Diabetes related distress is high in inpatients with diabete
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The aim of the present study was to assess diabetes-related distress in inpatients and its association with metabolic control in people with diabetes type 1 (DM1) and type 2 (DM2).

In a cross-sectional study, 107 inpatients with DM1 (age 45.9 years, diabetes duration 18.7 years, HbA1c 8.4%/67.8 mmol/mol) and 109 with DM2 (age 62.0 years, diabetes duration 16.2 years, HbA1c 8.9%/74.3 mmol/mol) from a University department for endocrinology and metabolic diseases (Germany) were included over 2 years. Diabetes-related distress was assessed with the PAID questionnaire (range 0–100, higher scores imply higher diabetes-related distress, cut-off more than 40). The PAID questionnaire was completed by 214 of 216 participants.

Results:
-- Fifty-one of 214 individuals (23.8%) showed high distress (PAID score more than 40).

-- The mean PAID score was 28.1±17.5 in all participants with no difference between DM1 and DM2 (28.1±17.4 vs. 26.2±16.9).

-- Individuals with DM2 on insulin scored higher than patients without insulin (27.8±17.6 vs. 18.7±8.5).

-- Additionally, people with DM1 treated with a system for continuous glucose monitoring (n=50, 33.1±18.8) scored higher than participants without such system (n=32, 20.6±13.3).

-- HbA1c was not correlated with the PAID score in both, DM1 and DM2.

-- Participants with DM2 and severe hypoglycaemia/last 12 months scored higher than people without (PAID score 43.0±20.4 vs. 25.1±16.5).

-- Frequency of non-severe hypoglycaemia was not associated with the PAID score in DM1 and DM2.

Conclusively, patients with diabetes treated in hospital for problems with diabetes suffer frequently from diabetes-related distress (approx 24%) regardless of diabetes type.

Source: https://dmsjournal.biomedcentral.com/articles/10.1186/s13098-021-00659-y
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