Publication:

Relationship between diabetes-related distress and control of diabetes in type 2 diabetes patients in primary care units in Phra Nakhon Si Ayutthaya

Background This study aimed to study the association between diabetes-related distress (DRD) and glycemic control, as well as to identify factors influencing glycemic controlled among patients with type 2 diabetes mellitus (T2DM) attending a primary care unit in Phra Nakhon Si Ayutthaya Province.

Methods Data were collected from 60 patients with type 2 diabetes at a primary care facility in Phra Nakhon Si Ayutthaya from December of 2024 to May of 2025. Multivariable logistic regression analysis was used to evaluate the relationships between the variables.

Results The study found that total 60 participants, 33 achieved good glycemic control, while 27 had uncontrolled levels. The analysis revealed no statistically significant association between diabetes-related distress and glycemic control (multivariable marginal OR 2.40; 95% CI: 0.36–16.21; p value=0.368). However, factors significantly associated with uncontrolled glycemic levels included age under 65 years (multivariable marginal OR 2.88; 95% CI: 1.04–7.97; p value=0.041) and a duration of diabetes exceeding 10 years (multivariable marginal OR 5.88; 95% CI: 1.93–17.93; p value=0.002).

Conclusions This study found no significant association between diabetes-related distress and glycemic control. However, two factors were significantly linked to uncontrolled blood sugar levels: being under 65 years old and having diabetes for more than 10 years.