PMID- 21418865 OWN - NLM STAT- MEDLINE DCOM- 20111202 LR - 20220408 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 91 IP - 4 DP - 2011 Jan 25 TI - [Association between side effects of oral anti-diabetic drugs and self-reported mental health and quality of life among patients with type 2 diabetes]. PG - 229-33 AB - OBJECTIVE: To examine the association between the side effects of oral anti-diabetic drugs (OAD) and self-reported mental health and quality of life among patients with type 2 diabetes mellitus (T2DM). METHODS: An observational, cross-sectional multicenter study with a retrospective medical chart review was conducted at 16 medical centers from around China. The T2DM patients were followed-up and treated with OAD alone prior to the index visit from January to September 2007. All subjects were >/=30 years old at the time of T2DM diagnosis and had received monotherapy or combination therapy of OAD for at least 6 months. Health-related quality of life was measured by the EuroQol-5D (EQ-5D) and Hypoglycemia Fear Survey (HFS)-II. RESULTS: The symptoms of hypoglycemia were reported by 41.8% (n=203) of participants, and 19.2% (n=93) experienced weight gain. For those reporting hypoglycemia, the scores were higher for HFS-II [7.00 (2.00-19.00) vs 0.00 (0.00-7.00), P<0.01] and lower for EQ-5D (0.90+/-0.12 vs 0.93+/-0.13, P=0.003) than those without hypoglycemic symptoms. According to the multivariate linear regression analysis, the symptoms of hypoglycemia were positively correlated with HFS-II (beta=5.78, P<0.01) and negatively with EQ-5D (beta=-0.04, P<0.05) after adjusting for patient and disease characteristics. CONCLUSION: There is a high possibility of hypoglycemic risks among T2DM patients on OAD therapy. The self-reported hypoglycemia is associated with health-related quality of life and hypoglycemic fear. They may have an impact on the long-term prognosis. FAU - Chen, Zong-cun AU - Chen ZC AD - Department of Endocrinology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. FAU - Zhang, Shao-ling AU - Zhang SL FAU - Yan, Li AU - Yan L FAU - Wu, Mu-chao AU - Wu MC FAU - Chen, Li-hong AU - Chen LH FAU - Ji, Li-nong AU - Ji LN LA - chi PT - English Abstract PT - Journal Article PT - Multicenter Study PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Hypoglycemic Agents) SB - IM MH - Aged MH - Attitude to Health MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/drug therapy/*psychology MH - Female MH - Humans MH - Hypoglycemic Agents/*adverse effects/therapeutic use MH - *Mental Health MH - Middle Aged MH - *Quality of Life MH - Retrospective Studies MH - Surveys and Questionnaires EDAT- 2011/03/23 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/03/23 06:00 PHST- 2011/03/23 06:00 [entrez] PHST- 2011/03/23 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2011 Jan 25;91(4):229-33.