Effect of deprescribing in elderly patients with type 2 diabetes: iDegLira might improve quality of life

Abstract Objective: Elderly patients with type 2 diabetes mellitus are highly vulnerable due to serious complications. Thus far, there is little research on the relationship between social support and quality of life, which warrants further exploration of the internal mechanism. This study assessed quality of life and its interfering factors in this patient population.Methods: In total, 571 patients with type 2 diabetes mellitus over 60 years old were recruited from two community clinics in Heilongjiang province, China. We collected data on health status, quality of life, self-management behavior, fasting plasma glucose (FPG) level, and social support. Structural equation modeling and the bootstrap method were used to analyze the data. Results: The average quality of life score was -29.25 ± 24.41. Poorly scored domains of quality of life were “Psychological feeling” (-8.67), “Activity” (-6.36), and “Emotion” (-6.12). Of the 571 patients, 65.32% had normal FPG, 9.8% had high-risk FPG, 15.94% had good self-management behavior, and 22.07% had poor social support. Significant correlations among social support, self-management behavior, FPG level, and quality of life were noted. A multiple mediator model revealed that social support influenced quality of life in three ways: (i) directly (c´ = 0.6549); (ii) indirectly through self-management behavior (a1*b1 = 0.2596); and (iii) indirectly through FPG control (a2*b2 = 0.2825). Self-management behavior influenced quality of life directly and indirectly through FPG control. Conclusion: Improving self-management behavior and monitoring hypoglycemia should become priority targets for future intervention. Scheduled social support to self-management projects should be put into the standardized management procedure. Physicians should provide substantial and individualized support to elderly patients with type 2 diabetes mellitus regarding medication, blood glucose monitoring, and physical exercise.

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Good continuity of care may improve quality of life in Type 2 diabetes

Diabetes Research and Clinical Practice ◽

10.1016/s0168-8227(00)00198-4 ◽

2001 ◽

Vol 51 (1) ◽

pp. 21-27 ◽

Cited By ~ 50

Author(s):

Jouko Hänninen ◽

Jorma Takala ◽

Sirkka Keinänen-Kiukaanniemi

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Continuity Of Care ◽

Improve Quality

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A self-management intervention to improve quality of life and psychosocial impact for people with type 2 diabetes

Journal of Clinical Nursing ◽

10.1111/j.1365-2702.2010.03694.x ◽

2011 ◽

Vol 20 (17-18) ◽

pp. 2655-2665 ◽

Cited By ~ 17

Author(s):

Shu-Fang Vivienne Wu ◽

Shu-Yuan Liang ◽

Tsae-Jyy Wang ◽

Mei-Hui Chen ◽

Yu-Mei Jian ◽

...

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Psychosocial Impact ◽

Self Management ◽

Improve Quality ◽

Management Intervention

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Collaboration Between Interprofessional Healthcare and Patients to Improve Quality of Life Type 2 Diabetes via Smartphone Application

International Journal of Pharmaceutical Research ◽

10.31838/ijpr/2021.13.01.126 ◽

2020 ◽

Vol 13 (01) ◽

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Smartphone Application ◽

Improve Quality ◽

Interprofessional Healthcare ◽

Life Type

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Self-management behavior and fasting plasma glucose control in patients with type 2 diabetes mellitus over 60 years old: multiple effects of social support on quality of life

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01881-y ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Xinye Qi ◽

Jiao Xu ◽

Guiying Chen ◽

Huan Liu ◽

Jingjing Liu ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Social Support ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Elderly Patients ◽

Self Management ◽

Management Behavior

Abstract Objective Elderly patients with type 2 diabetes mellitus are highly vulnerable due to severe complications. However, there is a contradiction in the relationship between social support and quality of life, which warrants further exploration of the internal mechanism. This study assessed the quality of life and its interfering factors in this patient population. Methods In total, 571 patients with type 2 diabetes mellitus over 60 years old were recruited from two community clinics in Heilongjiang Province, China. We collected data on health status, quality of life, self-management behavior, fasting plasma glucose (FPG) level, and social support. Structural equation modeling and the bootstrap method were used to analyze the data. Results The average quality of life score was − 29.25 ± 24.41. Poorly scored domains of quality of life were “Psychological feeling” (− 8.67), “Activity” (− 6.36), and “Emotion” (− 6.12). Of the 571 patients, 65.32% had normal FPG, 9.8% had high-risk FPG, 15.94% had good self-management behavior, and 22.07% had poor social support. Significant correlations among social support, self-management behavior, FPG level, and quality of life were noted. A multiple mediator model revealed that social support influenced quality of life in three ways: (1) directly (c′ = 0.6831); (2) indirectly through self-management behavior (a1*b1 = 0.1773); and (3) indirectly through FPG control (a2*b2 = 0.1929). Self-management behavior influenced the quality of life directly and indirectly through FPG control. Conclusion Improving self-management behavior and monitoring hypoglycemia should become priority targets for future intervention. Scheduled social support to self-management projects should be put into the standardized management procedure. Physicians should provide substantial and individualized support to the elderly patients with type 2 diabetes mellitus regarding medication, blood glucose monitoring, and physical exercise.

Download Full-text