Pharmacist Participation in Diabetes-Related Distress Assessment and Role of Self Management Among Type-2 Diabetes Mellitus Patients in a Tertiary Care Hospital

Abstract

According to the World Health Organization (WHO), diabetes is a state of chronic hyperglycemia resulting from decrease in insulin engenderment (type 1) (or) decremented insulin uptake by cells (type 2) leading to multitude of complications ranging from diseases of the diminutive vessels of kidney and retina, peripheral neuropathy and coronary artery disease. Diabetes distress is defined as patient concerns about disease management, support, emotional burden and access to care, is an important condition distinct from depression. It is a part of diabetes and it is a non-psychiatric disease. Diabetes related distress (DRD) refers to the emotional and behavioural changes caused by diabetes. A p-value of less than 0.05 is considered significant. Our study shows the scores of specific diet does not show significant correlation in DDS-17 (r=-0.101) whereas a significant correlation was found in SDSCA (0.206). Similarly, the scores in exercise does not show a significant correlation in DDS-17 (r=0.03) but shows a significant correlation in SDSCA (0.666). It reveals Patients tend to have high and low diabetes distress depending upon their diabetes self-care specifically related to diet intake. Moreover women are more prone to experience diabetes distress. This was confirmed by using the (DDS-17) and (SDSCA). Age, smoking, alcohol, consumption, emotional burden, physical inactivity was found to contribute to the development of diabetes related distress in the study subjects.