THE IMPACT OF DAYTIME AND NOCTURNAL NON-SEVERE HYPOGLYCAEMIC EVENTS ON PEOPLE WITH DIABETES IN ALGERIA
Author(s)
Aouiche S1, Guesmi K2, Todorova L3
1Mustapha University Hospital, Algiers, Algeria, 2Novo Nordisk A/S, Algiers, Algeria, 3Novo Nordisk International Operations, Zurich, Switzerland
OBJECTIVES: To examine the effects of nocturnal and daytime non-severe hypoglycaemic events on utilisation of healthcare services and patient quality of life in people with diabetes in Algeria. METHODS: People with diabetes from five different countries who had experienced a self-reported non-severe hypoglycaemic event in the past 4 weeks were eligible to participate in a nocturnal (N) and/or daytime (D) hypoglycaemia survey. In Algeria the surveys were conducted face-to-face and 68 people responded (56 respondents for the nocturnal survey; 57 respondents for the daytime survey). RESULTS: In the Algerian cohort 73%/74% (N/D) of respondents had type 2 diabetes, mean age was 41 years/42 years (N/D), mean weight was 68.6 kg/69.4 kg (N/D) and 29%/33% (N/D) were male. Participants received treatment with insulin (24%/31% [N/D]), oral medication (76%/69% [N/D]) and/or diet and exercise (10%/5% [N/D]), and 80%/81% (N/D) had no diabetes-related medical complications. The majority of respondents experienced a hypoglycaemic event at least once a month 80%/95% (N/D). Among those fasting during the month of Ramadan (n=37/39), 24%/31% (N/D) experienced hypoglycaemia more often compared to a usual month. After a non-severe nocturnal (N)/daytime (D) hypoglycaemic event, 8%/18% (N/D) decreased their insulin dose, 27%/19% (N/D) contacted a healthcare professional, and respondents reported using, on average, 6/4 (N/D) extra blood glucose tests the following week. Although 54%/39% (N/D) reported a high level of fear of experiencing a hypoglycaemic event, fewer reported that a daytime event had a high impact on their daily routine compared with a nocturnal event (38%/21% [N/D]). Among the 27%/26% (N/D) respondents who worked for pay, 27%/46% (N/D) went to work late or left early and 47%/13% (N/D) missed ≥1 full days due to a non-severe event. CONCLUSIONS: In Algeria, nocturnal and daytime non-severe hypoglycaemic events severely impact healthcare utilisation, work productivity, and quality of life 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
PDB112
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Diabetes/Endocrine/Metabolic Disorders