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Diabetes distress leads to work, life productivity losses

18 May 2020

Diabetes distress appears to have a negative effect on work and life productivity, particularly in patients with polypharmacy and/or on insulin and with coexisting osteoarthritis or chronic kidney disease, a study has found.

The analysis included 259 patients (mean age, 61.0 years; 61.0 percent male) with uncontrolled type 2 diabetes mellitus (T2DM; mean duration, 12.9 years; mean HbA1c, 8.1 percent) and polypharmacy. Most of the patients had comorbid hyperlipidaemia (98.1 percent) and hypertension (86.2 percent).

Researchers evaluated diabetes distress using the Problem Areas in Diabetes (PAID) and productivity using the Work Productivity and Activity Impairment General Health. The proportion of patients with clinically severe diabetes distress (PAID score ≥40) was 7.7 percent, while the proportion of those with work and life productivity loss were 45.0 percent and 35.1 percent, respectively.

Diabetes distress positively correlated with work productivity loss (p=0.001) and life productivity loss (p<0.001).

In multiple regression models, work impairment was significantly associated with diabetes distress (p=0.003), the total number of chronic medications (p=0.012), insulin therapy (p=0.027) and the presence of chronic kidney disease (p=0.038). On the other hand, risk factors for activity impairment included diabetes distress (p=0.001) and comorbid osteoarthritis (p=0.039).

The findings highlight the importance of screening T2DM patients for diabetes distress and its major problem areas to prevent productivity losses, especially in patients with polypharmacy and insulin users, and those with coexisting chronic conditions, the researchers said.

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Most Read Articles
24 May 2020
The use of capsule endoscopy (CE) appears to be effective in the diagnosis of iron deficiency anaemia (IDA), yielding a 33.9-percent yield in this study, with 65.8 percent of patients undergoing further workup and 12.7 percent requiring therapeutic intervention.
Roshini Claire Anthony, 2 days ago

For coffee drinkers, drinking filtered coffee may be tied to a lower mortality risk, including cardiovascular disease (CVD)-related mortality, a study from Norway suggested.

4 days ago
Eating behaviours have been shown to moderate the relationship between cumulated risk factors in the first 1,000 days and adiposity outcomes at 6 years of age, which underscores modifiable behavioural targets for interventions, reports a study.
Stephen Padilla, 3 days ago
Use of noninvasive ventilation (NIV), similar to invasive mechanical ventilation (IMV), appears to lessen mortality but may increase the risk for transmission of the novel coronavirus disease (COVID-19) in healthcare workers, suggest the results of a study.