Diabetes Care Is Stressful for Patients

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Association of diabetes-related emotional distress with diabetes treatment in primary care patients with type 2 diabetes, by L.M. Delahanty and colleagues. Diabetic Medicine 24:48-54, 2007

What is the problem and what is known about it so far?

Dealing with diabetes can be unpleasant, with the need to adopt healthful habits, eat a balanced diet, and manage drug therapy. Identifying and addressing sources of emotional distress may help patients better follow treatment plans.

Why did the researchers do this particular study?

The researchers wanted to find out which aspects of diabetes care cause emotional distress for people with type 2 diabetes. In particular, researchers compared people treated with insulin, people treated with oral drugs, and people treated only with dietary changes.

Who was studied?

The study included 815 people with type 2 diabetes who were treated by primary care medical practices in the Boston area.

How was the study done?

Participants completed a survey and were given a standardized test called Problem Areas in Diabetes (PAID) to identify sources of emotional distress.

What did the researchers find?

Participants reported the most emotional distress with insulin therapy, which involves self-injection of medication. Oral drug therapy was the second-greatest cause of emotional distress, followed by adopting a more healthful diet.

What were the limitations of the study?

The study included people from the Boston area, and may not apply to people from other areas. The information about emotional distress is based on what participants reported, which may not be accurate. There could be other sources of emotional distress that researchers did not measure.

What are the implications of the study?

People with diabetes who take insulin report more emotional distress than those treated with oral drugs or dietary changes. Addressing the concerns and worries of patients may help them better follow treatment plans.