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Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes.

Abstract：

AIMS:To evaluate the health-related quality of life (HRQoL) and functional capacity in relation to glycemic control among older home-dwelling primary care patients. METHODS:Electronic patient records were used to identify 527 people over 65 years with diabetes. Of these, 259 randomly selected subjects were invited to a health examination and 172 of them attended and provided complete data. The participants were divided into three groups based on the HbA1c: good (HbA1c<48mmol/mol (N=95)), intermediate (HbA1c 48-57mmol/mol (N=48)) and poor (HbA1c>57mmol/mol (N=29)) glycemic control. HRQoL was measured with the EuroQol EQ-5D questionnaire. Functional and cognitive capacity and mental well-being were assessed with the Lawton Instrumental Activities of Daily Living (IADL) scale, Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS-15). RESULTS:EQ-5D scores for good, intermediate and poor glycemic control were 0.78; 0.74 and 0.70, p=0.037. Sub-items of mobility (p=0.002) and self-care were the most affected (p=0.031). Corresponding trend was found for IADL, p=0.008. A significant correlation was found between MMSE scores and HbA1c. CONCLUSION:Older primary care home-dwelling patients with diabetes and poorer glycemic control have lower functional capacity and HRQoL, especially in regard to mobility and self-care.

journal_name

Prim Care Diabetes

journal_title

Primary care diabetes

authors

Aro AK,Karjalainen M,Tiihonen M,Kautiainen H,Saltevo J,Haanpää M,Mäntyselkä P

doi

10.1016/j.pcd.2017.07.001

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

577-582

issue

6

eissn

1751-9918

issn

1878-0210

pii

S1751-9918(17)30113-4

journal_volume

11

pub_type

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