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ORIGINAL ARTICLE Table of Contents   
Year : 2020  |  Volume : 45  |  Issue : 4  |  Page : 497-500
Identifying the burden and predictors of diabetes distress among adult Type 2 diabetes mellitus patients


1 Department of Community Medicine, Dumka Medical College, Dumka, Jharkhand, India
2 Department of Endocrinology, Diabetes & Metabolism, Narayana Health City, Bangalore, Karnataka, India

Correspondence Address:
Dr. K S Shivaprasad
Departments of Endocrinology, Diabetes and Metabolism, Narayana Health City, 258/A, Bommasandra Industrial Area, Hosur Road, Bengaluru - 560 099, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_533_19

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Background: Diabetes is a psychologically challenging medical condition. Diabetes distress (DD) refers to the unique, often hidden emotional burdens and worries that the patient experiences when managing diabetes. Objective: The objective of the study was to find the burden and identify the predictors of DD in adult Type 2 diabetes mellitus (T2DM) patients. Materials and Methods: Two hundred and fifty T2DM patients were recruited for this study from the endocrine outpatient department from February to April 2019. DD was measured using the Diabetic Distress Scale. Results: The prevalence of DD was 19.6%. The risk of DD was 4.25 times more in those aged ≤45 years as compared to those aged >45 years. Patients with hemoglobin A1c (HbA1c) >8% had 8.8 times more DD. Patients on insulin had more DD (5.4 times) as compared to patients who were on oral antidiabetic drugs. Patients with a history of treatment interruption had 11 times more risk of DD as compared to patients who did not. Conclusions: DD was found to be high among patients aged ≤45 years, illiterates, patients on insulin, patients with a history of treatment interruption, and those with HbA1c >8%. Patients with high DD were found to have higher HbA1c levels.


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