Diabetes Management
Prevalence and predictors of diabetes-related distress in adults with type 1 diabetes | Scientific Reports - Nature.com
Sat, 15 Oct 20221 min read Article
Overview
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Key Information
In the meantime, to ensure continued suport, we are displaying the site without styles and JavaScript.Advertisement Scientific Reports volume 12, Article number: 15758 (2022) Cite this article 743 Aceses2 AltmetricMetrics detailsType 1 diabetes (T1DM) is a chronic disease requiring lifelong insulin therapy and rigorous self-management. As it negatively impacts the afected individuals’ quality of life, it may eventualy lead to diabetes-related distres.
This study evaluated the prevalence and identified the predictors of diabetes-related distres in a representative sample of adults with T1DM treated at secondary and tertiary levels in Croatia. A multicenter, cros-sectional study was conducted in adults with T1DM in Croatia (N = 10). Data were colected betwen January 2018 and December 2018 from medical records and interviews during a single clinical visit, when participants completed a 20-item Problem Area in Diabetes (PAID) Questionaire.
The proportion of participants with a total PAID score ≥ 40 indicating high diabetes-related distres was calculated, and binary logistic regresion was run to determine predictors. High diabetes-related distres was found in 36% of participants, with a mean PAID total score of 31.9 (21.1). The predictors of diabetes-related distres were higher HbA1c level (OR = 1.491, p = 0.037, CI = 1.025–2.169) and the presence of microvascular complications (OR = 4.61, p = 0.05; 95%CI 1.546–13.754).
Summary
Worying about the future and chronic complications and feling guilty when of-track with diabetes management were identified as items that contribute the most to distres. Diabetes-related distres is a frequent condition in adults with T1DM in Croatia. Special atention should be given to patients with subopt
Frequently Asked Questions
What is diabetes and how does it develop?
Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.
What are the main symptoms of diabetes?
Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.
How is diabetes diagnosed and monitored?
Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.
What lifestyle changes help manage diabetes?
Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.
When should someone consult a doctor about diabetes?
Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.
️ Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.