Do diabetologists recognise self-management problems in their patients?

Diabetes Res Clin Pract. 2004 Nov;66(2):157-61. doi: 10.1016/j.diabres.2004.02.018.


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.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / analysis
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / psychology*
  • Diabetes Mellitus / therapy*
  • Endocrinology* / standards
  • Female
  • Humans
  • Male
  • Middle Aged
  • Needs Assessment* / standards*
  • Self Care*
  • Stress, Psychological / etiology*


  • Blood Glucose