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Type II Diabetes and Quality of Life

A Review of the Literature

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Summary

In this review, an attempt was made to describe how non-insulin-dependent diabetes mellitus (NIDDM, type II diabetes) affects the life of the ill person. Patients are affected by and cope with this complex disease in different ways, depending on its severity and complications. Influences on well-being therefore also vary — from none to major deterioration. A substantial proportion of patients are primarily affected with fatigue, anxiety, and depression. Deteriorations in cognitive function have also been documented, although diverging evidence exists. Some negative social circumstances have also been noted. Social support, particularly specific support, appears to be helpful, although self-efficacy and health practices seem to be as important. Resistance to compliance with diabetes regimens together with reactions to the demands for increased levels of physical activity are often seen.

Systematic focused studies examining how patients and significant others perceive the impact of the disease in retrospect are still awaited. There is a great need for more research on type II diabetes; broad prospective longitudinal follow-up studies monitoring natural disease progression, as well as examining the predictive significance of quality of life, would be welcome.

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References

  1. Hörnquist JO. Quality of life. Concept and assessment. Scand J Soc Med 1989; 18: 69–79

    Google Scholar 

  2. Hörnquist JO, Wikby A, Hansson B, et al. Quality of life: status and change (QLsc). Reliability, validity and sensitivity of a generic assessment approach tailored for diabetes. Qual Life Res 1993; 2: 263–79

    Article  PubMed  Google Scholar 

  3. Cox DJ, Gonder-Frederick L. Major developments in behavioural diabetes research. J Consult Clin Psychol 1992; 60: 628–38

    Article  PubMed  CAS  Google Scholar 

  4. Jacobson AM, de Groot M, Samson JA. The evaluation of two measures of quality of life in patients with type I and type II diabetes. Diabetes Care 1994; 17: 267–74

    Article  PubMed  CAS  Google Scholar 

  5. Connell CM, Davis WK, Gallant MP, et al. Impact of social support, social cognitive variables, and perceived threat on depression among adults with diabetes. Health Psychol 1994; 13 (3): 263–73

    Article  PubMed  CAS  Google Scholar 

  6. Leedom L, Meehan WP, Procci W, et al. Symptoms of depression in patients with type 2 diabetes mellitus. Psychosomatics 1991; 32 (3): 280–6

    Article  PubMed  CAS  Google Scholar 

  7. Palinkas LA, Barrett-Connor E, Wingard DL. Type 2 diabetes and depressive symptoms in older adults: a population based study. Diabetes Med 1991; 8: 532–9

    Article  CAS  Google Scholar 

  8. Mayou R, Bryant B, Turner R. Quality of life in non-insulin-dependent diabetes and a comparison with insulin-dependent diabetes. J Psychosom Res 1990; 34: 1–11

    Article  PubMed  CAS  Google Scholar 

  9. Weinberger M, Kirkman MS, Samsa GP, et al. The relationship between glycemic control and health-related quality of life in patients with non-insulin-dependent diabetes mellitus. Med Care 1994; 32 (12): 1173–81

    Article  PubMed  CAS  Google Scholar 

  10. Meneilly GS, Cheung E, Tessier D, et al. The effect of improved glycemic control on cognitive functions in the elderly patient with diabetes. J Gerontol 1993; 48: 117–21

    Article  Google Scholar 

  11. Perlmuter LC, Nathan DM, Goldfinger SH, et al. Triglyceride levels affect cognitive function in non insulin-dependent diabetics. J Diabetes Complications 1988; 2: 210–3

    Article  CAS  Google Scholar 

  12. Reaven GM, Thompson LW, Nahum D, et al. Relationship between hyperglycemia and cognitive function in older NIDDM patients. Diabetes Care 1990; 13: 16–21

    Article  PubMed  CAS  Google Scholar 

  13. Lowe LP, Tranel D, Wallace RB, et al. Type II diabetes and cognitive function. A population-based study of Native Americans. Diabetes Care 1994; 17: 891–6

    Article  PubMed  CAS  Google Scholar 

  14. Mattlar CE, Falck B, Ronnemaa T, et al. Neuropsychological cognitive performance of patients with type-2 diabetes. Scand J Rehabil Med 1985; 17: 101–5

    PubMed  CAS  Google Scholar 

  15. Robertson-Tchabo EA, Arenberg D, Tobin JD, et al. A longitudinal study of cognitive performance in noninsulin dependent (type II) diabetic men. Exp Gerontol 1986; 21: 459–67

    Article  PubMed  CAS  Google Scholar 

  16. Toobert DJ, Glasgow RE. Problem solving and diabetes selfcare. J Behav Med 1991; 14: 71–86

    Article  PubMed  CAS  Google Scholar 

  17. Stretcher VJ, DeVellis BM, Becker MH, et al. The role of selfefficacy in achieving health behavior change. Health Educ Q 1986; 13: 73–91

    Article  Google Scholar 

  18. Tun PA, Nathan DM, Perlmuter LC. Cognitive and affective disorders in elderly diabetics. Clin Geriatr Med 1990; 6: 731–46

    PubMed  CAS  Google Scholar 

  19. Littlefield C, Rodin GM, Murray MA, et al. Influence offunctional impairment and social support on depressive symptoms in persons with diabetes. Health Psychol 1990; 9: 737–49

    Article  PubMed  CAS  Google Scholar 

  20. Johnson SB. Psychosocial factors in juvenile diabetes. J Behav Med 1980; 3: 95–116

    Article  PubMed  CAS  Google Scholar 

  21. Simonds JF. Psychiatric status of diabetic youth in good and poor control. Int J Psychiatry Med 1977; 7: 133–51

    Article  CAS  Google Scholar 

  22. Konen JC, Summerson JH, Dignan MB. Family function, stress, and locus of control. Relationships to glycemia in adults with diabetes mellitus. Arch Fam Med 1993; 2 (4): 393–402

    Article  PubMed  CAS  Google Scholar 

  23. Wilson W, Ary DV, Biglan A. Psychosocial predictors of selfcare behaviours (compliance) and glycemic control in non-diabetic insulin-dependent diabetes mellitus. Diabetes Care 1986; 9: 614–22

    Article  PubMed  CAS  Google Scholar 

  24. Skelly AH. Psychosocial determinants of self-care practices and glycemic control in black women with type II-diabetes mellitus. Thesis PH.D: 277. State University of New York at Buffalo: 1992

  25. Wierenga ME. Life-style modification for weight control to improve diabetes health status. Patient Educ Couns 1994; 23 (1): 33–40

    Article  PubMed  CAS  Google Scholar 

  26. Skyler JS. Diabetes and exercise: clinical implications. Diabetes Care 1979; 2: 307–11

    PubMed  CAS  Google Scholar 

  27. Ackerman SJ. Exercise in NIDDM may be a prescription for protection. Diabetes Care 1992; 15: 136–7

    PubMed  CAS  Google Scholar 

  28. Kaplan RM, Hartwell SL, Wilson DK, et al. Effects of diet and exercise interventions on control and quality of life in non-insulin- dependent diabetes mellitus. J Gen Intern Med 1987; 2: 220–8

    Article  PubMed  CAS  Google Scholar 

  29. Ary DV, Toobert D, Wilson W, et al. Patient perspective on factors contributing to nonadherence to diabetes regimen. Diabetes Care 1986; 9: 168–72

    Article  PubMed  CAS  Google Scholar 

  30. Beebe CA, Pastors JG, Powers MA, et al. Nutrition management for individuals with non-insulin-dependent diabetes mellitus in the 1990s: a review by the Diabetes Care and Education dietic practice group. J Am Diabet Assoc 1991; 91: 196–202, 205–7

    CAS  Google Scholar 

  31. Bardsley MJ, Astell S, McCallum A, et al. The performance of three measures of health status in an outpatient diabetes population. Diabet Med 1993; 10: 619–26

    Article  PubMed  CAS  Google Scholar 

  32. Greenfield S, Kaplan SH, Silliman RA, et al. The uses of outcomes research for medical effectiveness, quality of care, and reimbursement in type II diabetes. Diabetes Care 1994; 17 Suppl. 1: 32–9

    PubMed  Google Scholar 

  33. Nilsson A-M. The experience§ of living with type II diabetes of older persons. [In Swedish: Aldre personers upplevelser av at! leva med sin diabetes, type II]. Paper within the study course of nursing 61–80 points. The institution for nursing. University of Umea, Sweden: 1994

  34. Davis WK, Hess GE, Hiss RG. Psychosocial correlates of survival in diabetes. Diabetes Care 1988; 11: 538–45

    Article  PubMed  CAS  Google Scholar 

  35. Bendtsen P, Hornquist JO. Change and status in quality of life in patients with rheumatoid arthritis. Qual Life Res 1992; 1: 297–305

    Article  Google Scholar 

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Authors and Affiliations

  1. Research Unit of the County of Jämtland, Mid Sweden University, S-831 25, Östersund, Sweden

    Jan Olof Hörnquist

  2. University College of Health Sciences, Hospital of Eksjö-Nässjö, Eksjö, Sweden

    Anders Wikby & Ulf Stenström

  3. Department of Internal Medicine, Hospital of Eksjö-Nässjö, Eksjö, Sweden

    Per-Olof Andersson

  4. Research Unit of Primary Health Care, Centre of Community Medicine, University Hospital, and Department of Community Medicine, Faculty of Health Sciences, University of Linköping, Linköping, Sweden

    Ingemar Åkerlind

Authors
  1. Jan Olof Hörnquist
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  2. Anders Wikby
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  3. Ulf Stenström
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  4. Per-Olof Andersson
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  5. Ingemar Åkerlind
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Hörnquist, J.O., Wikby, A., Stenström, U. et al. Type II Diabetes and Quality of Life. Pharmacoeconomics 8 (Suppl 1), 12–16 (1995). https://doi.org/10.2165/00019053-199500081-00004

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  • DOI: https://doi.org/10.2165/00019053-199500081-00004

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