THE IMPACT OF DAYTIME AND NOCTURNAL NON-SEVERE HYPOGLYCAEMIC EVENTS ON PEOPLE WITH DIABETES IN BANGLADESH
Author(s)
Pathan F1, Siddiqui NI2, Sobhan J3, Todorova L4
1BIRDEM, Dhaka, Bangladesh, 2Mymensingh Medical College Hospital, Mymensingh, Bangladesh, 3Novo Nordisk Pharma Limited, Dhaka, Bangladesh, 4Novo Nordisk International Operations, Zurich, Switzerland
OBJECTIVES: Two surveys were conducted to understand the effects of non-severe hypoglycaemia on utilisation of healthcare services and quality of life in people with diabetes in Bangladesh. METHODS: People with diabetes from five different countries who had experienced a non-severe hypoglycaemic event in the past 4 weeks were asked to take part in a nocturnal (N) and/or daytime (D) hypoglycaemia survey. In the Bangladeshi subgroup, 92 people responded (51 respondents for the nocturnal survey, 50 for the daytime survey). Surveys were conducted face-to-face. All information, including hypoglycaemic events, was self-reported. RESULTS: In the Bangladeshi cohort, 80%/90% (N/D) had type 2 diabetes, 63%/50% (N/D) were male, mean age was 46 years/49 years (N/D), mean weight was 62.1 kg/62.2 kg (N/D), 100%/98% (N/D) were insulin users and more than half of respondents had eye problems as a result of diabetes (63%/54% [N/D]). Non-severe hypoglycaemic episodes were experienced at least once weekly by 24%/40% (N/D) and at least once a month by 58%/80% (N/D) of respondents. After a non-severe nocturnal/daytime hypoglycaemic event, 16%/22% (N/D) decreased their insulin dose and 41%/32% (N/D) contacted a healthcare professional. Almost a third of respondents reported a high level of fear of future hypoglycaemic events (35%/16% [N/D]), and almost a quarter (22%/20% [N/D]) reported that hypoglycaemic events had a high impact on their daily routine. Of respondents who worked for pay (n=17/17), 94%/76% (N/D) reported a high/medium impact on work productivity following a hypoglycaemic episode. Median time to return to sleep following a nocturnal event was 60 minutes; 24% reported the event had a high impact on sleep, and 71% had difficulty focusing at work the next day. CONCLUSIONS: In Bangladesh, nocturnal and daytime non-severe hypoglycaemic events impact quality of life, utilisation of healthcare resources 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
PDB113
Topic
Patient-Centered Research
Topic Subcategory
Patient-reported Outcomes & Quality of Life Outcomes
Disease
Diabetes/Endocrine/Metabolic Disorders