Advertisement

Quality of Life Among Diabetic Subjects: Indian Perspectives

  • K. Vijayakumar
  • R. T. Varghese
Reference work entry

Abstract:

The ultimate aim of any health care giver is to relieve suffering and improve the  quality of life (QOL) of the patients. Diabetes, both due to its chronic nature and multisystemic involvement seriously affect the QOL of the patient and to an extent that of the bystanders too.

Developing countries like India are witnessing a rapid surge in the prevalence of lifestyle diseases including diabetes. Given the ethnic predisposition of Indians to develop diabetes and to have poor Health Related Quality of Life (HRQOL), as evidenced by various studies, more efforts must be taken to tackle this problem of diabetes and the burden it places. The development of complications worsens the suffering and the burgeoning cost on disease management further worsens the QOL.

Measures to improve QOL in Indian diabetic subjects deserves special mention in the light of the fact that India could well be the diabetes capital of the world unless serious measures are taken to stop the diabetic epidemic.

This chapter deals with the quality of life among diabetic subjects in the Indian perspective. We have also dealt with the factors affecting QOL in these subjects. The role of demographic and socioeconomic factors, patient education, behavioral factors, psychological factors, co morbidities, complications and treatment regime on QOL have been dealt in detail. An effort is also made to evaluate QOL in type 1 diabetes and gestational diabetes.

Keywords

Diabetic Subject Painful Diabetic Neuropathy Camel Milk Lower Socioeconomic Group Oral Insulin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

DM

 diabetes mellitus

HRQOL

health related quality of life

QOL

quality of life

Notes

Acknowledgment

We are grateful to Dr P.R. Venketaraman, St Albert’s College, Ernakulam, Kerala, India for his valuable suggestions and criticisms which have helped us in improving this article.

References

  1. Aaron V. (2004). J Clin Endocrinol Metabol. 90: 4936–4945.Google Scholar
  2. Adachi H, Oyamada T. (2006). QLR J. A-68, Abstract #1294.Google Scholar
  3. Adepu R, Rasheed A, Nagavi BG. (2007). Indian J Pharm Sci. 69: 519–524.CrossRefGoogle Scholar
  4. Agrawal RP, Aradhana, Hussain Sabir, Beniwal R, Sabir M, Kochar DK, Kothari RP. (2003). Int J Diab Dev Countries. 23: 130–134.Google Scholar
  5. Agrawal RP, Choudhary R, Sharma P, Sharma S, Beniwal R, Kaswan K, Kochar DK. (2007). Diabet Res Clin Pract. 77: 161–167.CrossRefGoogle Scholar
  6. Alberti KGMM, Zimmet P, Shaw J. (2007). Diabet Med. 24: 451–463. doi: 10.1111/j.1464–5491.2007.02157.PubMedCrossRefGoogle Scholar
  7. Alon Y. Avidan, Phyllis C. Zee (2006). Handbook of Sleep Medicine. Lippincott Williams and Wilkins, Philadelphia, PA.Google Scholar
  8. Baba CS, Alexander G, Kalyani B, Pandey R, Rastogi S, Pandey A, Choudhuri G. (2006). J Gastroenterol Hepatol. 21(1p1): 191–198. doi: 10.1111/j.1440–1746.2005.04233.x.CrossRefGoogle Scholar
  9. Bakewell AB, Higgins RM, Edmunds ME. (2001). Nephrol Dial Transplant. 16: 1395–1401.PubMedCrossRefGoogle Scholar
  10. Beydoun A, Kobetz SA, Carrazana EJ. (2004). Clin J Pain. 20: 174–178.PubMedCrossRefGoogle Scholar
  11. Boulton AJM, Vileikyte L, Ragnarson-Tennvall G, Apelqvist J. (2005). Lancet. 366: 1719–1724.PubMedCrossRefGoogle Scholar
  12. Brandle M, Zhou H, Smith BRK, Marriott D, Burke R, Tabaei BP, Brown MB, Herman WH. (2003). Diabetes Care. 26: 2300–2304.PubMedCrossRefGoogle Scholar
  13. Ceglia L, Lau J, Pittas AG. (2006). Ann Intern Med. 145: 665–675.PubMedGoogle Scholar
  14. Chowdhury S. (2004). J Indian Med Assoc. 102: 554–556.PubMedGoogle Scholar
  15. Damodaran A, Malathi A, Patil N, Suryavansihi N, Marathe S. (2002). J Assoc Phys India. 50: 633.Google Scholar
  16. Das AK, Joshi SR. (2005). J Assoc Phys India. 53: 1.Google Scholar
  17. De Berardis G, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, Kaplan SH. (2002). Diabetes Care. 25: 284–291.PubMedCrossRefGoogle Scholar
  18. de Visser CL, Bibo HJ, Groenier KH, de Visser W, Jong Meyboom-de B. (2002). Qual Life Res. 11: 249–261.PubMedCrossRefGoogle Scholar
  19. Dowse GK, Gareeboo H, Zimmet PZ, Alberti KG, Tuomilehto J, Fareed D, Brissonnette LG, Finch CF. (1990). Diabetes. 39: 390–396.PubMedCrossRefGoogle Scholar
  20. Epple C, Wright AL, Joish VN, Bauer M. (2003). Diabetes Care. 26: 2829–2834.PubMedCrossRefGoogle Scholar
  21. Erdemoglu AK, Varlibas A. (2006). Neurol India. 54: 173–177.PubMedGoogle Scholar
  22. Ganesan VS, Balaji V, Seshaiah V. (1994). Int J Diab Dev Countries. 14: 119–128.Google Scholar
  23. Gayathri B. (2001). J Indian Acad Clin Med. 2: 270–275.Google Scholar
  24. Greenfeld S, Kaplan SH, Kahn R, Ninomiya J, Griffith JL. (2002). Ann Intern Med. 136: 111–121.Google Scholar
  25. Guleria S, Aggarwal S, Bansal VK, Varma MC, Kashyap L, Tandon N, Mahajan S, Misra MC. (2005). Natl Med J India. 18: 18–19.PubMedGoogle Scholar
  26. Gutierrez-Alvarez AM, Beltrán-Rodríguez J, Moreno CB. (2007). J Pain Symptom Manag. 34: 201–208.CrossRefGoogle Scholar
  27. Hoerger M, Brandle K, Hicks S, Sorensen P, Zhang RF, Hamman RT, Ackermann MM, Engelgau Ratner RE. (2005). Ann Intern Med. 142: 323–332.PubMedGoogle Scholar
  28. Hosler AS, Hinman TM, Juster HR. (2007). Diabetes Care. 30: 1883–1885. doi: 10.2337/dc07–0047.PubMedCrossRefGoogle Scholar
  29. Hummer RA, Rogers RG, Nam CB, Leclere FB. (1999). Soc Sci Q. 80: 136–153.Google Scholar
  30. Hwee-Lin Wee, Yin-Bun Cheung, Shu-Chuen Li1, Kok-Yong Fong, Julian Thumboo. (2005). Health Qual Life Outcome. 3: 2. doi:10.1186/1477–7525–3–2.CrossRefGoogle Scholar
  31. HyeSook Park, YoungSun Hong, HyeJin Lee, EunHee Ha, YeonAh Sung. (2004). J Clin Epidemiol. 57: 978–984.CrossRefGoogle Scholar
  32. Hypertension study group. (2001). Bull World Health Organ. 79: 490–500.Google Scholar
  33. Innes KE, Cheryl Bourguignon RN, Taylor AG. (2005). J Am Board Fam Pract. 18: 491–519.PubMedCrossRefGoogle Scholar
  34. Jeffcoate WJ, Harding KG. (2003). Lancet. 361: 1545–1551.PubMedCrossRefGoogle Scholar
  35. Joshi SR. (2003). J Assoc Physicians Ind. 51: 445–446.Google Scholar
  36. Kapur A. (2000). Cost of Diabetes in India – The CODI Study Paper Presented at the Novo Nordisk Diabetes Update, Bangalore, India.Google Scholar
  37. Kekre NS. (2006). Indian J Urol. 22: 9.CrossRefGoogle Scholar
  38. King H, Aubert RE, Herman WH. (1998). Diabetes Care. 21: 1414–1431.PubMedCrossRefGoogle Scholar
  39. Kochar DK, Rawat N, Agrawal RP, Vyas A, Beniwal R, Kochar SK, Garg P. (2004). Q J Med. 97: 33–38.Google Scholar
  40. Korytkowski M, Niskanen L, Asakura T. (2006). Clin Ther. 27(Suppl 2): S89–S100.Google Scholar
  41. Kumar S. (2004). J Indian Psychol. 22: 63–72.Google Scholar
  42. Kutty VR, Soman CR, Joseph A, Pisharody R, Vijayakumar K. (2000). Natl Med J India. 13: 287–292.PubMedGoogle Scholar
  43. Lau C, Qureshi AK, Scott SG. (2004). J Postgrad Med. 50: 189–194.PubMedGoogle Scholar
  44. Lloyd A, Sawyer W, Hopkinson P. (2001). Value Health. 4: 392–400.PubMedCrossRefGoogle Scholar
  45. Lori MB. (2003). Diabetes Care. 26: 3067–3073.CrossRefGoogle Scholar
  46. Ma S, Cutter J, Tan CE, Chew SK, Tai ES. (2003). Am J Epidemiol. 158: 543–552.PubMedCrossRefGoogle Scholar
  47. Mamidipudi PR, Vasavada AR, Merchant SV, Namboodiri VN, Ravilla TD. (2003). J Cataract Refract Surg. 29: 1143–1151.PubMedCrossRefGoogle Scholar
  48. Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy KB, Patricia, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. (2002). Diabetes Care. 25: S140–S147. doi: 10.2337/diacare.25.2007.S140.CrossRefGoogle Scholar
  49. Mohan V, Madan Z, Jha R, Deepa R, Pradeepa R. (2004). Int J Diab Dev Countries, 24: 29–35.Google Scholar
  50. Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A, Mohan V. (2005). J Assoc Phys India. 53: 283–287.Google Scholar
  51. Mohan V, Shanthirani CS, Deepa M, Deepa R, Unnikrishnan RI, Datta M. (2006). J Assoc Physicians Ind. 54: 113–117.Google Scholar
  52. Mudaliar S. (2007). Indian J Med Res. 125: 275–296.PubMedGoogle Scholar
  53. Ng T, CheeChong L, AiZhen J, Shinfuku N. (2005). Qual Life Res. 14: 1755–1768.PubMedCrossRefGoogle Scholar
  54. Nirmalan PK, Tielsch JM, Katz J, Thulasiraj RD, Krishnadas R, Ramakrishnan R, Robin AL. (2005). Invest Ophthalmol Vis Sci. 46: 2308–2312.PubMedCrossRefGoogle Scholar
  55. Nutheti R, Shamanna BR, Nirmalan PK, Keeffe JE, Krishnaiah S, Rao GN, Thomas R. (2006). Invest Ophthalmol Vis Sci. 47: 4742–4748.PubMedCrossRefGoogle Scholar
  56. Palaian S, Acharya LD, Rao PGM, Ravi Shankar P, Nair NM, Nair NP. (2006). P&T J. 31: 383–389.Google Scholar
  57. Piette JD, Richardson C, Valenstein M. (2004). Am J Manag Care. 10(Pt 2): 152–162.PubMedGoogle Scholar
  58. Pitale S, Kernan-Schroeder D, Emanuele N, Sawin C, Sacks J, Abraira C. (2005). J Diabetes Complicat. 19: 207–211.PubMedCrossRefGoogle Scholar
  59. Prabhakaran D, Chaturvedi V, Ramakrishnan L, Jeemon P, Shah P, Snehi U, Reddy KS. (2007). Natl Med J India. 20: 4–10.PubMedGoogle Scholar
  60. Radha V, Vimaleswaran KS, Deepa R, Mohan V. (2003). Indian J Med Res. 117: 225–238.PubMedGoogle Scholar
  61. Raghupathy P, Antonisamy B, Fall CHD, Geethanjali FS, Leary SD, Saperia J, Priya G, Rajaratnam A, Richard J. (2007). Diabetes Res Clin PR. 77: 269–279.CrossRefGoogle Scholar
  62. Ramachandran A, Snehalatha C, Kapur A, et al. (2001). Diabetologia. 44: 1094–1101.PubMedCrossRefGoogle Scholar
  63. Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar A, Vijay V. (2006). Diabetologia. 49: 289–297.PubMedCrossRefGoogle Scholar
  64. Ramachandran A, Snehalatha C, Vijay V, King H. (2002). Diabet Med. 19: 130–135.PubMedCrossRefGoogle Scholar
  65. Rayappa PH, Raju KNM, Kapur A, Bjork S, Sylvist C, Dilip Kumar KM. (1999). Int J Diab Dev Countries. 19: 7–16.Google Scholar
  66. Rose M, Fliege H, Hildebrandt M, Schirop T, Klapp BF. (2002). Diabetes Care. 25: 35–42. doi: 10.2337/diacare.25.1.35.PubMedCrossRefGoogle Scholar
  67. Rubin RR. (2000). Diab Spect. 13: 21.Google Scholar
  68. Rubin RR, Peyrot M. (1999). Diab Care. 22(3): 448–452.CrossRefGoogle Scholar
  69. Sarah Wild, Gojka Roglic, Anders Green, Richard Sicree, Hilary King. (2004). Diabetes Care 27: 1047–1053.PubMedCrossRefGoogle Scholar
  70. Sekar V, Sundaram A, Lakshmi B, Kalaivani Ajantha R, Mala S, Banupriya M, Maheswari U. (2006). Int J Diab Dev Countries. 26: 16–18.CrossRefGoogle Scholar
  71. Sharma S, Brown GC, Brown MM, Hollands H, Shah GK. (2000). Curr Opin Ophthalmol. 11: 175–179.PubMedCrossRefGoogle Scholar
  72. Sharma S, Hollands H, Brown GC, Brown MM, Shah GK. (2001). Curr Opin Ophthalmol. 12: 230–234.PubMedCrossRefGoogle Scholar
  73. Sharma V. (2002).World Leisure J. 44: 16–23.CrossRefGoogle Scholar
  74. Shobhana R, Rama Rao P, Lavanya A, Williams R, Padma C, Vijay V, Ramachandran A. (2002). Diabetes Res Clin Pract. 55: 45–48.PubMedCrossRefGoogle Scholar
  75. Shobhana R, Rama Rao P, Lavanya A, Williams R, Vijay V, Ramachandran A. (2000). Diabetes Res Clin Pract. 48: 37–42.PubMedCrossRefGoogle Scholar
  76. Sidhu SS, Nundy S, Tandon RK. (2001). Am J Gastroenterol. 96: 107–111. doi: 10.1111/j.1572–0241.2001.03359.x.PubMedGoogle Scholar
  77. Singh H, Bradley C. (2006). Int J Diab Dev Countries. 26: 7–10.CrossRefGoogle Scholar
  78. Singh JC, Devasia A, Gnanaraj L, Chacko KN. (2005). Natl Med J India. 18: 139–143.PubMedGoogle Scholar
  79. Singh N, Armstrong DG, Lipsky BA. (2005). J Am Med Assoc. 293: 217–228.CrossRefGoogle Scholar
  80. Singh P, Bhandari M. (2004). Transplant Proc. 36: 2013–2014.PubMedCrossRefGoogle Scholar
  81. Sprangers MA, de Regt EB, Andries F, van Agt HM, Bijl RV, de Boer JB, Foets M, Hoeymans N, Jacobs AE, Kempen GI, Miedema HS, Tijhuis MA, de Haes HC. (2000). J Clin Epidemiol. 53: 895–907.PubMedCrossRefGoogle Scholar
  82. Sridhar GR, Madhu K. (1994). Diabetes Res Clin Pract. 23: 183–186.PubMedCrossRefGoogle Scholar
  83. Sridhar GR, Madhu K, Veena S, Madhavi R, Sangeetha BS, Rani A. (2007). Diabetes Metab Syndr Clin Res Rev. 1: 181–187.CrossRefGoogle Scholar
  84. Sridhar GR, Venkata P. (2006). Diabetes Res Clin Pract. 72: 209–211.PubMedCrossRefGoogle Scholar
  85. Sudhir PM, Kumaraiah V, Munichoopadda C. (2003). J Clin Psychol. 59: 715–722.PubMedCrossRefGoogle Scholar
  86. Tan SMK, Shafiee Z, Wu LL, Rizal AM, Rey JM. (2005). Int J Psychiatr Med. 35: 123–136.CrossRefGoogle Scholar
  87. Thakurdesai PA, Kole PL, Pareek RP. (2004). Diabetes Mellitus. 53: 309–313.Google Scholar
  88. Thumboo J, Fong KY, Machin D, Chan SP, Soh CH, Leong KH, Feng PH, Thio ST, Boey ML. (2003). Soc Sci Med. 56: 1761–1772.PubMedCrossRefGoogle Scholar
  89. Translating Research into Practice. Fact Sheet (2000). Publication No. 00-P018. AHRQ Research on Diabetes Care. Available at: http://www.ahrq.gov/research/tripdiab.htm.
  90. Varghese RT, Salini R, Abraham P, Reeshma KK, Vijayakumar K. (2007). Diabetes Metab Syndr Clin Res Rev. 1: 173–179. doi: 10.1016/j.dsx.2007.05.005.CrossRefGoogle Scholar
  91. Vijayakumar K, Sivan YS, Das RR, Kutty VR. (1994). Health Policy Plan. 9: 331–336.CrossRefGoogle Scholar
  92. Vohra P. (2006). Dissertation. Department of Psychology, Central Connecticut State University, New Britain, CT.Google Scholar
  93. Wagner TH, Hu TW, Bentkover JD, LeBlanc K, Stewart W, Corey R, et al. (2002). Am J Manag Care. 8: S598–S607.PubMedGoogle Scholar
  94. Wee HL, Li SC, Cheung YB, Fong KY, Thumboo J. (2006a). J Diabetes Complicat. 20: 170–178.PubMedCrossRefGoogle Scholar
  95. Wee H-L, Tan C-E, Goh S-Y, Li S-C. (2006b). Pharmacoeconomics. 24: 673–682.PubMedCrossRefGoogle Scholar
  96. Wei M, Gibbons LW, Mitchell TL, Kampert JB, Blair SN. (2000). Diabetes Care. 23: 18–22.PubMedCrossRefGoogle Scholar
  97. WHO Expert Consultation. (2004). Lancet. 363: 157–163.CrossRefGoogle Scholar
  98. Wilson E, Wardle EV, Chandel P, Walford S. (1993). Diabet Med. 10: 177–180.PubMedCrossRefGoogle Scholar
  99. World Bank. World development report 1993: investing in health. World development indicators. Oxford. Oxford University Press, 1993; 213–214.Google Scholar
  100. Zelman DC, Brandenburg NA, Gore M. (2006). Clin J Pain. 22: 681–685.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • K. Vijayakumar
  • R. T. Varghese

There are no affiliations available

Personalised recommendations