A Cross-Sectional Study on Clinical Outcome of the Current Management Practice with Carb-Counting & Insulin Titration, & Health-Related Quality of Life (HRQoL) on a Selected Group of Young Adults with Type 1 Diabetes Attending to Diabetes & Endocrinology Unit at National Hospital Kandy, Sri Lanka

Background: Clinical outcome and health related quality of life (HRQoL) assessment among young adults living with type 1 diabetes mellitus (T1DM) following structured education on self-management of diabetes in Sri Lankan settings is unknown.Aims: To assess the clinical outcomes of current management practice with carbohydrate counting and self-management of insulin according to eating patterns and to assess the health-related quality of life (HRQoL) among young adults living with T1DM aged between 18-25.Methods: Thirty young adults aged between 18-25 years with the diagnosis of T1DM, classified according to American Diabetes Association guideline based on the clinical and/or biochemical parameters were recruited in this descriptive cross-sectional study. Basic demographic data, baseline and follow up assessments on HBA1C were recorded. HRQoL assessment was carried out via a self-administered questionnaire (ViDa1) and the results were compared for internal consistency and with the clinical outcomes.Results: Among the 12 male and 18 female patients, an improvement in HBA1C by the mean of 1.2% was noted over a mean period of 11.38 months of carbohydrate counting and 9.52 months of the self-management of insulin, though no statistical significance observed (P=0.698, 95%CI -0.38-2.8). The internal consistency of Vida 1 questionnaire for our population was validated through Cronbach’s alpha > 0.7 in all four subclasses. There was a positive correlation between self-care and wellbeing (P