Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 53 , ISSUE 2 ( April-June, 2019 ) > List of Articles

Original Article

Quality of Life for Indian Diabetic Children

Jyoti Patodia, Prahbhjot Malhi, Devi Dayal

Keywords : Cross-sectional study, Indian children, Quality of life, Quality of life instrument in Indian diabetics questionnaire

Citation Information : Patodia J, Malhi P, Dayal D. Quality of Life for Indian Diabetic Children. J Postgrad Med Edu Res 2019; 53 (2):61-68.

DOI: 10.5005/jp-journals-10028-1314

License: CC BY-NC 4.0

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Type 1 diabetes mellitus (T1DM) is a chronic disease requiring complex management including blood glucose monitoring, insulin administration along with diet restrictions which can have a negative impact on the quality of life (QoL) of children. Objective: To assess the quality of life and factors affecting it in Indian children with T1DM. Materials and methods: A cross-sectional study was conducted on 97 children (4–15 years) with T1DM diagnosed for at least 6 months, at the pediatric diabetes clinic of a tertiary care hospital. QoL was assessed using the “quality of life instrument in Indian diabetics” (QOLID) questionnaire. The further co-relation between the QOLID scores and various demographic and diabetes-related factors were studied. Results: There was suboptimal glycemic control (HbA1c > 7.5%) in 76% of our patients. The mean total QOLID score was 84.5% which was significantly low in specific domains like general health (71%), diet satisfaction (74%) and financial worries (75%). Eighteen percent (18%) of patients had overall impaired QoL (total QOLID score <80%), highest seen in the domain of general health (72%). There was a strong negative correlation between the total QOLID score and variables like number of hyperglycemic episodes per month (r = −0.3, p = 0.001), the total number of hospitalizations (r = −0.34, p = 0.001) and HbA1c value over last 6 months (r = −0.38, p = 0.0001) Conclusion: As assessed by QOLID questionnaire, impaired QoL was seen in 18% of Indian children with T1DM. Poor glycemic control and an increased number of hospitalizations were the two most important factors leading to poor QoL. Clinical significance: The overall outcome of diabetes in children can be improved by improving their QoL which further depends on good glycemic control.

PDF Share
  1. Diabetes in the young in International Diabetes Federation. IDF Diabetes Atlas. 5th edition. Brussels, Belgium: International Diabetes Federation; 2011.
  2. Nordfeldt S, Ludvigsson J. Fear and other disturbances of severe hypoglycaemia in children and adolescents with type 1 diabetes mellitus. J Pediatr Endocrinol Metab 2005; 8(1):83-91.
  3. Calman K. Definitions and dimensions of quality of life in: The Quality of Life of Cancer Patients. Raven Press New York 1987:81-97.
  4. Cameron FJ. The impact of diabetes on health-related quality of life in children and adolescents. Pediatr Diabetes. 2003;4(3):132-136.
  5. Nagpal J, Kumar A, Kakar S, et al. The development of ‘Quality of Life Instrument for Indian Diabetes patients (QOLID): a validation and reliability study in middle and higher income groups. J Assoc Physicians India 2010;58:295-304.
  6. American Diabetes Association. Standards of medical care in diabetes-2015. Diabetes Care 2015;38(Suppl 1): S1-S93.
  7. Ausili E, Tabacco F, Focarelli B, et al. Multidimensional study on quality of life in children with type 1 diabetes. Eur Rev Med Pharmacol Sci 2007;11(4):249-255.
  8. Abdul-Rasoul M, Alotaibi F, Abdulla A, et al. Quality of Life of Children and Adolescents with Type 1 Diabetes in Kuwait. Med Princ Pract 2013;22:379-384.
  9. Laffel LM, Connell A, Vangsness L, et al. General quality of life in youth with type 1 diabetes: relationship to patient management and diabetes-specific family conflict. Diabetes Care 2003;26(11): 3067-3073.
  10. Wagner VM, Muller-Godeffroy E, Von Sengbusch S, et al. Age, metabolic control and type of insulin regime influences healthrelated quality of life in children and adolescents with type 1 diabetes mellitus. Eur J Pediatr 2005;164(8):491-496.
  11. Hoey H, Aanstoot HJ, Chiarelli F, et al. Good metabolic control is associated with better quality of life in 2,101 adolescents with type 1 diabetes. Diabetes Care 2001;24(11):1923-1928.
  12. Hoey H. Psychosocial factors are associated with metabolic control in adolescents: research from the Hvidore Study Group on Childhood Diabetes. Pediatr Diabetes 2009;10(Suppl 13):9-14.
  13. Grey M, Boland EA, Yu C, et al. Personal and family factors associated with quality of life in adolescents with diabetes. Diabetes Care 1998; 21(6):909-914.
  14. Wagner JA, Abbott G, Lett S. Age related differences in individual quality of life domains in youth with type 1 diabetes. Health Qual Life Outcomes 2004;2:54.
  15. Kalyva E, Malakonaki E, Eiser C, et al. Health-related quality of life (HRQoL) of children with type 1 diabetes mellitus (T1DM): self and parental perceptions. Pediatr Diabetes 2011;12(1):34-40.
  16. Vanelli M, Chiarelli F, Chiari G, et al. Relationship between metabolic control and quality of life in adolescents with type 1 diabetes. Report from two Italian centres for the management of diabetes in childhood. Acta Biomed 2003;74(Suppl 1):13-17.
  17. Ingerski LM, Laffel L, Drotar D, et al. Correlates of glycemic control and quality of life outcomes in adolescents with type 1 diabetes. Pediatr Diabetes 2010;11(8):563-571.
  18. Puri K, Sapra S, Jain V. Emotional, behavioral and cognitive profile, and quality of life of Indian children and adolescents with type 1 diabetes. Indian J Endocrinol Metab 2013;17(6):1078-1083.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.