New research reveals a perceived lack of support from family and friends affects a patient's ability to manage type 2 diabetes, according to a study published in The Journal of the American Osteopathic Association. Among vulnerable populations, the necessary modifications to daily lifestyle can be difficult to maintain without adequate social support, leading to diabetes-related distress that derails treatment.
Researchers found that as perceived social support increased, diabetes-related distress decreased. The scales used are established clinical tools that measure perceived social support and perceived distress related to diabetes.
"Too often diabetes treatment is understood as a simple process of taking medications and monitoring blood sugar," says Clipper Young, PharmD, MPH, associate professor and a clinical pharmacist at Touro University California College of Osteopathic Medicine. "In reality, diabetes is a chronic condition that requires a great deal of mental and emotional energy, which when depleted, can impair care."
Diabetes-related mortality and morbidity are highest among people with lower socioeconomic status. Yet, few previous studies have investigated the nature of diabetes distress and social support pertaining to underserved, diverse populations with type 2 diabetes.
The study was conducted at Solano County Family Health Services Clinics in Vallejo and Fairfield, California. Nearly 75% of the 101 study participants, who were between 40 and 80 years of age, reported an annual income of less than $20,000.
Integrate the family and support system into diabetes management
"Strong social support supplements effective diabetes self-management behaviors which, in turn, may reduce the risks of diabetes-related hospitalization and death," says Young.
Given the significant role that social support has on diabetes-related distress, clinicians are highly encouraged to focus not only on providing medical care for people with diabetes but also on learning about their support system to optimize diabetes management outcomes and reduce the risk of diabetes-related complications.
"This research signals that our opening conversation with patients should include a robust assessment of diabetes-related distress and perceived social support," says Young. "If that support is inadequate, we must think about how we can build it into their diabetes care plan."
About The Journal of the American Osteopathic Association
The JAOA's mission is to serve as an international forum for the dissemination of scientific literature that incorporates an integrative, comprehensive, patient-centered approach to clinical care and improving health. To that end, the JAOA is designed to support and amplify the scholarly voice of osteopathic medicine, publishing research that is meaningful to osteopathic physicians in whatever field they practice. The Journal is indexed by the National Library of Medicine, the Web of Science, and ReadCube. In the Web of Science, the JAOA is part of the Core Collection in the Emerging Sources Citation Index, which allows JAOA content to reach a much wider audience than previously possible. For more information, visit http://www.jaoa.org.
The Journal of the American Osteopathic Association