Self care practices and psychological distress among diabetic patients in Manipur during COVID-19: A scenario from the North East

Diabetes Metab Syndr. 2021 Jan-Feb;15(1):93-98. doi: 10.1016/j.dsx.2020.12.015. Epub 2020 Dec 7.


Background and aim: Uncontrolled diabetes has emerged as one of the major risk factors for mortality in patients with coronavirus disease (COVID-19). Physical inactivity, alterations in dietary habits, and inability to seek guidance from the physician are some of the contributing factors. This study aims to assess the self-care practices and psychological distress during the pandemic among diabetic patients visiting the institute's out patient department.

Method: A convenient sampling method was used to recruit subjects from a representative clinical sample using validated scales like the Summary of Diabetes Self-Care Activities (SDSCA) and Kessler Psychological Distress Scale (K10).

Result: The study enrolled a total of 108 subjects with the mean age being 56.3 years. The everyday healthy eating plan was followed by 76.85% (N = 83) subjects and daily physical activity for at least 30 min performed by 50% (54) subjects. Only 12.04% (13) subjects tested their blood sugar and 6.48% (7) respondents checked their feet daily. There was no significant difference found between the SDSCA and psychological distress based on socio-demographic variables.

Conclusion: Participants in this study typically reported a good level of self-care behavior particularly for diet followed by exercise whereas the self-care behavior was not adequate for foot care and blood-glucose testing. People were not too anxious about COVID-19. This study highlighted the fact that people with diabetes should monitor their blood sugar levels more often along with their foot care.

Keywords: COVID-19; Diabetes mellitus; Kessler psychological distress scale; Pandemic; Summary of diabetes self care activities.

MeSH terms

  • Adult
  • Aged
  • Blood Glucose / metabolism
  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / psychology
  • Cross-Sectional Studies
  • Diabetes Mellitus / epidemiology*
  • Diabetes Mellitus / psychology
  • Diabetes Mellitus / therapy*
  • Diabetic Foot / epidemiology
  • Diabetic Foot / prevention & control
  • Diabetic Foot / psychology
  • Exercise / physiology
  • Exercise / psychology
  • Female
  • Humans
  • India / epidemiology
  • Male
  • Middle Aged
  • Psychological Distress*
  • Self Care / methods*
  • Self Care / psychology


  • Blood Glucose