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[IP] old abstract (pen vs. pump)
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Psychother Psychosom Med Psychol 1997 Jul;47(7):249-54
[Quality of life with intensive insulin therapy: a prospective
comparison of insulin pen and pump].
[Article in German]
Diabetesambulanz, Heinrich-Heine-Universitat Dusseldorf.
The purpose of the following-study was to identify aspects of quality of
life that are particularly affected by the mode of insulin therapy. 55
patients with insulin-dependent diabetes mellitus, who volunteered for a
change of their intensive insulin therapy with pen injections to
continuous subcutaneous insulin infusion (CSII) were studied 1 month
before, and 6 months after, changing to CSII. The DCCT questionnaire was
applied, measuring quality of life in the 4 subscales: satisfaction,
impact, social/vocational worries, and diabetes related worries,
respectively. The results demonstrate that the "satisfaction" subscale
was scored significantly higher (p < 0.02), and the "impact" subscale
was scored lower (p < 0.02) with CSII therapy. Single items showed that
this was due to greater flexibility with leisure-time activities and
with diet, and to significantly less problems with hypoglycaemia. The
subscales "social/vocational worries" and "diabetes-related worries"
were scored unchanged, HbA1c changed only slightly from 7.5% (SD 1.2) to
6.9% (SD 0.9): (p < 0.05). It is concluded that disease-related
deficiencies in quality of life (satisfaction, impact) improve
considerably in insulin-dependent diabetic patients after changing
voluntarily from intensive insulin therapy with pen injections to
continuous subcutaneous insulin infusion.
PMID: 9333836, UI: 97410651
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