Influence of the insulin therapy method on the quality of life among adolescents with diabetes mellitus type I

Authors

  • Anna Kubicz Z Instytutu Fizjoterapii Uniwersytetu Rzeszowskiego
  • Lucyna Lisowicz Z Klinicznego Oddziału Pediatrii Szpitala Wojewódzkiego nr 2 w Rzeszowie
  • Barbara Surdej Z Klinicznego Oddziału Pediatrii Szpitala Wojewódzkiego nr 2 w Rzeszowie
  • Bartosz Korczowski Z Instytutu Fizjoterapii Uniwersytetu Rzeszowskiego; Z Klinicznego Oddziału Pediatrii Szpitala Wojewódzkiego nr 2 w Rzeszowie

Keywords:

diabetes mellitus type I, quality of life, continuous subcutaneous insulin infusion

Abstract

Type I diabetes mellitus is a chronic disease which places restrictions on everyday life of those who are afflicted. Higher self-discipline is required of diabetic children and adolescents. New treatment options are still being developed to improve the quality of life and to prevent short-term and long-term diabetes related complications.

The aim of the study was to evaluate the influence of the insulin therapy method on the life quality of adolescents with diabetes mellitus type I.

Material and method: One hundred three patients aged 10-21 years were included into the study and divided into 2 groups: group A — 46 adolescents using continuous subcutaneous insulin infusion by personal insulin pump, and group B — 57 adolescents delivering insulin by multiple daily injections. The patients were asked to respond to 2 questionnaires: PedsQL Generic Core Scales version 4.0 and Diabetes Module PedsQL version 3.0.

Results: quality of life greatly differs (p<0,05) between patients using a personal insulin pump and those using multiple daily insulin injections.

Conclusion: continuous subcutaneous insulin infusion favorably influence the life quality of young people with diabetes mellitus type I.

Downloads

Download data is not yet available.

References

Myśliwiec M., Balcerska A.: Przewlekła choroba somatyczna w życiu i rozwoju dziecka i rozwoju dziecka oraz jego rodziny – cukrzyca, Psychiatria w Praktyce Ogólnolekarskiej 2002, 2, 281–285.

Pop T., Zajkiewicz K., Szpunar P.: Niektóre aspekty jakości życia w okresie dorastania dziewcząt i chłopców z cukrzycą, Przegl. Med. UR. 2003, 1, 39–49.

Zegarlicka-Poręba M., Jarosz-Chobot P., Krajewska-Siuda E., Krajewski-Siuda K., Małecka-Tendera E.: Rozumienie zdrowia przez młodzież chorującą na cukrzycę typu 1 w oparciu o własne kryteria, Endokrynol. Diabetol. Chor. Przemiany Materii Wieku Rozw., 2003, 9, 1, 23–28.

Varni J.W., Seid M., Rode C.A.: The PedsQL: measurement model for the pediatric quality of life inventory, Med Care 1999, 37, 2, 126–139.

Varni J.W., Burwinkle T.M., Jacobs J.R., Gottschalk M., Kaufman F., Jones K.L.: The pedsQLTM in type 1 and type 2 diabetes reliability and validity of the pediatric quality of life inventoryTM generic core scales and type 1 diabetes module, Diabetes Care 2003, 26, 631–637.

Przybyszewski B., Czerwionka-Szaflarska M., Żbikowska-Bojko M.: Analiza jakości życia dzieci i młodzieży chorych na cukrzycę typu 1 leczonych za pomocą ciągłego podskórnego wlewu insuliny, Pediatr. Pol. 2008, 83, 54–62.

Boland E.A., Grey M., Oesterle A., Fredrickson L., Tamborlane W.V.: Continuous subcutaneous insulin infusion: a new way to lower risk of severe hypoglycemia, improve metabolic control, and enhance coping in adolescents with type 1 diabetes, Diabetes Care 1999, 22, 11, 1779–1784.

Minika-Pędras M., Muchacka-Bianga M., Jarosz-Chobot P., Koehler B.: Doświadczenia własne w leczeniu dzieci z cukrzycą typu 1 ciągłym podskórnym wlewem insuliny (doniesienie wstępne), Diabetologia Doświadczalna i Kliniczna 2002, 2, 3, 217–220.

Weintrob N., Benzaquen H., Shalitin S., Lazar L., Fayman G., I in.: Comparison of subcutaneous insulin infusion and multiple daily injection regiments in children with type 1 diabetes: a randomized open crossover trial, Pediatrics 2003, 112, 3, 559–564.

Noczyńska A., Wąsikowa R.: Pacjenci z cukrzycą typu 1 leczeni osobistymi pompami insulinowymi. Ocena efektu leczenia oraz komfortu życia, Przewodnik Lekarza 2002, 5, 11/12, 54–61.

Korpal- Szczyrska M., Kamińska H., Dorant B., Birholz D., Wieczorek D.: Problemy psychologiczne młodzieży chorej na cukrzycę typu 1, Diabetologia Polska 2002, 9, 121–125.

Fisher L.K., Halvorson M.: Future developments in insulin pump therapy: progression from continuous subcutaneous insulin infusion to a sensor-pump system, Diabetes Educator 2006, 32, 47S-52S.

Owen S.: Pediatric pumps: barriers and breakthroughs, Diabetes Educator 2006, 32, 29S-38S.

WHO, Quality of life, Special report, 1992.

Grey M., Boland E.A., Yu C., Sullivan-Bolyai S., Tamborlane W.V.: Personal and family factors associated with quality of life in adolescents with diabetes, Diabetes Care 1998, 21, 909–914.

Delamander A.M.: Quality of life in youths with diabetes, Diabetes Spectrum 2000, 13, 23–27.

Madsen S.D., Roisman G.I., Collins W.A.: The intersection of adolescent development and intensive intervention: age-related psychosocial correlates of treatment regimens in the diabetes control and complication trial, J. Pediatr. Psychol. 2002, 27, 451–459.

Laffel L.M.B., Connell A., Vangsness L., Goebel-Fabbri A., Mansfield A., Anderson B.J.: General quality of life in youth with type 1 diabetes. Relationship to patient management and diabetes-specific family conflict, Diabetes Care 2003, 26, 3067–3073.

Hesketh K.D. Wake M.A., Cameron F.J.: Health-related quality of life and metabolic control in children with type 1 diabetes: A prospective cohort study, Diabetes Care 2004, 27, 415–420.

Wilson D.M. Buckingham B.A., Kunselman E., Sulivan M.M., Paguntalan H.U., Gitelman S.E.: A two-center randomized controlled feasibility trial of insulin pump therapy in young children with diabetes, Diabetes Care 2005, 28, 1, 15–19.

Valenzuela J.M., Patino A.M., McCullough J., Ring C., Sanchez J., Eidson M., Nemery R., Delamater A.M.: Insulin pump therapy and health-related quality of life in children and adolescents with type 1 diabetes, J. Pediatr. Psychol. 2006, 31, 650–660.

Weintrob N., Shalitin S., Phillip M.: Why pumps? Continuous subcutaneous insulin infusion for children and adolescents with type 1 diabetes, IMAJ 2004, 6, 271–275.

Downloads

Published

2008-06-30

How to Cite

Kubicz, A., Lisowicz, L., Surdej, B., & Korczowski, B. (2008). Influence of the insulin therapy method on the quality of life among adolescents with diabetes mellitus type I. European Journal of Clinical and Experimental Medicine, 6(2), 170–174. Retrieved from https://journals.ur.edu.pl/ejcem/article/view/13258

Issue

Vol. 6 No. 2 (2008): Medical Journal of the Rzeszow University

Section

ORIGINAL PAPERS

License

Copyright (c) 2008 Medical Journal of the Rzeszow University

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Our open access policy is in accordance with the Budapest Open Access Initiative (BOAI) definition: this means that articles have free availability on the public Internet, permitting any users to read, download, copy, distribute, print, search, or link to the full texts of these articles, crawl them for indexing, pass them as data to software, or use them for any other lawful purpose, without financial, legal, or technical barriers other than those inseparable from having access to the Internet itself.

All articles are published with free open access under the CC-BY Creative Commons attribution license (the current version is CC-BY, version 4.0). If you submit your paper for publication by the Eur J Clin Exp Med, you agree to have the CC-BY license applied to your work. Under this Open Access license, you, as the author, agree that anyone may download and read the paper for free. In addition, the article may be reused and quoted provided that the original published version is cited. This facilitates freedom in re-use and also ensures that Eur J Clin Exp Med content can be mined without barriers for the research needs.