Diabetes Distress among Egyptian University Students With Type 1 DM: An Intervention Study

Abstract

AbstractBackground: Diabetes Distress is a significant problem that affects T1DM patients and has negative impacts on their physical and mental health. T1DM is a chronic autoimmune disorder requiring lifelong management, including daily blood glucose monitoring, insulin administration, and lifestyle modifications. These demands can lead to feelings of anxiety and frustration which can contribute to DD.Objectives: To Assess the impact of diabetes distress (DD) on quality of life and glycemic control among Menoufia University students with type 1 DM, and to evaluate the effect of coping skills training on DD, Quality of life, and glycemic control.Methods: A cross‑sectional intervention study of 130 patients with T1DM among Menoufia University students was selected by convenience sample. They were evaluated through a structured self‑administrated questionnaire, and HbA1c measurement followed by the implementation of coping skill training on patients with DD (66) and reassessment after three months.Results: The present study involved 130 patients with a mean age of 20.26± 1.778 years. The study revealed that the prevalence of DD among the study group was 50.8 %. The mean of HbA1c level was 8.54. The total DDS and Quality of life showed significant improvement after implementing coping skill training in patients with DD. There was also a better glycemic control, with a p-value of less than 0.05.Conclusion: DD is prevalent among type 1 diabetic patients. Coping skills training positively impacted DD, quality of life, and glycemic control. Keywords: Coping skill training, Diabetic patients, HbA1c, Quality of life.