The Association between Quality of Life and Glycemic Control among Sample of Children and Teenagers in Holy City of Karbala, Iraq
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Author:
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WASAN MAHDI ABBAS, MOATASEM GHAZI HASSOON AL-MHANNA, SAMAHER HAKIM AL-WAELI, SAAD IBRAHIM AL-GHABBAN
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Abstract:
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Type1Dibetes Mellitus (T1DM) is a heterogeneous disorder that develops usually during adolescence and childhood. The main target in management of type 1Diabetes mellitus is achievement of good metabolic control to get normal growth & development plus delay or prevent the complications. Nowadays there is a rising interest in measuring quality of life to assess pediatric health outcomes in addition to biomedical indicators. Although a cause and effect relation between QOL & and glycemic control cannot be determined, it is so consistent that it is now justified to consider both of them are equally important in the management ofT1DM. The aim is to evaluate the quality of life among children and teenager with type1 Diabetes mellitus and to determine the glycemic control in that age group and also to assess the association between quality of life and glycemic control. A case control study was performed during the period from1st of December 2018to30th of August2019 in Al Imam Al Hussain Medical City in Holy Karbala / Iraq. The estimated number for case group is 164 diabetic child and for control group is 330 healthy one. Both case and control groups are convenient samples. Using specific questionnaire through direct interview with the participants the information for this study were collected. There were significant differences in each domain and in overall quality of life between the study groups. Also, a significant difference was found between glycemic controlled and glycemic uncontrolled children in physical, social domains and also overall quality of life. In addition to that a significant association between the physical domain of quality of life of diabetic children and female gender. While this study found a negative correlation between the age and both emotional and physical domains of quality of life, there was positive correlation between the disease duration and glycemic control. The Iraqi children and teenagers with Type1Diabetes mellitus who live in Karbala governorate and aged between 5-18 years had less quality of life than healthy peers. Also, metabolic control was inappropriate in most of our diabetic children, and glycemic controlled patient tolerate diabetes more than glycemic uncontrolled one.
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Keyword:
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Quality of life, Children, teenagers, Type I diabetes mellitus
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EOI:
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DOI:
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https://doi.org/10.31838/ijpr/2020.SP1.207
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