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Journal of Diabetology | Volume 3
May 16-17, 2019 | Prague, Czech Republic
Diabetes and Endocrinology
27
th
International Conference on
J Diabetol, Volume 3
Impact of intensive counselling therapy in uncontrolled type-2 diabetes mellitus
patients on improved quality of life
Zankhana Shetty, P S Lamba, H Sudhindra Kulkarni
and
Shweta Budya
Fortis Hospital, India
A
total of 91 subjects (46 control and 45 interventional),
were studied for the three months for observing the
effect of intensive diabetes education on quality of life
(QOL) in patients with uncontrolled type 2 diabetes mellitus.
Intensive diabetes education and counselling was given to
subjects of the interventional group. Subjects of the control
group were giving routine treatment and no counselling was
offered. A quality life questionnaires and knowledge, attitude
and practice (KAP) questionnaires was administered at
baseline and at the end of the study (threemonth). Metabolic
control like fasting blood glucose, post prandial blood glucose
and glycosylated haemoglobin was assessed at baseline and
at the end of three month. There was overall improvement
in KAP score of the interventional group as compare to
control group. Knowledge score improved from 10.9±2.5 to
13.5± 2.6, (p=0.005), attitude score was 1.13±0.9 to 2.7±1.04
(p<0.001) and practice score 1.6±1.01 to 3.2±1.3 (p= 0.004)
at the end of three month. Quality life score also improved
significantly in interventional group as compare to control
group at the end of three month. Satisfaction score improved
from 15.6±5.1 to 20.8±6.2 (p=0.001) attitude scale 24.6±8.4
to 30.4±5.6 (p=0.004), diet and exercisemanagement 9.8±2.5
to 11.9±2.3 (p=0.042), health status 7±2.2 to 11.8±1.7 (p=
0.004), psychological wellbeing9.9±2.9 to10.8±2.2 (p=0.045).
There was no significant improvement in self-management
of diabetes at the end of three month (p=0.062). Metabolic
control improved significantly after three months. Fasting
blood glucose and post prandial blood glucose improved from
182.5±42.1mg/dl to 136.3±9.08mg/dl (p=0.001), 267±56mg/
dl to 182±43.3mg/dl (p=0.001) respectively. Glycosylated
haemoglobin significantly improved in interventional group
9.4±1% to 8.2± 1.3 % (p = 0.001).
Speaker Biography
Zankhana Shetty is a qualified dietician and diabetes educator. She
completed MSc in nutrition, and she is a certified diabetes educator CDE.
She is working in JCI Accredited Fortis hospital from 2007. Her specialty is
diabetes counselling and she had 11 years of experience in this field. she
counselled patients on different aspect on diabetes management like foot
care, diet, SMBG, hypoglycaemia, insulin techniques and psychological
counselling she successfully running diabetes support group Sweet
Buddies from last 6 years.
e:
zankhana.doshi@gmail.com