Do diabetologists recognise self-management problems in their patients?
OBJECTIVE
The aim of this study was to determine whether diabetologists recognise patients' needs for additional intensive multidisciplinary care due to glycaemic and diabetes-related psychosocial difficulties.


METHODS
We compared 114 participants in a diabetes intervention programme with 201 as yet non-referred outpatients, of whom 54 outpatients were considered eligible for the intervention by their diabetologists; thus, 147 outpatients were considered non-eligible.


RESULTS
Analysis revealed that the eligible patients had poorer glycaemic control but all other parameters were similar to non-eligible patients. Significantly, 22 (15%) of the 147 non-eligible patients clearly had diabetes distress and could potentially benefit from the intervention.


CONCLUSIONS
The results suggest that in regular care, patients' needs with respect to glycaemic control are recognised by their diabetologists, but patients with high psychosocial diabetes-related distress are often overlooked, though they also may be in need of additional care. Integrated monitoring of diabetes-related distress in outpatients could improve this area of diabetes care.
Keers
J C
JC
Northern Centre for Healthcare Research, P.O. Box 196, Groningen 9700 AD, The Netherlands. j.c.keers@med.rug.nl
Links
T P
TP
Bouma
J
J
Gans
R O B
RO
ter Maaten
J C
JC
Wolffenbuttel
B H R
BH
Sluiter
W J
WJ
Sanderman
R
R
D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000097:blood / Q000523:psychology* / Q000628:therapy*; D004704:Endocrinology / Q000592:standards; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment / Q000592:standards*; D012648:Self Care; D013315:Stress, Psychological / Q000209:etiology*
D001786:Blood Glucose