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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

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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.

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Acknowledgements

The authors would like to acknowledge George Dimitriadis, Professor and Chairman of the 2nd Department of Internal Medicine, Research Institute and Diabetes Center, Athens University Medical School “Attikon” University Hospital and President of the Hellenic Diabetes Society.

Funding

The authors received no funding from an external source.

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Authors and Affiliations

  1. Department of Psychology, University of Crete, Rethimno, Greece

    Emmanouil S. Benioudakis, Vaia Koutsoumani & Eleni Koutsoumani

  2. Psychiatric Clinic, General Hospital of Chania, Chania, Greece

    Emmanouil S. Benioudakis

  3. Statistical Methods in Medicine and Pharmacy, Athens University of Economics and Business, Athens, Greece

    Evangelos D. Georgiou

  4. Department of Psychology, University of Cyprus Centre for Field Studies, University of Cyprus, Nicosia, Cyprus

    Evangelos D. Georgiou

  5. Health Psychology, University of Crete, Rethimno, Greece

    Eirini D. Barouxi & Athanasios M. Armagos

  6. Psychiatric Clinic, Naval Hospital of Athens (NNA), Athens, Greece

    Athanasios M. Armagos

  7. Department of Psychology, Panteion University of Social and Political Sciences, Athens, Greece

    Faidra Anastasiou-Veneti

  8. Nutrition and Dietetics, Technological Educational Institute of Crete, Sitia, Greece

    Maria Brokalaki

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  1. Emmanouil S. Benioudakis
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Contributions

(1) ESB designed the study, performed literature search, and wrote the manuscript, he is also the guarantor of this work and takes responsibility for the integrity of the data presented (2) VG analyzed the data, (3) EDB, VK, FA-V, EK and MB performed the literature search and wrote the manuscript (4). All authors approved the final submitted version.

Corresponding author

Correspondence to Emmanouil S. Benioudakis.

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The authors declare no conflict of interest.

Ethics approval

The study was conducted according to the guidelines of the Declaration of Helsinki and all procedures were approved by the ethical committee of the General Hospital of Chania and the Regional Health Directorate of Crete (Ref. No. 13805). Approval Date: 01/10/2019.

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Benioudakis, E.S., Georgiou, E.D., Barouxi, E.D. et al. 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. Diabetol Int 12, 217–228 (2021). https://doi.org/10.1007/s13340-020-00477-z

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