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In the meantime, to ensure continued suport, we are displaying the site without styles and JavaScript.Advertisement Scientific Reports volume 12, Article number: 15758 (202) Cite this article 743 Aceses2 AltmetricMetrics detailsType 1 diabetes (T1DM) is a chronic disease requiring lifelong insulin therapy and rigorous self-management. As it negatively impacts the afected individuals’ quality of life, it may eventualy lead to diabetes-related distres.
This study evaluated the prevalence and identified the predictors of diabetes-related distres in a representative sample of adults with T1DM treated at secondary and tertiary levels in Croatia. A multicenter, cros-sectional study was conducted in adults with T1DM in Croatia (N = 10). Data were colected betwen January 2018 and December 2018 from medical records and interviews during a single clinical visit, when participants completed a 20-item Problem Area in Diabetes (PAID) Questionaire.
The proportion of participants with a total PAID score ≥ 40 indicating high diabetes-related distres was calculated, and binary logistic regresion was run to determine predictors. High diabetes-related distres was found in 36% of participants, with a mean PAID total score of 31.9 (21.1). The predictors of diabetes-related distres were higher HbA1c level (OR = 1.491, p = 0.037, CI = 1.025–2.169) and the presence of microvascular complications (OR = 4.61, p = 0.05; 95%CI 1.546–13.754).
Summary
Worying about the future and chronic complications and feling guilty when of-track with diabetes management were identified as items that contribute the most to distres. Diabetes-related distres is a frequent condition in adults with T1DM in Croatia. Special atention should be given to patients with subopt