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What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?

What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?

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PUDER, Jardena J., Stephan LÄCHELT, Jérôme ENDRASS, Beat MÜLLER, Ulrich KELLER, 2005. What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?. In: Swiss Medical Weekly. 135(25-26), pp. 365-371. ISSN 0036-7672. eISSN 1424-3997. Available under: doi: 10.4414/smw.2005.11008

@article{Puder2005-06-25disea-37658, title={What are disease perceptions and subjective treatment goals of insulin treated diabetic patients?}, year={2005}, doi={10.4414/smw.2005.11008}, number={25-26}, volume={135}, issn={0036-7672}, journal={Swiss Medical Weekly}, pages={365--371}, author={Puder, Jardena J. and Lächelt, Stephan and Endrass, Jérôme and Müller, Beat and Keller, Ulrich} }

Puder, Jardena J. Lächelt, Stephan Lächelt, Stephan Müller, Beat Puder, Jardena J. Keller, Ulrich BACKGROUND<br /><br />Despite increasing importance of patient self-management, little is known about their own perceptions and treatment goals.<br /><br />OBJECTIVES<br /><br />The aim of this explorative study was to examine what diabetic patients perceive as most concerning and what their own treatment goals are.<br /><br />METHODS<br /><br />A 23-item anonymous questionnaire was distributed among type 1 diabetic patients treated with and without an insulin pump and insulin treated type 2 diabetic patients in the outpatient clinic of a University Hospital. 86% of the questionnaires were returned (n = 124).<br /><br />RESULTS<br /><br />In open-ended questions, patients in all three groups together felt mostly restricted by their loss of freedom (24%), the dietary restrictions (17%) and the need to measure blood glucose (17%). Patients treated with an insulin pump worried more about hypoglycaemia and less about dietary restrictions. In closed-ended questions, patients were mostly concerned about hypoglycaemia and developing complications. However, the main treatment goal of both groups together was long-term good blood glucose control (63%). Further patient goals were the prevention of complications (27%) and the preservation of a good quality of life. Quality of life was a more important goal for type 1 diabetic patients (29%) than for type 2 diabetic patients (0%). Patients thought that blood glucose control was more important for their physicians (main treatment goal for 86%) than for themselves.<br /><br />CONCLUSION<br /><br />Insulin treated patients with diabetes spontaneously express concerns about their actual quality of life and daily hassles and mention long-term worries after explicit questioning. For their main treatment goals they choose mainly long-term goals. According to the patients, physicians tend to overestimate blood glucose control. 2005-06-25 What are disease perceptions and subjective treatment goals of insulin treated diabetic patients? Endrass, Jérôme eng 2017-02-22T07:47:23Z Endrass, Jérôme Müller, Beat 2017-02-22T07:47:23Z Keller, Ulrich

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