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Abstract

This study aims to determine the prevalence of diabetes stress among adults with type 2 diabetes mellitus (T2DM) and identify associated sociodemographic, behavioural, and clinical factors. A cross-sectional study was conducted from February to April 2025 among 144 patients with T2DM attending the endocrinology outpatient clinic of Ulin Regional General Hospital, Banjarmasin, Indonesia. Sociodemographic data were collected using a structured questionnaire. Diabetes distress was measured using the Diabetes Distress Scale (DDS-17). Diabetes knowledge, medication knowledge, and medication adherence were assessed using DKQ-24, DMKQ, and ARMS, respectively. Glycemic control was obtained from laboratory records. Factors associated with diabetes distress were analyzed using the chi-square or Mann-Whitney test and multivariable binary logistic regression. Overall, 72.9% of participants experienced moderate to high diabetes distress, with emotional burden and regimen distress as the dominant domains. Medication non-adherence and uncontrolled blood glucose showed the strongest associations with diabetes distress (p<0.001). Diabetes distress was also significantly associated with the presence of complications, use of combination therapy, and lower levels of diabetes and medication knowledge. These findings highlight the importance of routine screening for diabetes distress and comprehensive pharmaceutical care, which should be integrated into standard diabetes management to improve patient-centered care and long-term clinical outcomes‎.

 

Keywords: Diabetes distress, Medication adherence, Glycemic control, Prevalence, Indonesia

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