Changes in the quality of life in patients with type 2 diabetes mellitus according to physician and patient behaviors

Young Joo Kim, In Kyung Jeong, Sin Gon Kim, Dong Hyeok Cho, Chong Hwa Kim, Chul Sik Kim, Won Young Lee, Kyu Chang Won, Jin Hye Cha, Juneyoung Lee, Doo Man Kim

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background: Diabetes mellitus (DM) is the most common chronic metabolic disorder with an increasing prevalence worldwide. According to a previous study, physicians' treatment patterns or patients' behaviors change when they become aware of the risk for cardiovascular (CV) disease in patients with DM. However, there exist controversial reports from previous studies in the impact of physicians' behaviors on the patients' quality of life (QoL) improvements. So we investigate the changes in QoL according to physicians and patients' behavioral changes after the awareness of CV risks in patients with type 2 DM. Methods: Data were obtained from a prospective, observational study where 799 patients aged ≥40 years with type 2 DM were recruited at 24 tertiary hospitals in Korea. Changes in physicians' behaviors were defined as changes in the dose/type of antihypertensive, lipid-lowering, and anti-platelet therapies within 6-month after the awareness of CV risks in patients. Changes in patients' behaviors were based on lifestyle modifications. Audit of Diabetes Dependent Quality of Life comprising 19-life-domains was used. Results: The weighted impact score change for local or long-distance journey (P=0.0049), holidays (P=0.0364), and physical health (P=0.0451) domains significantly differed between the two groups; patients whose physician's behaviors changed showed greater improvement than those whose physician's behaviors did not change. Conclusion: This study demonstrates that changes in physicians' behaviors, as a result of perceiving CV risks, improve QoL in some domains of life in DM patients. Physicians should recognize the importance of understanding CV risks and implement appropriate management.

Original languageEnglish
Pages (from-to)91-102
Number of pages12
JournalDiabetes and Metabolism Journal
Volume44
Issue number1
DOIs
Publication statusPublished - 2020 Feb 1

Keywords

  • Cardiovascular diseases
  • Diabetes mellitus
  • Quality of life
  • Risk management

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism

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