ECE2022 Poster Presentations Diabetes, Obesity, Metabolism and Nutrition (202 abstracts)
National Institute of Nutrition, Outpatient Department and Functional Explorations, Tunis, Tunisia
Background: While sexual dysfunction in men with type 1 diabetes is well known, sexual dysfunction in women remains a neglected issue. The aim of this study was to assess the sexual quality of life (SQOL) of women with long-standing type 1 diabetes.
Methods: We conducted a cross-sectional study of women followed at the National Institute of Nutrition and Food Technology of Tunis. We included women with type 1 diabetes for 20 years or more. Women who were not sexually active and those who were pregnant or breastfeeding were not included. The Audit Diabetes Dependent Quality of Life score was used to assess quality of life. This scale assesses overall quality of life, quality of life without diabetes and 19 life domains, includingsexual life. SQOL was impaired if its relative score was less than (-3).
Results: We included 39 patients with mean age 40.77±7.9 years [ext :2960 years]. Participants had been sexually active for a mean of 11±8.9 years. All women included had only one partner. The mean glycated hemoglobin (A1c) was 9.3±1.3%. The mean QOL score was (-3)±3 with extremes ranging from (-9) to 0. SQOL was impaired in 64.1% of the population. Univariate study showed that impaired SQOL was associated with history of in utero fetal death (P=0.012) and number of abortions (P=0.015). SQOL was associated with quality of life without diabetes (P=0.012). Overall quality of life, glycaemic control, and chronic complications of diabetes were not associated with SQOL.
Conclsion: The results of our study highlight the impact of previous pregnancies on the SQOL of long-standing type 1 diabetic patients. Hence the importance of psychological support for all these women, especially those who has experienced an early or late abortion.