DIABETES DISTRESS refers to the worries, concerns and fears among individuals with diabetes over time as they struggle with managing a chronic, progressive disease like diabetes.

DIABETES DISTRESS is of significant clinical concern due its high prevalence and its clinically significant relationship with disease management, medication adherence, glycemic control, and quality of life.

DIABETES DISTRESS is not a co-morbidity or diabetes complication - it is simply a part of living with and managing diabetes over time.

DIABETES DISTRESS is distinct from clinical depression, Major Depressive Disorder, and Manic Depressive Disorder, which may need to be assessed separately.

DIABETES DISTRESS is stable over time if not attended to - it tends to continue. Unlike clinical depression, it generally is not episodic.

DIABETES DISTRESS is highly responsive to clinical attention.