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Sociological and Pharmacological Aspects of Diabetes

Personality traits, age, and gender do not have a significant impact on diabetes management…. 

Duda et al assessed the impact of patients’ traits on diabetes-related distress and psychological factors in subjects with type 1 diabetes. Data was collected on social, economic, and lifestyle factors from questionnaires and inventory assessments. Researchers found that there was no correlation between personality traits and metabolic control of diabetes.

Koopman et al evaluated the strength of the association between education, income, occupation or a combination of the three and the risk of type 2 diabetes. Over 1100 patients were included in the cohort study, and at follow-up, 9.1% of the participants had developed type 2 diabetes. Only low level of income was statically significant for its association with an increased risk of diabetes; however, the combination of income, occupation, and education level better predicts the increased risk of T2DM in those with low socioeconomic status.

A current study examining patients treated with vildagliptin or sulphonylurea, combined with metformin, provides effective glycemic control regardless of age or gender. Change in HbA1c between gender groups with vildagliptin and sulphonylurea were not statistically significant; however, they found that vildagliptin lowers HbA1c more effectively than sulphonylurea.

Practice Pearls:
  • No correlation found between personality traits and metabolic control of diabetes.
  • Low income level is associated with an increased risk of diabetes.
  • Glycemic control is not affected by age and gender.

EASD Barcelona, September 26 2013

1. A Duda-Sobczak, D Zozulinska-Ziolkiewicz, B Wierusz-Wysocka. Association of personality traits with diabetes-related distress and psychosocial factors in subjects with long duration of type 1 diabetes.

2. A Koopman, F Rutters, S Rauh, PJ Kostense, SDM Bot, CA Baan, et. al. Socio-economic status – combination of occupation, education and income level – and diabetes risk: the Hoorn study.

3. M. Ratzinger1, H. Brath2, A. Kautzky-Willer3, G. Bader. Glycaemic control is not affected by age and gender: results from a large cohort study (EDGE).