Assessment of quality of life of adolescents with endocrine diseases

Appreciation of life′s quality supplements complex medical investigation and make it possible to value child′s state of health and develop rational approach for therapy and rehabilitation. The life quality of 127 patients with obesity and 67 patients with diabetes of the 1st type were investigated. 120 teenagers of the same age and sex who were practically healthy compile the group of control. Questionnaire in life′s quality for children from 13 to 18 years old was used Ped′s QL 4.0 Pediatric Quality of life Questionnaire. It was established that teenagers with diabetes have all the indicators of life′s quality more lower than their contemporaries, specially in physical and social functioning. Children with diabetes of the 1st type, who are on insulin pump therapy have the life′s quality more higher than children receives insulin with the help of autoinjector. The indicators of life′s quality is registered at children who are ill the first year or more than five years. During the investigation of teenagers life′s quality with obesity was get registered that total indices of their life′s quality are significantly lower than at their mates from control group. More significant differences are discovered by indicator panel “Social functioning”. The indices of physical functioning of teenagers with obesity are significantly lower than at healthy mates. Girls comparatively with boys appreciate practically all indicators of life′s quality lower besides school if we compare indicators of life′s quality of teenagers with obesity and diabetes of the 1st type their general indicator is higher than at teenagers with excess weight.

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Insulin Management for Type 1 Diabetic Patients During Social Alcohol Consumption: The SPRITZ Study

Current Diabetes Reviews ◽

10.2174/1573399815666190507121332 ◽

2020 ◽

Vol 16 (6) ◽

pp. 619-627

Author(s):

Elisa Cipponeri ◽

Cesare Blini ◽

Christian Lamera ◽

Valentina De Mori ◽

Giovanni Veronesi ◽

...

Keyword(s):

Quality Of Life ◽

Glycemic Control ◽

Educational Program ◽

Insulin Pump ◽

Insulin Pump Therapy ◽

Pump Therapy ◽

Adult Type ◽

Time To Peak

Background : There is no data available on the best insulin treatment to counteract the effects of glucose excursions due to a moderate alcohol intake associated with portions of slight fat and protein-containing food, as often the case during social happenings or “happy hours”. Introduction: This study analyzes the glycemic control and quality of life in 8 adult type 1 diabetic (T1D) patients on insulin-pump therapy which were invited to consume a traditional Italian aperitif (“Spritz” and chips). Introduction : This study analyzes the glycemic control and quality of life in 8 adult type 1 diabetic (T1D) patients on insulin-pump therapy which were invited to consume a traditional Italian aperitif (“Spritz” and chips). Methods: Patients consumed Spritz aperitif twice: using their habitual bolus, based on carbohydrates (CHO) counting (V1), or with a personalized, advanced bolus (V2) calculated from insulin/Kcal derived from Fats and Proteins (FPU). Post-prandial glucose was continuously monitored; glucose incremental areas (iAUC), glucose peak and time to peak, and estimated change from V1 to V2 from repeated- measures models were computed. Each patient fulfilled validated questionnaires on quality of life, knowledge about diabetes and CHO counting. Results : After the educational program, a reduced iAUC (0-80 min: -306, p=ns; 40-80 min: -400, p=0.07) due to greater (p=0.03) and prolonged double-wave insulin boluses was observed. Blood glucose peak and time to peak were also reduced. Moreover, improvements in the psycho-affective dimension, as well as in the alimentary knowledge were detected. Conclusion: Therefore, a personalized educational program on CHO + FPU counting together with insulin bolus management can improve glycemic control during social consumption of alcohol, with positive reflections on the psycho-affective dimension. Further studies are mandatory to confirm such preliminary results.

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Investigation of quality of life and family burden issues during insulin pump therapy in children with Type 1 diabetes mellitus-a large-scale multicentre pilot study

Diabetic Medicine ◽

10.1111/j.1464-5491.2009.02707.x ◽

2009 ◽

Vol 26 (5) ◽

pp. 493-501 ◽

Cited By ~ 84

Author(s):

E. Müller-Godeffroy ◽

S. Treichel ◽

V. M. Wagner ◽

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Large Scale ◽

Insulin Pump ◽

Insulin Pump Therapy ◽

Family Burden ◽

Pump Therapy

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Generic and disease-specific quality of life in adolescents with type 1 diabetes: comparison to age-matched healthy peers

Journal of Pediatric Endocrinology and Metabolism ◽

10.1515/jpem-2015-0397 ◽

2016 ◽

Vol 29 (7) ◽

Cited By ~ 4

Author(s):

Andrea Lukács ◽

Péter Sasvári ◽

András Török ◽

László Barkai

Keyword(s):

Quality Of Life ◽

Type 1 Diabetes ◽

Glycemic Control ◽

Diabetes Management ◽

Insulin Pump ◽

Insulin Pump Therapy ◽

Regular Exercise ◽

Pump Therapy

AbstractThis study aimed to evaluate the health-related quality of life (HRQoL) of adolescents with type 1 diabetes (T1DM) on the basis of the pediatric quality of life inventory™ (PedsQL™) generic and diabetes-specific modules, and to compare it to that of healthy peers.This retrospective case-control study involved 650 participants between ages of 13 and 19 years including 296 adolescents with T1DM from four diabetes centers and 354 healthy peers matched for age and gender from three different cities of the country. Participants completed the validated PedsQL™ for assessing the HRQoL. The analysis included an independent t-test to compare the means of the total and subscales of the PedsQL™ between boys and girls as well as between a healthy group and a group with T1DM. Gender differences in exercise, insulin therapy modalities were evaluated with the Pearson χAdolescents with T1DM have similar HRQoL in all domains when compared to their healthy counterparts. Females report worse HRQoL regardless of the presence of the disease. Insulin pump therapy facilitates better glycemic control and HRQoL. Regular exercise positively correlates with the generic HRQoL in both groups; however, it has no relationship with glycemic control.Optimal metabolic control and improved HRQoL are the eventual goals of diabetes management. Despite the difficulties, adolescents with diabetes can manage their disease well and live normal lives, similar to their healthy peers. Although diabetes-related problems exist, it seems that regular exercise and staying physically active, as well as promoting insulin pump therapy where it is applicable are related to favorable HRQoL.

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