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Distress prevalent among older adults with type 2 diabetes

03 May 2020

Distress occurs commonly among elderly individuals with type 2 diabetes mellitus (T2DM), according to a recent study, suggesting increased attention to psychological aspects of T2DM.

The 3-month cross-sectional study involved 519 community-dwelling adults (mean age, 68.38 years; 53.6 percent female). Among them, 276 (53.2 percent) were female and 243 were male. The majority of participants were married (70.7 percent) and had body mass index (BMI) ≥25 kg/m2 (75.0 percent), and half were sedentary (50.7 percent) and on oral medication (50.1 percent). There were 45.3 percent of participants who had diabetes complications, and 48.6 percent had polypharmacy.

Diabetes distress was identified in 48.6 percent of the population. On multivariable logistic regression analysis, distress was associated with female sex (odds ratio [OR], 1.94, 95 percent confidence interval [CI], 1.30–2.31), sedentary lifestyle (OR, 3.59, 95 percent CI, 1.43–9.03), complications (OR, 3.10, 95 percent CI, 2.06–4.67), BMI ≥25 kg/m2 (OR, 2.46, 95 percent CI, 1.54–3.94), disease duration <10 years (OR, 2.60, 95 percent CI, 1.56–4.31), and the presence of comorbidities (two: OR, 2.07, 95 percent CI, 1.19–3.61; three or more: OR, 3.51, 95 percent CI, 1.20–10.27).

The present data underscore the importance of considering mental health issues (especially distress), in addition to blood sugar level control, when managing T2DM in the elderly population, researchers said.

Diabetes distress is defined as the negative emotional burden of the condition, including worries about blood sugar control, existing comorbidity, presence of complications, indication of complications and access to treatments. Distress in this context comprises a wide range of emotions, such as anger, fear, guilt, frustration and shame. [Diabetes Care 2016;39:2126-2140; Int J Med Biomed Res 2013;2:113-124; Diabet Med 2017;34:1508-1520]

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Most Read Articles
30 Aug 2020
Diabetes bears an increased hazard of developing kidney cancer among postmenopausal women, but this association is only limited to those without obesity, a study has shown.
11 Jul 2020
Individuals who eat large amounts of vegetables and fruits, wheat, nuts, and dairy products are better protected against insulin resistance, diabetes mellitus, and excessive abdominal fat as compared with those who consume lots of fast foods, alcoholic beverages, and desserts—a dietary pattern described to promote metabolic abnormalities and disorders, as reported in a study.
22 Aug 2020
A weakened correlation between fructosamine and glycated haemoglobin (HbA1c) levels may be indicative of obesity in type 2 diabetes patients, reports a new study.
29 Aug 2020
Sodium-glucose co-transporters (SGLT) 2 and 1/2 inhibitors help improve glycaemic control in patients with type 1 diabetes (T1D), reports a new meta-analysis.