Mental distress and health‐related quality of life among type 1 and type 2 diabetes patients using self‐monitoring of blood glucose: A cross‐sectional questionnaire study in Japan. Issue 5 (1st April 2018)

• Record Type: Journal Article
• Authors: Tanaka, Nagaaki; Yabe, Daisuke; Murotani, Kenta; Ueno, Shinji; Kuwata, Hitoshi; Hamamoto, Yoshiyuki; Kurose, Takeshi; Takahashi, Nobuo; Akashi, Tomoyuki; Matsuoka, Takashi; Osonoi, Takeshi; Minami, Masae; Shimono, Dai; Seino, Yutaka
• Other Names: Sekiguchi Masatomo investigator.; Hirota Norihiko investigator.; Yokoyama Hiroki investigator.; Uehara Osamu investigator.; Kanamori Akira investigator.; Kubota Akira investigator.; Ishitobi Minori investigator.; Nagayama Koji investigator.; Shibata Taiga investigator.; Yamamoto Mayumi investigator.; Hiraiwa Yoshio investigator.; Fukuda Kazuhito investigator.; Taniguchi Takao investigator.; Kuroe Akira investigator.; Kagimoto Shinji investigator.; Ihara Yu investigator.; Honjo Sachiko investigator.; Nishimura Haruo investigator.; Yasuda Koichiro investigator.; Muro Seiji investigator.; Ikeda Hiroki investigator.; Nakamura Yoshio investigator.; Kadowaki Seizo investigator.; Kawamoto Seiichi investigator.; Kashii Saburo investigator.; Fujimoto Shinpei investigator.; Matsuura Bunzo investigator.; Nakamura Syuji investigator.; Yokogawa Yasushi investigator.; Oida Koji investigator.; Iwamoto Masahiro investigator.; Kouchi Yu investigator.; Niiya Tetsuji investigator.; Furukawa Makoto investigator.; Satoh Jo investigator.;
• Is Part Of: Journal of diabetes investigation. Volume 9:Issue 5(2018)
• Page Start: 1203
• Page End: 1211
• Publication Date: 2018-04-01
• Subjects: Education -- Health‐related quality of life -- Self‐monitoring of blood glucose; Diabetes -- Periodicals; Diabetes -- Research -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1111/jdi.12827
• Languages: English
• ISSNs: 2040-1116

Abstract

Abstract: Aims/Introduction: The present multicenter, cross‐sectional survey was initiated to evaluate self‐monitoring of blood glucose (SMBG)‐associated mental distress among patients with diabetes. Materials and Methods: The survey was carried out in patients with type 1 diabetes and type 2 diabetes using SMBG recruited from 42 medical institutions. Profiles of Mood States 2 and diabetes therapy‐related quality of life questionnaires were used to evaluate mood status and health‐related quality of life. Two original questionnaires were also developed to evaluate SMBG 'importance, ' 'painfulness' and 'confidence' among patients, and to evaluate physician attitudes to SMBG use. Results: Questionnaires from 517 type 1 diabetes and 1, 648 type 2 diabetes patients showed that 46.0% of type 1 diabetes and 37.5% of type 2 diabetes patients reported 'painfulness, ' and that these patients reporting 'painfulness' showed significantly higher Profiles of Mood States 2 scores, lower diabetes therapy‐related quality of life scores and higher glycated hemoglobin compared with those not reporting 'painfulness, ' whereas the number of their daily SMBG tests were comparable. Patients reporting 'painfulness' also reported that SMBG use was significantly less important. Whether or not patients recognized the importance of SMBG use was well correlated with the frequency of physicians checking patient diaries. Conclusions: Type 1 diabetes and type 2 diabetes patients reporting 'painfulness' in SMBG use had more mental distress, lower health‐related quality of life and higher glycated hemoglobin regardless of their number of daily SMBG tests. The importance of SMBG use was recognized less by patients experiencing pain, and the importance of SMBG use was recognized more in medical institutions in which physicians regularly checked SMBG diaries to provide meaningful feedback to patients in clinical settings. Abstract : Patients with diabetes indicating 'painfulness' in SMBG usage had more mental distress, lower health‐related QOL and higher HbA1c; and they also appreciate the importance of SMBG usage less, regardless of their number of daily SMBG testings.