Physical and psychological well-being in adults with Type 1 diabetes

The physical and psychological well-being of adults with Type 1 (insulin-de pendent) diabetes (n = 397) were investigated using a series of questionnai res, including the Medical Outcomes Survey SF36. Development of diabetes co mplications and glycaemic control (glyated haemoglobin) were also measured. Results showed that older individuals, those with complications, women, th e less physically active and those on lower incomes, were more likely to ex perience a poorer quality of life. Those who reported at least one hypoglyc aemic episode per month also had poorer quality of life. This study, whilst confirming earlier work showing an association between quality of life and diabetes complications, demonstrates that other factors may also be import ant. Of particular interest is the association with hypoglycaemia, which ha s implications for diabetes care. Given the importance of reducing blood gl ucose levels in order to avoid complications, this focus in patient care ma y overlook the subsequent impact on quality of life. (C) 1999 Elsevier Scie nce Ireland Ltd. All rights reserved.