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Diabetes Res Clin Pract. 2004 Nov;66(2):157-61.

Do diabetologists recognise self-management problems in their patients?

Author information

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

Abstract

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.

RESEARCH DESIGN AND 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.

CONCLUSION:

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.

PMID:
15533583
DOI:
10.1016/j.diabres.2004.02.018
[Indexed for MEDLINE]

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