Baseline clinical factors associated with diabetes distress in dialysis patients: Insights from the ABCD audit data
Authors' conclusion
Diabetes distress is highly prevalent among individuals with diabetes on haemodialysis and appears to be influenced more by the challenges of dialysis than traditional diabetes-related factors. These findings highlight the need for routine screening and tailored psychological support for this vulnerable population to improve emotional well-being and overall care outcomes.
Study context
- Population
- People with diabetes on haemodialysis started on intermittently scanned continuous glucose monitoring (isCGM), Association of British Clinical Diabetologists nationwide audit, UK; 36% female, mean age 60.7 years
- Participants
- 86 people
- Exposure
- T1D vs T2D
- T1DMn = 48
- T2DMn = 38reference
- Outcome
- Prevalence of DD (diabetes distress scale (DDS-2); high DD = DDS score ≥3)
- Follow-up
- Baseline
Methodological detailsnationwide audit, baseline data
- Nationwide audit
- Baseline data
Main finding
As reported in the abstract
Severe DD (DDS ≥ 3)
P = 0.96
- Overall prevalence of severe diabetes distress (DD) (DDS ≥ 3)
- 42%
- Overall average DDS score
- 2.7 (±1.59)
Observational data: associations, not effects.
Further findings
Duration of diabetes · baseline · shorter with T2DM
P = 0.04
BMI and high DD · baseline
- BMI was negatively correlated with high DD
- P < 0.001
Original publication
Baseline clinical factors associated with diabetes distress in dialysis patients: Insights from the ABCD audit data. Diabetes Obes Metab. Published 1 September 2025. doi:10.
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