Associations Of Practical Use Of Advanced Carbohydrate Counting With Diabetes Treatment Satisfaction Questionnaire (DTSQ) Score And Hba1c Level In Diabetic Patients On Intensive Insulin TherapyName : Dr. Akiko Nishimura
Affliation : Associate Professor
University : Yamanashi Prefectural University
Country : Japan
Aim: We evaluated the efficacy of advanced carbohydrate counting for diabetic patients on intensive insulin therapy by surveying the associations of its practical use with Diabetes Treatment Satisfaction Questionnaire (DTSQ) score and HbA1c level.
Background: Fifty diabetic outpatients on intensive insulin therapy in Matsumoto Medical Center Matsumoto Hospital were surveyed by a postal questionnaire on practical use of advanced carbohydrate counting, patient satisfaction by DTSQ and glycemic control by HbA1c. Statistical analysis was performed by stepwise multiple regression analysis using DTSQ score or HbA1c level as a dependent variable and question items concerning carbohydrate counting as independent variables.
Results: The DTSQ score significantly (R=0.626, p=0.001) correlated with a question about use of the booklet on carbohydrate counting (β=0.394, p=0.012) and one about the will to keep making use of carbohydrate counting (β=0.426, p=0.007). The HbA1c level significantly (R=0.437, p=0.012) correlated with a question about self-adjustment of insulin dose using carbohydrate counting (β=-0.437, p=0.012).
Conclusion: Factors contributing to patient satisfaction for diabetes treatment scored by the DTSQ were to found to be the use of the booklet and the will to keep using carbohydrate counting. Self-adjusting insulin dose with advanced carbohydrate counting was associated with better glycemic control. It is suggested that guiding diabetic patients on intensive insulin therapy to efficiently use advanced carbohydrate counting could lead to improving their glycemic control and treatment satisfaction.
Biography: Dr. Akiko Nishimura is experienced in clinical nursing, and she got a master of nursing and a doctor of medical science. She has been involved in nursing education for 20 years. Currently, she is an Associate Professor at Yamanashi Prefectural University. Her teaching specialty is fundamental nursing science, which is in charge of nursing theory and a nursing process development. She is currently working on raising the quality of life in diabetic patients with Dr. Aoki of the Matsumoto medical center Matsumoto Hospital.