Diabetes complications

Understanding the Impact of Diabetic Peripheral Neuropathy and Neuropathic Pain on Quality of Life and Mental Health in 6,960 People With Diabetes

Diabetes CarePublished Cross-sectional survey study

Authors' conclusion

An increased focus on differences in QoL, mental health, and pain phenotypes is of importance to move the field forward toward more interdisciplinary, personalized treatment.

Study context

Population
People with diabetes
Participants
1,601 / 5,359 / 1,085 / 516
Exposure
Diabetic peripheral neuropathy (DPN) vs no DPN; painful vs painless DPN
  • DPNn = 1,601
  • No DPNn = 5,359reference
  • Painful DPNn = 1,085
  • Painless DPNn = 516
Outcome
Associations of painful and painless DPN with QoL, mental health and socioeconomic factors

Main finding

As reported in the abstract

QoL (SF-36)

DPN

55.1

IQR 36.7–73.6

No DPN

82.2

IQR 63.6–90.9

Observational data: associations, not effects.

Further findings

OutcomeDPNNo DPN
Anxiety (HADS-A)5.00 (IQR 2–9)2.00 (IQR 1–5)
Depression (HADS-D)4.00 (IQR 1–8)1.00 (IQR 0–3)

Anxiety (HADS-A)

Poorer mental health with DPN vs without DPN; addition of pain diminished mental health further

Depression (HADS-D)

Poorer mental health with DPN vs without DPN; addition of pain diminished mental health further

Pain and sensory descriptors in painful DPN

Burning pain (most prevalent pain descriptor)
73%
Pins-and-needles (most prevalent sensory descriptor)
93%
Itch
44%
Weak associations with mental health and quality of life (QoL) for cold pain, electric pain and itch

Original publication

Understanding the Impact of Diabetic Peripheral Neuropathy and Neuropathic Pain on Quality of Life and Mental Health in 6,960 People With Diabetes. Diabetes Care. Published 11 February 2025. doi:10.2337/dc24-2287

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