title: Lessons learnt from influences of the Marmara earthquake on glycemic control and quality of life in people with type 1 diabetes.
abstract: 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.
authors.affiliation: Sisli Etfal, Education and Research Hospital, Endocrinology Department, Istanbul, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Sengül
authors.forename: Emel
authors.initials: E
authors.lastname: Ozer
authors.forename: Serpil
authors.initials: S
authors.lastname: Salman
authors.forename: Fatih
authors.initials: F
authors.lastname: Salman
authors.forename: Zuhal
authors.initials: Z
authors.lastname: Sağlam
authors.forename: Mehmet
authors.initials: M
authors.lastname: Sargin
authors.forename: Sükrü
authors.initials: S
authors.lastname: Hatun
authors.forename: Ilhan
authors.initials: I
authors.lastname: Satman
authors.forename: Temel
authors.initials: T
authors.lastname: Yilmaz
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D015992:Body Mass Index; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000188:drug therapy / Q000523:psychology*; D004190:Disasters; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D011788:Quality of Life; D013997:Time Factors; D014421:Turkey
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007328:Insulin