Volume : 5, Issue : 8, AUG 2019

EFFECT OF TELEHEALTH ON GLYCEMIC CONTROL, PHYSICAL ACTIVITY AND QUALITY OF LIFE IN TYPE 2 DIABETES MELLITUS INDIVIDUALS

DR. S. ANJANI, DR. K.MADHAVI, DR. M. SURESH KUMAR

Abstract

INTRODUCTION: Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia. It was first reported in Egyptian manuscript about 3000 years ago. It has dreadful complications and can significantly compromise quality of life. Currently India is having second position in respect of most number of diabetes patients after China. By 2045 it was expected that India will have 134.3 million diabetes patients. The prevalence of diabetes in Tirupati was found to be 12.4%. DM has well known risk factors like age, heredity, obesity, hypertension (HTN), lack of exercise, smoking, alcoholism, dyslipidemia and positive family history. Proper drug therapy, social support, health education, and psychological care in diabetes are essential but are usually deficient, especially in developing countries. Financial restrictions, distance from hospital, low levels of education, and less disease awareness among the patients are the limiting factors in the effective follow-up of diabetic patients under treatment. Exercise is considered a crucial component of disease management for individuals with type 2 diabetes, and it is associated with extensive health and mental health benefits. Regular physical activity improves blood glucose control, may prevent or delay T2DM, and enables better and more effective glucose utilization by reducing insulin resistance. Furthermore, it affects blood lipids, blood pressure, cardiovascular risk factors, mortality, and quality of life in a positive way. Although the benefits of exercise are well established, most people with diabetes do not engage in physical activity in a regular and sustained manner. To address this, it is important to develop interventions that are easily and broadly accessible and that address specific barriers that prevent individuals with diabetes from participating in physical activity. Hence the present study is done to find the effect of the easiest and cheapest means of communication i.e., telehealth in engaging the diabetes patients in physical activity and thus enhancing the quality of life with proper diabetes management. AIM OF THE STUDY: The aim of the study is to find out the effect of telehealth on glycemic control, physical activity and quality of life in type 2 DM individuals. OBJECTIVES:  To find out the effect of telehealth on glycemic control through FPG, HbA1c in type 2 DM individuals.  To study the effect of telehealth on physical activity (PA) through, BP, BMI, International Physical Activity Questionnaire (IPAQ) (Telugu translation) in type 2 DM individuals.  To study the effect of telehealth on quality of life (QOL) through Quality of Life Instrument for Indian Diabetes Patients Questionnaire (QOLID) (Telugu translation) in type 2 DM individuals. Study design: This is a randomized controlled study. Study Setup: Patients with type 2 DM attending to SVIMS Endocrinology OP. Period of follow up: 3 months Study sampling: Simple randomized sampling Sample size calculation: Minimum of 128 subjects in both groups, hence 70 subjects in each group. METHODOLOGY: Baseline information of BP, BMI, THR, HbA1c, FPG, PA, and QOL are taken along with their contact number and with informed consent at the first time of visit to SVIMS Endocrinology OP. Advice about regular physical activity adherence, diet, lifestyle modification and diabetes management will be given orally and in the form of handouts for the subjects in both the groups along with weekly thrice phone calls and motivation and encouragement about regular physical activity participation is advised for the subjects in experimental group. Follow up is taken after three months about BP, BMI, HbA1c, FPG, PA and QOL. RESULTS: The pre and post experimental mean value, t-test and p values of all the outcomes that is BP, BMI, HbA1C, FPG, PA, QOL shows significance (0.05) in both the groups. CONCLUSION: Hence, the study concluded that telehealth showed a significant improvement in glycemic control, physical activity and quality of life at 0.05 level of significance.

Keywords

DIABETES MELLITUS, TELEHEALTH, GLYCEMIC CONTROL, QUALITY OF LIFE, PHYSICAL ACTIVITY.

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