caa a22 4500 477084788 CHVBK 20180405111500.0 cr unu---uuuuu 170330e19960201xx s 000 0 eng 10.1007/BF00435977 doi (NATIONALLICENCE)springer-10.1007/BF00435977 Health-related quality of life in relation to metabolic control and late complications in patients with insulin dependent diabetes mellitus [Elektronische Daten] [K. Wikblad, J. Leksell, L. Wibell] To investigate important factors with respect to health-related quality of life (HRQOL) in patients with longstanding insulin dependent diabetes mellitus, a patient cohort was followed prospectively for 10 years. The degree of metabolic control and the presence of late complications was assessed and HRQOL was measured with a 61-item questionnaire (SWEDQUAL) in which reference values have been obtained in a population sample. The results indicate that diabetic patients (n=108) experienced a quality of life as good as a general population. When patients were divided into four groups based on metabolic control, those with poor control (HbA1c≥9%) rated their physical and emotional functioning significantly lower than those with lower HbA1c values. Nearly 15% of the patients reported 1-5 hypoglycaemic episodes during the latest 6 months. Despite a lower HbA1c they rated their general health as being poorer than patients without severe hypoglycaemia. Of the 108 patients 39% appeared to be free from late complications of diabetes. These patients rated their general health as better than patients who already had developed late complications. We conclude that a satisfactory metabolic control with a minimum of hypoglycaemic episodes is desirable not only to prevent late complications but also because poor metabolic control seems to be one reason why diabetic patients experience a poorer quality of life. Rapid Science Publishers, 1996 quality of life nationallicence diabetes mellitus nationallicence metabolic control nationallicence late complications nationallicence Wikblad K. Centre for Caring Sciences, Uppsala University, Uppsala, Sweden aut Leksell J. College of Health and Caring Sciences, Falun, Sweden aut Wibell L. Department of Internal Medicine, University Hospital, Uppsala, Sweden aut Quality of Life Research Kluwer Academic Publishers 5/1(1996-02-01), 123-130 0962-9343 5:1<123 1996 5 11136 https://doi.org/10.1007/BF00435977 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00435977 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Wikblad K. Centre for Caring Sciences, Uppsala University, Uppsala, Sweden aut NATIONALLICENCE 700 1- Leksell J. College of Health and Caring Sciences, Falun, Sweden aut NATIONALLICENCE 700 1- Wibell L. Department of Internal Medicine, University Hospital, Uppsala, Sweden aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 5/1(1996-02-01), 123-130 0962-9343 5:1<123 1996 5 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer