title: The multinational second Diabetes, Attitudes, Wishes and Needs study: results of the French survey.
abstract: OBJECTIVE
  The second Diabetes, Attitudes, Wishes and Needs (DAWN2™) multinational cross-sectional study was aimed at generating insights to facilitate innovative efforts by people with diabetes (PWD), family members (FMs), and health care professionals (HCPs) to improve self-management and psychosocial support in diabetes. Here, the French data from the DAWN2™ study are described.
  
  
  METHODS
  In France, 500 PWD (80 with type 1 diabetes [T1] and 420 with type 2 diabetes [T2]), 120 FMs, and 288 HCPs were recruited. The questionnaires assessed the impact of diabetes on quality of life and mood, self-management, attitudes/beliefs, and care/support.
  
  
  RESULTS
  Diabetes negatively impacted the emotional well-being of 59% of people with T1 versus 45% of people with T2 (P<0.05) and about half of FMs. A high level of distress was felt by about half of PWD and FMs. About half of HCPs reported assessing depression in their patients. Sixty-two percent of FMs considered managing diabetes to be a burden. Hypoglycemia was a source of concern for 64% of people with T1 and 73% of FMs of insulin users. About two-thirds of non-insulin-medicated people with T2 agreed to start insulin if prescribed, while half of HCPs preferred to delay insulin initiation. A discrepancy between HCPs' perceptions of their interactions with their patients and PWD's recollection of these interactions with regard to patients' personal needs and distress was also observed.
  
  
  CONCLUSIONS
  While distress remains under-assessed by HCPs, the negative impact of diabetes on the lives of PWD and FMs clearly induces distress on both groups. These findings provide new understanding of barriers precluding optimal management of diabetes. Developing strategies to overcome these barriers is now warranted.
authors.affiliation: Department of Endocrinology, Diabetes and Metabolic Diseases, Avicenne Hospital, Bobigny, Paris, France ; EA 3412, CRNH-IDF, Paris 13 University, Sorbonne Paris Cité, Bobigny, Paris, France.
authors.forename: Gérard
authors.initials: G
authors.lastname: Reach
authors.affiliation: Paris Descartes University, Paris Sorbonne Cité, Faculty of Medicine, Paris, France ; University Service of Adult and Elderly Psychiatry, European Georges-Pompidou Hospital, Paris, France.
authors.forename: Silla M
authors.initials: SM
authors.lastname: Consoli
authors.affiliation: Department of Diabetology, Endocrinology and Nutrition, Joseph Fourier University and CHU Grenoble, Grenoble, France.
authors.forename: Serge
authors.initials: S
authors.lastname: Halimi
authors.affiliation: Department of Diabetology, Hôtel-Dieu Hospital, Paris, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Colas
authors.affiliation: Department of Sport Medicine and Functional Explorations, Montpied Hospital, Clermont-Ferrand, France ; Department of Human Nutrition, Centre de Recherche en Nutrition Humaine, Institut National de la Recherche Agronomique, Clermont-Ferrand, France ; Department of Human Nutrition, University of Auvergne, Clermont-Ferrand, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Duclos
authors.affiliation: Department of Endocrinology, Diabetes and Metabolic Diseases, Huriez Hospital, Lille 2 University, Lille, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Fontaine
authors.affiliation: Department of Dietetics, Larrey Hospital, CHU Toulouse, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Martineau
authors.affiliation: French Diabetics Federation, Paris, France.
authors.forename: Carole
authors.initials: C
authors.lastname: Avril
authors.affiliation: UPMC-Sorbonne Universités, Paris, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Tourette-Turgis
authors.affiliation: University Service of Adult and Elderly Psychiatry, European Georges-Pompidou Hospital, Paris, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Pucheu
authors.affiliation: General Practitioner, Seraincourt, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Brunet
keywords: health care provision; household study; psychosocial; quality of life