ABSTRACT
Although several studies indicate that the quality of life of diabetic individuals decreases compared with non-diabetics, fewer studies have evaluated the association between quality of life and glycemic control in these people. The present study was conducted to assess the association between health-related quality of life and glycemic control in people with type 2 diabetes. This cross-sectional study was conducted on 125 type 2 diabetic individuals. Indices of glycemic control [serum concentrations of glucose, fructosamine and insulin, insulin resistance and HbA1c percent] were measured after 12-14 hours of fasting. Health-related quality of life was examined by a 36-item short-form health survey questionnaire [SF-36]. Using logistic regression and considering the confounding variables, the relationship between quality of life scales and glycemic control were evaluated.An inverse significant relationship between fructosamine concentration [p=0.04] and glucose concentration [p=0.04] with the general health scale score was observed. There was also a reverse significant relationship between serum glucose concentration and role limitations due to the physical problems scale score [p=0.02] and between insulin concentration and the physical functioning scale score [p=0.04]. There was a significant relationship between some quality of life scales and glycemic indices, indicating that better glycemic control in diabetic individuals enhances their quality of life
ABSTRACT
The world is facing a dramatic rise in the prevalence of diabetes, most of which is occurring in the low-and middle-income countries. This is having a major impact on the quality of life of hundreds of millions of people and their families. Furthermore, nutrition, especially intakes of fruit and vegetable have important effects on glycemic control and prevention of diabetic complications. The present study was designed to assess the fruit and vegetable consumption in type 2 diabetic patients and their relationship with socio-demographic factors in Tehran. A cross-sectional study was conducted on 367 type 2 diabetic patients. Fruit and vegetable consumption was determined, using 169-item food frequency questionnaire. Information on demography and socio-economic factors was obtained from related questionnaires. Results: Vegetable consumption was significantly lower in retired or jobless patients [p=0.04], and higher in patients who had children [p=0.003]. Also, fruit consumption was significantly higher in patients with 3 or less children. No significant association was observed between fruit or vegetable consumption and education levels, parents' job levels, household size, ethnicity, family income, food expense and duration of living in Tehran. Based on logistic regression, employment was significantly related to the consumption of vegetable [p=0.012]