Lessons Learnt from Influences of the Marmara Earthquake on Glycemic Control and Quality of Life in People with Type 1 Diabetes

  • SENGÜL Ahmet
    Sisli Etfal, Education and Research Hospital, Endocrinology Department
  • ÖZER Emel
    Istanbul University, Istanbul Medical Faculty, Internal Medicine Department, Diabetes Division
  • SALMAN Serpil
    Istanbul University, Istanbul Medical Faculty, Internal Medicine Department, Diabetes Division
  • SALMAN Fatih
    Istanbul University, Istanbul Medical Faculty, Internal Medicine Department, Diabetes Division
  • SAGLAM Zuhal
    Haseki, Education and Research Hospital, Endocrinology Department
  • SARGIN Mehmet
    Kartal, Education and Research Hospital, Endocrinology Department
  • HATUN Sükrü
    Kocaeli University, Kocaeli Medical Faculty, Pediatrics Department, Metabolism and Endocrinology Division
  • SATMAN Ilhan
    Istanbul University, Istanbul Medical Faculty, Internal Medicine Department, Diabetes Division
  • YILMAZ Temel
    Istanbul University, Istanbul Medical Faculty, Internal Medicine Department, Diabetes Division

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抄録

To examine the short- and long-term influences of the Marmara earthquake, which occurred on August 17, 1999 in Turkey, on glycemic control and quality of life (QOL), HbA1c, insulin requirement and QOL of 88 people with type 1 diabetes living in the quake zone were evaluated one year before (PreE), 3 months after (PostE) and one year after (FE) the earthquake. HbA1c levels and daily insulin requirements increased significantly at PostE (HbA1c from 7.4 ± 1.3% to 8.5 ± 1.8%, p<0.05; insulin from 0.58 ± 0.2 IU/kg/day to 0.77 ± 0.2 IU/kg/day, p<0.05). Mean total QOL scores at PostE were significantly lower than the scores obtained at PreE (62.7 ± 17.3 vs 74.2 ± 13.4, p<0.001). There were no significant differences between HbA1c levels and total QOL scores at PreE and FE. People with type 1 diabetes living in the same house after the earthquake and not having enough food supply were reported to have lower QOL than people moving to another house and having enough food supply after the earthquake (p = 0.014, p<0.0001, respectively). The Marmara Earthquake had a negative impact on the glycemic control and QOL of the subjects with type 1 diabetes for the short term but prequake scores might be achieved after a long period.<br>

収録刊行物

  • Endocrine Journal

    Endocrine Journal 51 (4), 407-414, 2004

    一般社団法人 日本内分泌学会

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