropathies affecting the QoL. Rubin et al (1999) stated in their study that the According to the result of International Diabetes Federation (2015), there are 415 million people worldwide suffering from diabetes and 78.3 million are from South East Asia. India is the second largest worldwide with diabetes population, after China (International Diabetes Federation, 2015).
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