To determine the effect of patient counselling on quality of life and knowledge, attitude and practice of the diabetes patients. Prospective observational study was conducted in the department of general medicine, Rajiv Gandhi Institute of medical sciences, Kadapa for the period of 6 months. Both men and women were included to participate if they had uncontrolled type-2 diabetes mellitus, obese lower weight, FBS level > 129 mg/dl and RBS > 200 mg/dl, age group(>30 yrs). Patients were excluded, if they were unable to comply with protocol requirements, the patients having end stage complications like renal failure, hepatic failure and cardiac failure and history of drug (or) alcohol abuse. The study proposal was approved by the Institutional Ethical Committee of RIMS, Kadapa. Diabetes mellitus was more prevalent in females 65% than in males 35%. We found that 39% had alcoholism. 48.5% responded to physical components, followed by 36% people responded to mental components and considerable patients 15.5% responded to both physical and mental components. We observed both statistical and clinical improvement in quality of life of the patients at baseline and after counselling. The present study revealed that the patients were un-aware about the basic concept related to diabetes. The present study concluded that chronic diseases like diabetes affect the quality of life of patients and the education has a major role in improving the health care outcomes like glycemic control and quality of life.
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