Type 1 diabetes

Metabolic predictors of pain, fatigue, depression and quality of life in people with long‐term type 1 diabetes—the Dialong study

Diabet MedPublished Cross-sectional study

Authors' conclusion

Long-term chronic hyperglycaemia may have a negative influence on pain and fatigue in people with type 1 diabetes. These results may assist health care workers in emphasizing the importance of strict glycaemic control in people with diabetes and identifying and treating type 1 diabetes-related pain and fatigue.

Study context

Population
Persons with T1D of ≥45 years duration (Dialong study)
Participants
104 persons
Outcome
Associations of metabolic parameters (mean 30 years' time-weighted HbA1c and LDL-C, current MetSO, AGEs, inflammatory markers, hypoglycaemia) with pain, fatigue, depression and quality of life (QoL)
Methodological detailsobservational
  • Observational

Main finding

As reported in the abstract

Associations of mean time-weighted HbA1c with questionnaire scores (standardized regression coefficients, beta)

Higher mean time-weighted HbA1c and bodily pain (RAND-36 bodily pain; lower scores = more pain), beta (p-value)

−0.3

<0.001

Higher mean time-weighted HbA1c and total fatigue, beta (p-value)

0.2

0.001

Observational data: associations, not effects.

Original publication

Metabolic predictors of pain, fatigue, depression and quality of life in people with long‐term type 1 diabetes—the Dialong study. Diabet Med. Published 29 November 2022. doi:10.1111/dme.15009

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