(P22-053-25) Challenges in Quality of Life and Dietary Patterns in Patients With Type 2 Diabetes Mellitus: A Ongoing Study Using the DQOL-Brasil

Objectives: Type 2 Diabetes Mellitus (T2DM) can significantly impact quality of life; however, this issue has not been thoroughly investigated. Therefore, we aimed to assess the quality of life of individuals diagnosed with T2DM, explore their consumption of ultra-processed foods, and identify perceived lifestyle challenges following diagnosis.

Methods: This is an ongoing observational study, in Brazil. Participants were recruited from the governmental diabetes care program, associations, and primary health care units. The study was approved by the Ethics Committee (CAAE n. 67616623.3.0000.0036). The assessment tools included the Diabetes Quality of Life Measure Questionnaire, DQOL-Brasil and the NOVA questionnaire. Additionally, two standardized, subjective questions were included: “What do you think could improve your quality of life with type 2 diabetes?" and “What negative impacts has type 2 diabetes had on your life?”

Results: Participants (n=28) reported moderate satisfaction with diabetes treatment (2.78 ± 0.55). The impact on daily life was substantial (3.52 ± 0.71). Social and vocational concerns were even more pronounced (4.55 ± 0.18), with considerable worry about diabetes' influence on work and social interactions. Anxiety and fear of complications were also common (3.55 ± 1.04). The mean score for ultra-processed food consumption was 3.60 ± 0.78. Margarine was the most frequently consumed item (n=14), followed by sliced bread, hamburgers, and hot dogs (n=9 each).  Negative impacts cited included dietary restrictions (n=9; described as "limiting," "restrictive," "troublesome"), fatigue and discomfort (n=3), and feelings of fear and guilt (n=3).  To improve quality of life, participants suggested better food accessibility (n=9), professional support and nutritional education, improved access to medications and consultations (n=8), and increased opportunities for physical activity (n=2).

Conclusions: Individuals with T2DM reported significant quality of life impacts, frequent ultra-processed food consumption, dietary restrictions, and emotional challenge.

Funding Sources: To IFGoiano for their invaluable financial support through the PIPECT program.