1. Define your priorities by asking yourself: What I want? __ (E.g. Job, Marriage, etc)
2. Specify the value according to its importance to you out of 10 to get the value for
   each alternative.
3. Monitor the alternatives that you have, while ensuring that they are aligned and
   identified, and we suggest that you do not abide by the limitations of reality by setting
   at least two unrealistic goals adding to your suggestions. (write it below each
   alternative).
4. Each box is divided into two parts below the alternatives, the first section (in white) is
   to determine the extent to which the alternative has the corresponding priority.
   However, the second section (shaded in gray) determines the multiplication between
   the first section (white) and the priority value.
5. Collect the result of the multiplication (the numbers in the gray section of the cells)
   below each alternative to get the result.

Diabetes Mellitus

Introduction

Diabetes mellitus (DM) is a chronic and complicated
disease that relies on glycemic control and requires continuous medical care which aims to reduce its multifactorial risks. Nowadays diabetes,
because of its frequency and complications, is a
growing health problem across the world.
Concurrent with changes in lifestyle, its prevalence in all populations, particularly the prevalence of type 2 DM, is rapidly increasing. As of 2013, the number of diabetic patients in the world was 382
million and this was predicted to increase by 55%
by 2035, reaching 592 million(1-3).
According to the findings of Turkish Diabetes
Epidemiology (TURDEP-I) study conducted in
Turkey between 1997-1998, the prevalence of type
2 DM was 7.2%, while it rose to 13.7% in the TURDEP-II
study published in 2011 (4, 5).
Uncontrolled diabetes causes hyperglycemia leading
to chronic complications affecting in all bodily systems, primarily in the cardiovascular system, the kidney, the eye, and the nervous system, in which it causes neuropathy(1).
Acta Medica Mediterranea, 2018, 34: 643
Received November 30, 2017; Accepted January 20, 2018

ABSTRACT

Introduction and aim: One of the most common and long-lasting complications in uncontrolled diabetes is diabetic neuropathy.
The aim of this study was to investigate the effect of diabetic neuropathic pain on depression and quality of life.
Material and methods: The study was designed as cross-sectional and descriptive study and was conducted between February
and April of 2016 with 40 diabetic individuals diagnosed with diabetic neuropathy. Data were collected using the Diabetes Individual
Identification Form, Leeds Assessment of Neuropathic Symptom and Signs Scale, Beck’s Depression Inventory and the EORTC QLQC30
Quality of Life Questionnaire. Verbal and written consent was obtained and the data were analyzed with the SPSS program.
Results: 25 women and 15 men participated in this study. It was determined that 50% of the individuals participating in the
study had had diabetes for 6-10 years, 55% had received insulin treatment and 25% had only received oral anti-diabetic (OAD)
treatment. The mean score for the LANSS pain scale of diabetic subjects was 9.83, the mean score for the BECK’s Depression
Inventory was 18.03 and the mean score for the EORTC Quality of Life Questionnaire was 612. The correlation coefficient between
the LANSS pain scale and the EORTC Quality of Life Questionnaire was significant for individuals with diabetic neuropathic pain.
There was a positive correlation between the two scales (r=0.671, p=0.000 <α=0.05.). There was a positive but weak relationship between the LANSS Pain Scale and the BECK Depression Inventory, while no significant relationship was found between the BECK Depression Inventory and the EORTC Quality of Life Questionnaire for individuals with neuropathic pain (r=0.097,p=0.551>α=0.05.) rs=0.312, p=0.050 =α=0.05).
Conclusion: Diabetic neuropathic pain seriously affects the quality of life and increases susceptibility to psychological problems
such as depression. When using a patient-specific treatment approach for diabetes, taking into account the data on depression
and quality of life will increase the patient’s participation in the treatment process and the success of the treatment.
Keywords: diabetetes, neuropathic pain, depression, life quality.