open access
Quality of life among patients with type 2 diabetes after insulin therapy introduction: A prospective study
open access
Abstract
Introduction. In case of many patients with type 2 diabetes, despite deterioration of glycaemic control the moment of intensification of treatment is delayed because of barriers to initiating insulin therapy. Aim. The aim of the study was an evaluation of changes on Health Related Quality of Life (HRQoL) after intensification of the treatment among group of type 2 diabetes patients.
Methods. The study involved 52 patients, treated so far by oral anti-diabetic drugs (OAD), for whom insulin was introduced. This group was exposed to 8 (± 1.5) months long observation. HRQoL was measured with questionnaires: EQ-5D, DQL-BCI and DSC-R.
Results. After prospective observation, patients described significant improvement in QoL (EQ-VAS, DSC-R). DQL-BCI score remained unchanged, although detailed analysis showed improvement in treatment satisfaction, improvement in the level of knowledge about diabetes and increase in diabetes-related pain.
Conclusions. Our study confirms the improvement in HRQoL after insulin therapy introduction. The results should encourage to early implementation of intensification of treatment.
Abstract
Introduction. In case of many patients with type 2 diabetes, despite deterioration of glycaemic control the moment of intensification of treatment is delayed because of barriers to initiating insulin therapy. Aim. The aim of the study was an evaluation of changes on Health Related Quality of Life (HRQoL) after intensification of the treatment among group of type 2 diabetes patients.
Methods. The study involved 52 patients, treated so far by oral anti-diabetic drugs (OAD), for whom insulin was introduced. This group was exposed to 8 (± 1.5) months long observation. HRQoL was measured with questionnaires: EQ-5D, DQL-BCI and DSC-R.
Results. After prospective observation, patients described significant improvement in QoL (EQ-VAS, DSC-R). DQL-BCI score remained unchanged, although detailed analysis showed improvement in treatment satisfaction, improvement in the level of knowledge about diabetes and increase in diabetes-related pain.
Conclusions. Our study confirms the improvement in HRQoL after insulin therapy introduction. The results should encourage to early implementation of intensification of treatment.
Keywords
type 2 diabetes, insulin therapy, Health Related Quality of Life, education, treatment satisfaction


Title
Quality of life among patients with type 2 diabetes after insulin therapy introduction: A prospective study
Journal
Issue
Pages
226-231
Published online
2016-02-22
DOI
10.5603/DK.2015.0030
Bibliographic record
Clinical Diabetology 2015;4(6):226-231.
Keywords
type 2 diabetes
insulin therapy
Health Related Quality of Life
education
treatment satisfaction
Authors
Marta Dudzińska
Jerzy S. Tarach
Agnieszka Zwolak
Joanna Malicka
Mariusz Kowalczyk
Joanna Świrska
Jadwiga Daniluk