Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study
Authors' conclusion
In our sample of Asian primary care patients, a high prevalence of severe diabetes distress and denial was detected although no clear association between cardiovascular risk and diabetes distress was found. Future studies should assess the longitudinal changes and impact of other risk factors in diabetes distress. (Abstract: 199 words).
Study context
- Population
- Asian primary care patients aged ≥ 21 years with uncontrolled T2D (HbA1c > 7.0 % [53 mmol/mol]) and polypharmacy132 analysed
- Participants
- 210 patients
- Exposure
- High vs low Framingham Risk Score
- Outcome
- Point-prevalence and distribution of diabetes distress (PAID scale; denial 0-10, severe distress ≥ 40) and its association with cardiovascular risk (FRS)
Methodological detailstwo outpatient clinics, matched on baseline HbA1c, 1940 patients approached, 210 recruited
- Two outpatient clinics
- Matched on baseline HbA1c
- 1940 patients approached, 210 recruited
Main finding
As reported in the abstract
Diabetes distress (PAID)
High FRS
20.00
Low FRS
13.75
High FRS vs Low FRS: P = 0.446 · High FRS vs Low FRS: McNemar-Bowker test, p = 0.477
- Median Problem Areas in Diabetes (PAID) score, all participants (IQR 6.25-41.56); even distribution in each distress category
- 17.5
- Prevalence of severe distress
- 31.4 %
- Prevalence of denial
- 33.8 %
Observational data: associations, not effects.
Further findings
Intermediate-high 10-year cardiovascular risk among those in denial
- Intermediate-high 10-year CV risk among those in denial
- 58.7 %
Original publication
Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study. Diabetes Res Clin Pract. Published 9 February 2023. doi:10. 1016/ j. diabres. 2023. 110574
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