Background: Diabetes distress (DD) is a common worldwide problem in diabetic patients irrespective of age and type of treatment. In the DAWN 2 study (Diabetes Attitudes, Wishes, and Needs), DD was reported by 44.6% of participants. Objectives: The purpose of this study was to assess the prevalence and level of DD and its associated factors among adult diabetic patients in South East Nigeria. Methods: The present study was cross-sectional and descriptive. Patients attending the adult diabetes clinic were enrolled. The questionnaire was administered by the investigators. All patients were eligible. Their demographic and clinical data were obtained. They were screened for DD using the DD Scale (DDS)-2 and DDS-17. Data were tabulated and analyzed using SPSS version 21. Results: There were 110 subjects (38 males and 72 females), aged 36–85 years (60.5 ± 10.0). Only 9 (8.2%) had diabetes mellitus (DM) type 1, while the rest had type 2 DM. Twenty-five subjects (22.7%) were on insulin injection. Hypertension was coexistent in 72%, and they were prescribed 3–10 medications (5.9 ± 1.5) at the time of assessment. The male and female subjects were comparable. Moderate to severe DD was present in 51.9% (DDS-17). The average scores were for DDS-2, 3.1; DDS-17, 2.3; emotional burden, 2.9; physician-related distress, 1.4; regimen-related distress, 2.5, and interpersonal distress, 2.2. Distress was significantly associated with a younger age, T1DM, longer duration of diabetes, use of insulin injection, and HbA_1C level. Conclusion: DD is a common consequence of living with diabetes and impairs diabetes self-care behavior and glycemic control. Active screening for DD should be an integral part of diabetes care. Diabetes self-management education and support should be implemented at diagnosis and as needed thereafter, especially when DD is diagnosed.
Dubai Diabetes Endocrinol J

中文翻译：

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尼日利亚东南部糖尿病患者的糖尿病困扰和相关因素

背景：糖尿病困扰（DD）是糖尿病患者中普遍存在的世界性问题，与年龄和治疗类型无关。在DAWN 2研究（糖尿病的态度，愿望和需求）中，有44.6％的参与者报告了DD。目的：本研究的目的是评估尼日利亚东南部成年糖尿病患者中DD的患病率，水平及其相关因素。方法：本研究是横断面和描述性的。参加成人糖尿病门诊的患者入选。问卷由调查人员管理。所有患者均符合条件。获得了他们的人口统计学和临床​​数据。使用DD量表（DDS）-2和DDS-17对他们的DD进行筛查。使用SPSS 21版将数据制成表格并进行分析。结果：共有110名受试者（男38例，女72例），年龄36-85岁（60.5±10.0）。只有9名（8.2％）患有1型糖尿病（DM），其余则患有2型糖尿病。25名受试者（22.7％）接受了胰岛素注射。高血压并存率为72％，在评估时他们开了3-10种药物（5.9±1.5）。男性和女性受试者具有可比性。中度至重度DD占51.9％（DDS-17）。DDS-2的平均得分为3.1；DDS-17，2.3；情绪负担，2.9；与医生有关的困扰，1.4；与方案有关的困扰，2.5和人际关系困扰，2.2。窘迫与年龄较小，T1DM，糖尿病持续时间较长，使用胰岛素注射和HbA _1C水平显着相关。结论：DD是糖尿病患者的常见后果，会损害糖尿病的自我保健行为和血糖控制。对DD进行主动筛查应该是糖尿病护理不可或缺的一部分。糖尿病自我管理的教育和支持应在诊断时及其后需要时进行，尤其是在诊断为DD时。
迪拜糖尿病内分泌J