The Detection and Management of Diabetes Distress in People With Type 1 Diabetes

Diabetes distress (DD) represents a significant clinical burden in which levels of DD are related to both glycated haemoglobin (HbA1c) and some self-management behaviours. DD is related to, but different from, depression. Differences in DD experienced in people with type 1 and type 2 diabetes have b...

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Bibliographic Details
Published in:Current Diabetes Reports 2015-11, Vol.15 (11), p.101-101, Article 101
Main Authors: Sturt, Jackie, Dennick, Kathryn, Due-Christensen, Mette, McCarthy, Kate
Format: Article
Language:English
Subjects:
Diabetes
Diabetes Mellitus, Type 1 - therapy
Diabetes Mellitus, Type 2 - therapy
Glycated Hemoglobin A - analysis
Humans
Hypoglycemia
Medicine
Medicine & Public Health
Section Editor
Self Care
Topical Collection on Treatment of Type 1 Diabetes
Treatment of Type 1 Diabetes (M Pietropaolo
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Summary:Diabetes distress (DD) represents a significant clinical burden in which levels of DD are related to both glycated haemoglobin (HbA1c) and some self-management behaviours. DD is related to, but different from, depression. Differences in DD experienced in people with type 1 and type 2 diabetes have been observed. Commonly measured using the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS), rates of elevated DD in research study participants range from 20 to 30 %. Risk factors for elevated DD in type 1 diabetes are longer duration of diabetes, severe hypoglycaemia, younger age and being female. A systematic review of intervention studies assessing DD identified eight randomised controlled trials (RCTs) and nine pre-post design studies. Only three studies targeted DD with the intervention. Intervention types were diabetes self-management education (DSME), psychologically informed self-management and devices. DSME pre-post studies, namely the Dose Adjustment For Normal Eating (DAFNE) programme, produced more consistent improvements in DD and HbA1c at follow-up. Psychologically informed self-management was more heterogeneous, but several RCTs were effective in reducing DD. Group interventions offered the greatest benefits across intervention designs.
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-015-0660-z