EFFECT OF NOCTURNAL AND DAYTIME NON-SEVERE HYPOGLYCAEMIC EVENTS ON PEOPLE WITH DIABETES IN MEXICO
Author(s)
Aguilar Garza JL1, Vazquez CE1, Reynoso Mendoza RA2, Guzman Caniupan JA2
1Vitamédica, México D.F., Mexico, 2Novo Nordisk Servicios, México D.F., Mexico
OBJECTIVES: To study the effect of nocturnal and daytime non-severe hypoglycaemic events on the utilisation of healthcare services and patient quality of life in Mexico. METHODS: People with diabetes from six different countries who had experienced a self-reported non-severe hypoglycaemic event in the past 4 weeks were eligible to take part in a nocturnal (N) and/or daytime (D) hypoglycaemia survey. In the Mexican cohort, 77 people responded (50 for the nocturnal survey; 50 for the daytime survey). The surveys were conducted either face to face or online. RESULTS: In the Mexican subgroup, 82%/80% (N/D) of respondents had type 2 diabetes, 38%/42% (N/D) were male, mean age was 52 years/53 years (N/D), and mean weight was 74.4 kg/75.6 kg (N/D). Respondents received treatment with insulin (32%/38% [N/D]), oral medication (95%/95% [N/D]) and/or diet and exercise (49%/58% [N/D]), and 70%/76% considered themselves in good health. Non-severe hypoglycaemic episodes were experienced at least once weekly by 34%/44% (N/D) and at least once a month by 76%/68% (N/D) of respondents. After a hypoglycaemic event, 41%/16% (N/D) of respondents decreased their insulin dose, 50%/58% contacted a healthcare professional, and, in the following week, used on average 2/5 (N/D) extra blood glucose strips. Almost half of respondents reported a high level of fear of hypoglycaemic events (46%/46% [N/D]). Following a nocturnal hypoglycaemic event, mean time to return to sleep was 89 minutes, 11% did not go back to sleep at all, and 38% reported the nocturnal event had a high impact on their quality of sleep. Of respondents who worked for pay (n=23/21), 30%/67% (N/D) went to work late or left early, and 13%/24% (N/D) missed ≥1 full working day. CONCLUSIONS: In Mexico, nocturnal and daytime non-severe hypoglycaemic events severely impact quality of life, quality of sleep and productivity in people with diabetes.
Conference/Value in Health Info
2014-05, ISPOR 2014, Palais des Congres de Montreal
Value in Health, Vol. 17, No. 3 (May 2014)
Code
PDB116
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Diabetes/Endocrine/Metabolic Disorders