UTILISATION OF HEALTHCARE SERVICES AND PATIENT QUALITY OF LIFE FOLLOWING NOCTURNAL AND DAYTIME NON-SEVERE HYPOGLYCAEMIC EVENTS IN PEOPLE WITH DIABETES IN COLOMBIA

Author(s)

Gómez AM1, Cendales Rey JG2, Chaves Cardona R2
1Hospital Universitario de San Ignacio, Universidad Javeriana, Bogotá, Colombia, 2Novo Nordisk Colombia SAS, Bogotá, Colombia

OBJECTIVES: To study the effect of nocturnal and daytime non-severe hypoglycaemic events on the utilisation of healthcare services and health-related quality of life in people with diabetes in Colombia. 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 Colombian subgroup, 83 people responded (50 respondents for the nocturnal survey; 50 for the daytime survey). Both surveys were conducted face-to-face. All information, including hypoglycaemic events, was self-reported. RESULTS: In the Colombian cohort, respondents’ mean age was 58 years/54 years (N/D), mean weight was 64.3 kg/65.5 kg (N/D), 36%/38% (N/D) were male, 76%/76% (N/D) had type 2 diabetes, and all received treatment with insulin (100%/100% [N/D]). Although 78%/82% (N/D) of respondents considered themselves in good health, almost half had diabetes-related complications (48%/54% [N/D]). Non-severe hypoglycaemic episodes were experienced at least once weekly by 16%/20% (N/D) and at least once a month by 70%/70% (N/D). After a hypoglycaemic event, 0%/24% (N/D) decreased their insulin dose, 32%/40% contacted a healthcare professional, and, in the following week, they used on average 5/6 (N/D) extra blood glucose strips. The majority of respondents reported a high level of fear of nocturnal hypoglycaemic events (60%/36% [N/D]). One third (32%) reported that a nocturnal event had a high impact on quality of sleep, and one in five (22%) reported that an event highly impacted their social life. Hypoglycaemic events did not severely effect paid work (n=16/15), with 19%/7% (N/D) of respondents reporting arriving at work late or leaving early, and 13%/7% (N/D) missing ≥1 full working day.  CONCLUSIONS: Nocturnal and daytime non-severe hypoglycaemic events have an impact upon patients’ health-related quality of life and diabetes management in Colombia.

Conference/Value in Health Info

2014-05, ISPOR 2014, Palais des Congres de Montreal

Value in Health, Vol. 17, No. 3 (May 2014)

Code

PDB117

Topic

Patient-Centered Research

Topic Subcategory

Patient-reported Outcomes & Quality of Life Outcomes

Disease

Diabetes/Endocrine/Metabolic Disorders

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