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Rationale of the Week | Who is struggling with Diabetes Distress?

Our November 30th Question of the week quizzed test takers on Diabetes Distress. 75% of respondents, chose the best answer, which is awesome. Providing person centered care and assessing for diabetes distress are both critically important knowledge points for clinical practice and also for the certification exams.

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer below: Answer Question

Question:

About 30% of people living with type 1 diabetes experience diabetes distress.

Which of the following statements reflects someone struggling with diabetes distress?

Answer Choices:

  • I just can’t keep up with all this diabetes self-care stuff.
  • I am having trouble with carbohydrate counting.
  • I just don’t want to get out of bed in the morning.
  • I don’t want to wear a diabetes bracelet or necklace.

As shown above, the most common choice was option 3, the second most common answer was option 2, then option 4, and finally option 1.


Getting to the Best Answer

Answer 1 is correct. 74.96% chose this answer, “I just can’t keep up with all this diabetes self-care stuff.” Yes, GREAT JOB. When diabetes self-care all starts feeling like it’s too much or like it’s out of control, that’s when we might say a person is experiencing diabetes distress. Regimen distress is the most common area that people with diabetes come up against. Please see our blog on How to Identify Diabetes Distress and Burnout for information on how to help with diabetes distress.

Answer 2 is incorrect. 2.42% of you chose this answer, “I am having trouble with carbohydrate counting.” This comment indicates a common knowledge gap that can be addressed through providing resources and carb counting information and does not indicate distress.

Answer 3 is incorrect. 20.38% of respondents chose this answer, “I just don’t want to get out of bed in the morning.” If a person with diabetes makes this statement, we would be concerned that they are grappling with more than distress. This comment would prompt us to screen for depression. Please see this link to download the Diabetes Distress Scale and other psychosocial screening tools.

Finally, Answer 4 is incorrect. 2.25% chose this answer, “I don’t want to wear a diabetes bracelet or necklace.” Although we recommend that people taking insulin wear diabetes identification in case of emergency, it is not mandatory and they can chose not to wear one. This comment alone does not indicate diabetes distress.

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!

Please see our blog on How to Identify Diabetes Distress and Burnout for more information.

 Please see this link to download the Diabetes Distress Scale and other psychosocial screening tools.


Want to learn more about this topic?

Enroll in our Level 2 | Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs

Annual Update Airs Live on December 21st at 11:30 am PST

This presentation will include the latest information on Social Determinants of health, assessment strategies, and approaches. We will explore the psychosocial issues that can discourage individuals from adopting healthier behaviors and provides strategies to identify and overcome these barriers. Life studies are used to apply theory to real-life situations. A great course for anyone in the field of diabetes education or for those looking for a new perspective on assessment and coping strategies.

Objectives:

  1. State strategies to assess and address social determinants of health
  2. Discuss health care delivery systems using a person-centered approach
  3. List screening tools that can help detect distress, depression, trauma, and cognitive decline
  4. Describe psycho-social and emotional barriers to diabetes self-management
  5. Provide strategies for healthcare professionals to identify and overcome barriers to self-care

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

Enroll in our entire Level 2 – Standards of Care to join us for the below 2022 Live Webinar Updates. All courses air at 11:30 a.m. (PST)

All hours earned count toward your CDCES Accreditation Information


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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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