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Related Experiment Videos

Do diabetologists recognise self-management problems in their patients?

J C Keers1, T P Links, J Bouma

  • 1Northern Centre for Healthcare Research, P.O. Box 196, Groningen 9700 AD, The Netherlands. j.c.keers@med.rug.nl

Diabetes Research and Clinical Practice
|November 10, 2004
PubMed
Summary

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Diabetologists recognize glycemic control needs but often overlook patients with diabetes distress. Integrated monitoring of psychosocial distress can improve diabetes care.

Area of Science:

  • Endocrinology
  • Psychosocial Medicine
  • Diabetes Care

Background:

  • Diabetes management requires addressing both glycemic control and psychosocial well-being.
  • Patients with diabetes may experience distress impacting their overall health.
  • Multidisciplinary care is crucial for comprehensive diabetes management.

Purpose of the Study:

  • To assess if diabetologists identify patients needing intensive multidisciplinary care for glycemic and psychosocial issues.
  • To compare patient needs recognized by diabetologists versus actual patient needs.

Main Methods:

  • Compared 114 participants in a diabetes intervention program with 201 outpatients.
  • Categorized outpatients as eligible (54) or non-eligible (147) for intervention by diabetologists.

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Main Results:

  • Eligible patients showed poorer glycemic control; other parameters were similar to non-eligible patients.
  • 15% of non-eligible patients exhibited significant diabetes distress and potential benefit from intervention.
  • Diabetologists recognized glycemic needs but overlooked psychosocial distress in many patients.

Conclusions:

  • Diabetologists effectively recognize glycemic control needs but often miss psychosocial distress in diabetes patients.
  • Patients with high diabetes-related distress may be overlooked for necessary intensive care.
  • Integrating psychosocial distress monitoring into routine outpatient diabetes care is recommended.