Assessment Of Quality Of Life And Modulating The Diet And Drug Interventions A Paradigm Shift

Abstract

Objectives: We evaluated Quality of Life(QOL) parameter for the care of people with diabetes. Method: We conducted a prospective study and evaluated QOL using QOL Instrument for Indian Diabetes (QOLID) patient's questionnaire, comprising 8 domains, 34 items, in 369 consecutive patients as a single point assessment tool. We calculated percentage score for each domain and mean value formed basis for calculation of weighted score. Descriptive statistics was used for analysis. Results: 369 patients were administered the QOLID (173 males, 196 females). Mean age was 59 years (range 19- 81, SD ± 11,95% Cl 58 to 60). Mean HbAlc was 8.1 % (range 5.3-16, SD ± 1.6,95% Cl 7.9 to 8.3). Notably, 278 patients had HbAlc > 7. 26%. 91 patients had HbAlc <7. Mean duration of diabetes was 11 years (range 0.2 -40, SD ± 7.8,95% Cl 10 to 12). Mean duration of follow up since first visit was 25 months (range 1-44, SD± 12,95% Cl 24 to 27). Mean number of visits were 7.7 (range 1-25, SD± 3.7,95% Cl 7.4 to 8.1). 89.7 % (n=331) were exclusively on OHA, 26 patients were both on OHA and insulin and only 12 patients were exclusively on lifestyle modification.