Diabetes-related discomfort is prevalent in rural Punjab.

Diabetes anxiety reduces motivation for self-care, which may impact the patients physical and mental well-being . Diabetes anxiety reduces motivation for self-care, increasing the chances of diabetes mellitus complications and mortality .

CHANDIGARH: As Punjab is dealing with a high prevalence of type two diabetes, an alarming number of patients who were examined by PGIMER, Chandigarh, were found to be in distress from diabetes, which has a negative effect on self-care.Patients with normal blood glucose levels are aided by proper diet, appropriate therapy, self-monitoring, and physical fitness.Diabetes anxiety reduces motivation for self-care, which may impact the patient's physical and mental well-being, increasing the chances of diabetes mellitus complications and mortality as a result.A PGIMER team conducted a survey in rural Punjab, in which 700 patients with an average age of 56 years, mainly from the middle socioeconomic group, were included to determine the prevalence, variables, and effect on self-care practices of diabetes-related distress.

Up to 637 patients, which accounts for 91 percent of the total sample, reported to be under intense emotional stress, indicating that they lack family and social support, which is a critical factor in diabetes treatment and enhancing quality of life.In 72% (504) of the participants, serious regimen-related distress was identified, causing low self-efficacy, which is crucial for disease self-management.357 patients (51%) were under heavy emotional pressure, while 342 were in moderate emotional distress.A high degree of emotional distress could be attributed to a lack of family support.

Overall, 56% of the participants were in serious pain.Self-care programs can help a person live well with diabetes; however, the majority of participants were found to be lagging on a healthy diet, physical fitness, regular blood glucose monitoring, and foot care.Only 345 (49%) of patients were using the drugs prescribed by the treating physician, while 199 (28%) were doing physical fitness, 190 (27%) were monitoring their blood sugar as recommended by doctors, 152 (22%) were doing foot care, and only 106 (15%) were eating fruits and vegetables.The results of the study carried out by Dr Saurabh Kumar Gupta, Dr PVM Lakshmi, and Dr Manmeet Kaur of the department of community medicine and school of public health, as well as Dr Ashu Rastogi of the department of endocrinology, have been published in the latest edition of the international journal Diabetes Research and Clinical Practice.

Apart from these personal ramifications, constant exertion of self-care activities and environmental conditions could be a contributing factor to extreme anxiety in the study group, according to the report.