Skip to main content
Top
Published in: Diabetology International 2/2021

01-04-2021 | Insulins | Original Article

The diabetes quality of life brief clinical inventory in combination with the management strategies in type 1 diabetes mellitus with or without the use of insulin pump

Authors: Emmanouil S. Benioudakis, Evangelos D. Georgiou, Eirini D. Barouxi, Athanasios M. Armagos, Vaia Koutsoumani, Faidra Anastasiou-Veneti, Eleni Koutsoumani, Maria Brokalaki

Published in: Diabetology International | Issue 2/2021

Login to get access

Abstract

Aims

The aims of this study are to evaluate any differences in the Quality of life among Continuous Subcutaneous Insulin Infusion (CSII) and Multiple Dose Injection (MDI) insulin delivery, applying the Diabetes Quality of life Brief Clinical Inventory (DQoL-BCI) questionnaire, and assess the diabetes management strategies between the two groups.

Methods

One hundred and ten adult participants (male/female ratio 1:2.7) with type 1 diabetes were recruited in this online survey. Forty-eight of them were using CSII and the rest 62 (were using) MDI insulin delivery. A 23-item socio-demographic/diabetes management strategies questionnaire and the 15-item DQoL-BCI were administered.

Results

CSII users scored statistically, significantly better at the satisfaction treatment subscale (p = 0.032) of the DQoL-BCI and emerged that they were implemented more management strategies such as dietician guidance services (p = 0.002), carbohydrate education seminars (p = 0.03). Predictive factors were also detected regarding the HbA1c < 7% (53 mmol/mol) and β-coefficients in relation to DQoL-BCI questionnaire with the subscales of a negative impact and satisfaction treatment.

Conclusion

Diabetes self-management education plays a key role to a better compliance with the treatment. Client-centered multidisciplinary centers in T1DM education are essential so that they be applicable for all T1DM patients irrespective of the type of insulin delivery they used.
Literature
1.
go back to reference International Diabetes Federation. IDF diabetes atlas. 9th ed. Brussels: International Diabetes Federation; 2019. International Diabetes Federation. IDF diabetes atlas. 9th ed. Brussels: International Diabetes Federation; 2019.
31.
go back to reference Gagliardino JJ, Chantelot J-M, Domenger C, Ilkova H, Ramachandran A, Kaddaha G, et al. Diabetes education and health insurance: how they affect the quality of care provided to people with type 1 diabetes in Latin America. Data from the International Diabetes Mellitus Practices Study (IDMPS). Diabetes Res Clin Pract. 2019;147:47–54. https://doi.org/10.1016/j.diabres.2018.08.007.CrossRefPubMed Gagliardino JJ, Chantelot J-M, Domenger C, Ilkova H, Ramachandran A, Kaddaha G, et al. Diabetes education and health insurance: how they affect the quality of care provided to people with type 1 diabetes in Latin America. Data from the International Diabetes Mellitus Practices Study (IDMPS). Diabetes Res Clin Pract. 2019;147:47–54. https://​doi.​org/​10.​1016/​j.​diabres.​2018.​08.​007.CrossRefPubMed
35.
go back to reference Bisanz K, Parker A, Byrne C, Parker AS, Thomas J, Mancino J, et al. Identification of generalist registered dietitian nutritionist knowledge gaps in diabetes medical nutrition therapy compared to diabetes-credentialed registered dietitian nutritionists: results of a survey to inform educational opportunities. J Acad Nutr Diet. 2018;118(7):1312–21. https://doi.org/10.1016/j.jand.2018.01.009.CrossRefPubMed Bisanz K, Parker A, Byrne C, Parker AS, Thomas J, Mancino J, et al. Identification of generalist registered dietitian nutritionist knowledge gaps in diabetes medical nutrition therapy compared to diabetes-credentialed registered dietitian nutritionists: results of a survey to inform educational opportunities. J Acad Nutr Diet. 2018;118(7):1312–21. https://​doi.​org/​10.​1016/​j.​jand.​2018.​01.​009.CrossRefPubMed
36.
go back to reference Marincic PZ, Salazar MV, Hardin A, Scott S, Fan SX, Gaillard PR, et al. Diabetes self-management education and medical nutrition therapy: a multisite study documenting the efficacy of registered dietitian nutritionist interventions in the management of glycemic control and diabetic dyslipidemia through retrospective chart review. J Acad Nutr Diet. 2019;119(3):449–63. https://doi.org/10.1016/j.jand.2018.06.303.CrossRefPubMed Marincic PZ, Salazar MV, Hardin A, Scott S, Fan SX, Gaillard PR, et al. Diabetes self-management education and medical nutrition therapy: a multisite study documenting the efficacy of registered dietitian nutritionist interventions in the management of glycemic control and diabetic dyslipidemia through retrospective chart review. J Acad Nutr Diet. 2019;119(3):449–63. https://​doi.​org/​10.​1016/​j.​jand.​2018.​06.​303.CrossRefPubMed
47.
go back to reference Bergis D, Ehrmann D, Albrecht C, Haak T, Kulzer B, Hermanns N. Comparison of the efficacy of an education program for people with diabetes and insulin pump treatment (INPUT) in a randomized controlled trial setting and the effectiveness in a routine care setting: results of a comparative effectiveness study. Patient Educ Couns. 2019;102:1868–74. https://doi.org/10.1016/j.pec.2019.04.021.CrossRefPubMed Bergis D, Ehrmann D, Albrecht C, Haak T, Kulzer B, Hermanns N. Comparison of the efficacy of an education program for people with diabetes and insulin pump treatment (INPUT) in a randomized controlled trial setting and the effectiveness in a routine care setting: results of a comparative effectiveness study. Patient Educ Couns. 2019;102:1868–74. https://​doi.​org/​10.​1016/​j.​pec.​2019.​04.​021.CrossRefPubMed
Metadata
Title
The diabetes quality of life brief clinical inventory in combination with the management strategies in type 1 diabetes mellitus with or without the use of insulin pump
Authors
Emmanouil S. Benioudakis
Evangelos D. Georgiou
Eirini D. Barouxi
Athanasios M. Armagos
Vaia Koutsoumani
Faidra Anastasiou-Veneti
Eleni Koutsoumani
Maria Brokalaki
Publication date
01-04-2021
Publisher
Springer Singapore
Published in
Diabetology International / Issue 2/2021
Print ISSN: 2190-1678
Electronic ISSN: 2190-1686
DOI
https://doi.org/10.1007/s13340-020-00477-z

Other articles of this Issue 2/2021

Diabetology International 2/2021 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.