Second Global Diabetes Attitudes, Wishes and Needs (DAWN2) Study: 3600 Perspectives of People with Diabetes, Family Members and Health Care Professionals in Canada

2013 
s / Can J Diabetes 37 (2013) S13eS84 S79 Methods: Five hundred PWDs (80 Type 1dT1, 420 Type 2dT2) and 121 FMs living with PWDs participated. The WHO-5 Well-Being Index, the Problem Areas in Diabetes (PAID-5) and items assessing life dimensions were used. Descriptive statistical analyses for continuous and categorical data are shown as mean percentages. Cross-country variance is expressed as a range. Results: 64.4% of Canadian PWDs (cross-country range 15.7 to 72.7%) and 76.0% of FMs (22.5 to 76.0%) reported good quality of life. Likely depression was low for both PWD (12.8%; 6.5 to 24.1%) and FM (5.8%; 4.2 to 20.0%). In contrast diabetes distress was common in PWD (27.8%; 12.5 to 48.8%) and significantly more common in those with T1 (48%) and T2 on insulin (31%) than those with T2 and no medication (17%; p<0.05). Further, large numbers of PWDs and FMs reported that diabetes negatively impacted their life functions, including emotional well-being (PWD1⁄447.6%; 32.0 to 76.9%; FM1⁄438.0%; 31.8 to 63.0%), leisure (PWD1⁄440.6%; 19.5 to 57.0%; FM1⁄426.9%; 14.5 to 46.6%) and work or studies for PWDs (27.6%; 16.7 to 50.7%) and FMs (10.1%; 11.8 to 47.4%) . Conclusion: These findings illustrate that while PWD and FM function well in many ways, significant diabetes-related concerns are present. Diabetes distress and interference with life is common, especially for T1 and T2 on insulin and also for FM.
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