Recurrent Diabetes‐Related Hospital Admissions and Diabetes Distress: Real‐World Evidence From the Association of British Clinical Diabetologists ( Association of British Clinical Diabetologists (ABCD) ) National Freestyle Libre Audit
Main finding · High diabetes distressResult — go to the resultAdjusted odds ratio 1.94 95% CI 1.48–2.57Authors' conclusion
Recurrent diabetes-related hospital admissions are strongly associated with diabetes distress, with the independent association driven by recurrent rather than isolated events.
Study context
- Population
- Adults in the ABCD National FreeStyle Libre Audit; mean age 42.3 ± 18.1 years, 47.7% female, most with T1D8,017 complete-case
- Participants
- 14,460 adults
- Exposure
- Recurrent or single vs no diabetes-related hospital admissions in the preceding 12 months
- Outcome
- High diabetes distress (Diabetes Distress Scale (DDS-2) mean score ≥ 3)
Methodological detailsnational audit, multivariable logistic regression
- National audit
- Multivariable logistic regression
Main finding
High diabetes distress
Adjusted odds ratio
1.94
95% CI 1.48–2.57
Recurrentvs None
aOR 1.94 (95% CI 1.48–2.57)
As reported in the abstract
- High diabetes distress present in all participants
- 51.5%
Observational data: associations, not effects.
Further findings
Distress prevalence among recurrent admissions, by structured education
- Interaction between admissions and structured education · likelihood ratio testing
- P < 0.001
Other admission types
- Recurrent non-diabetes admissions were not independently associated with distress
- Hypoglycaemia-related and other diabetes-related admissions were independently associated with distress
Original publication
Recurrent Diabetes‐Related Hospital Admissions and Diabetes Distress: Real‐World Evidence From the Association of British Clinical Diabetologists ( ABCD ) National Freestyle Libre Audit. Diabetes Obes Metab. Published 12 August 2026. doi:10.
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