Type 2 & other diabetes

Severe distress & denial among Asian patients with Type 2 Diabetes Mellitus in the primary care: A prospective, multicentre study

Diabetes Res Clin PractPublished 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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