# Impact on the Quality of Life and Physiological Parameters in Patients with Diabetes Mellitus
## 4 Discussion  
The results showed higher values in men in most dimensions of the SF-36 questionnaire, supported by several related studies [29]. However, the physical parameters assessment indicated that there were no significant differences in the values presented according to gender. Among the parameters studied, only the gender of the patient with diabetes had an influence on the presence of arterial calcifications, shown on the X-ray, which were more frequent in men. Although the physical/clinical aspects of women and men with DM were similar, the perception of their quality of life differed. We found significant differences in the \"emotional role\", \"mental health\" and \"health change\" dimensions. Low levels in the mental and emotional component and the development of depressive or anxiety disorders were reported by [30]. These findings are \begin{table}
\begin{tabular}{c c c c c c c c c} \hline \hline  & \multicolumn{2}{c}{**Wound**} & \multicolumn{3}{c}{**Neuropathy**} & \multicolumn{3}{c}{**Peripheral Arteriopathy**} \\ \hline  & & **Yes** & **No** & & **Yes** & **No** & & **Yes** & **No** \\ \hline \multirow{3}{*}{T} & M & 66.13 & 61.79 & M & 58.67 & 67.80 & M & 43.00 & 67.10 \\  & W & 49.33 & 55.42 & W & 39.00 & 58.00 & W & 40.00 & 59.36 \\  & \(p\) & 0.465 & \(p\) & 0.246 & \(p\) & 0.136 \\ \hline \multirow{3}{*}{PF} & M & 65.00 & 65.26 & M & 58.67 & 67.67 & M & 31.25 & 69.31 \\  & W & 56.67 & 68.75 & W & 46.67 & 71.25 & W & 43.75 & 74.55 \\  & \(p\) & 0.733 & \(p\) & 0.094 & \(p\) & 0.672 \\ \hline \multirow{3}{*}{PR} & M & 60.94 & 59.21 & M & 55.00 & 66.67 & M & 50.00 & 62.07 \\  & W & 41.67 & 64.58 & W & 58.33 & 72.92 & W & 18.75 & 75.00 \\  & \(p\) & 0.729 & \(p\) & 0.091 & \(p\) & 0.408 \\ \hline \multirow{3}{*}{BP} & M & 61.63 & 57.16 & M & 54.60 & 61.07 & M & 36.50 & 62.62 \\  & W & 42.00 & 57.83 & W & 45.33 & 57.00 & W & 47.00 & 57.45 \\  & \(p\) & 0.968 & \(p\) & 0.402 & \(p\) & 0.348 \\ \hline \multirow{3}{*}{GH} & M & 67.50 & 57.37 & M & 59.33 & 64.00 & M & 37.50 & 65.52 \\  & W & 48.33 & 52.92 & W & 48.33 & 52.92 & W & 42.50 & 55.45 \\  & \(p\) & 0.121 & \(p\) & 0.852 & \(p\) & 0.048 \\ \hline \multirow{3}{*}{V} & M & 63.44 & 54.74 & M & 50.67 & 63.67 & M & 26.25 & 63.10 \\  & W & 66.67 & 55.00 & W & 53.33 & 58.33 & W & 66.25 & 54.09 \\  & \(p\) & 0.316 & \(p\) & 0.231 & \(p\) & 0.030 & \\ \hline \multirow{3}{*}{SF} & M & 76.88 & 75.11 & M & 70.07 & 82.80 & M & 45.25 & 82.03 \\  & W & 49.00 & 69.59 & W & 49.67 & 69.42 & W & 56.00 & 68.91 \\  & \(p\) & 0.839 & \(p\) & 0.376 & \(p\) & 0.126 & \\ \hline \multirow{3}{*}{ER} & M & 77.00 & 63.05 & M & 59.93 & 79.93 & M & 66.50 & 72.34 \\  & W & 44.33 & 36.00 & W & 51.00 & 44.33 & W & 16.50 & 45.36 \\  & \(p\) & 0.149 & \(p\) & 0.343 & \(p\) & 0.290 & \\ \hline \multirow{3}{*}{MH} & M & 70.75 & 74.58 & M & 72.60 & 75.20 & M & 54.00 & 76.86 \\  & W & 62.67 & 54.67 & W & 57.33 & 56.00 & W & 47.00 & 59.64 \\  & \(p\) & 0.826 & \(p\) & 0.403 & \(p\) & 0.012 & \\ \hline \multirow{3}{*}{HC} & M & 56.25 & 52.95 & M & 52.07 & 51.67 & M & 43.75 & 53.66 \\  & W & 33.33 & 43.75 & W & 33.33 & 43.75 & W & 25.00 & 47.73 \\ \cline{1-1}  & \(p\) & 0.469 & \(p\) & 0.471 & \(p\) & 0.410 & \\ \hline \hline \end{tabular} Statistical study of contrast between CV variables according to the presence of vascular symptoms and gender differentiation, for \(\alpha=0.05\). M = men; W = women; \(p\) = significance (Mann–Whitney U test); T = Total health; PF = Physical function; PR = Physical role; BP = Bodily pain; GH = General health; V = Vitality; SF = Social function; ER = Emotional role; MH = Mental health; HC = Health change.  
\end{table} 
Table 4: SF-36 questionnaire for HRQL dimension descriptive analysis in wound, neuropathy and peripheral arteriopathy presence and differences according to gender. relevant because of [30].