Diabetes distress

The use of the Cambridge hybrid closed-loop insulin delivery system by older adults with type 1 diabetes mellitus is associated with “improved quality of life,” says an international team of researchers.

People with high diabetes distress achieve reductions in glycated hemoglobin and the need for emergency care for acute diabetes complications after starting on intermittently scanned continuous glucose monitoring, report researchers.

People with type 1 diabetes are more likely to have impaired awareness of hypoglycemia if they also report symptoms of anxiety and depression, UK study findings indicate.

Research indicates that despite a lot of overlap, diabetes distress can arise from different experiences according to whether people have type 1 or type 2 diabetes.

People with diabetes who spend longer with their blood glucose levels within target range have better glycated hemoglobin levels, reduced diabetes-related distress, better hypoglycemia awareness, and fewer hypoglycemia-related hospital admissions than individuals with diabetes that is less well controlled.

Lori Berard highlights the contribution of stress to poor glycemic control and considers how healthcare providers can account for this in their practice.

Patient-controlled diabetes management improves diabetes-related wellbeing and reduces face-to-face visits and non-attendance without negatively impacting glycemic control and other clinical outcomes, Danish researchers report.

Gaining greater control of blood glucose and hypoglycemia awareness is associated with a reduction in diabetes distress among people who start using the FreeStyle Libre, researchers report.

Negative emotional experience and skill at regulating emotions are associated with diabetes distress in adults with type 1 or type 2 diabetes, researchers report.

William Polonsky talks about how diabetes distress affects the wellbeing and glucose management of people with diabetes, and what healthcare professionals can do to help (15:48).

Improved diabetes knowledge and reduced distress both contribute to the positive effects of diabetes distress interventions on glycemic outcomes, say researchers.

A substantial proportion of people with diabetes experience negative psychologic consequences, and these issues are predicted by a number of factors including gaps in person-centered care, insulin use, and complications, suggest findings from a Danish national survey.

What is glycemic happiness and what are its benefits for diabetes practitioners and patients? Diabetologist Sanjay Kalra shares his view from the clinic.

The presence of diabetes distress and body dissatisfaction may warn of a high risk for disordered eating in adolescents with type 1 diabetes, show data from the Diabetes MILES Youth–Australia study.

This article discusses the epidemiology, pathophysiology, and bi-directional relationship of diabetes and depression and provides a practical, patient-centered approach to diagnosis and management.

A patient-specific cognitive behavioral therapy and lifestyle counseling intervention can significantly improve psychological outcomes in type 2 diabetes patients with depression and/or regimen-related distress, say researchers.

Sanjay Kalra and Psychiatrist Yatan Pal Singh Balhara question whether “diabetes distress” is well understood outside of the diabetes field and consider whether alternative terminology may help to bridge the knowledge gap.

Clinical psychologists Diana Naranjo and Korey Hood tackle the negative feedback loops that can develop around diabetes self-management and offer their insights on strategies to identify and address the roots of distress.

Elmira E, Banks E, Joshy G. BMJ Open 2018; 8: e022767. doi: 10.1136/bmjopen-2018-022767