Abstract
Aim
The second Diabetes, Attitudes, Wishes and Needs (DAWN2™) multinational cross-sectional study was aimed at generating insights to facilitate innovative efforts by people with diabetes (PWD), family members (FMs), and health care professionals (HCPs) to improve self-management and psychosocial support in diabetes. Here, the French data from the DAWN2™ study are described.
Methods
In France, 500 PWD (80 with type 1 diabetes [T1] and 420 with type 2 diabetes [T2]), 120 FMs, and 288 HCPs were recruited. The questionnaires assessed the impact of diabetes on quality of life and mood, self-management, attitudes/beliefs, and care/support.
Results
Diabetes negatively impacted the emotional well-being of 59% of people with T1 versus 45% of people with T2 (P<0.05) and about half of FMs. A high level of distress was felt by about half of PWD and FMs. About half of HCPs reported assessing depression in their patients. Sixty-two percent of FMs considered managing diabetes to be a burden. Hypoglycemia was a source of concern for 64% of people with T1 and 73% of FMs of insulin users. About two-thirds of non-insulin-medicated people with T2 agreed to start insulin if prescribed, while half of HCPs preferred to delay insulin initiation. A discrepancy between HCPs’ perceptions of their interactions with their patients and PWD’s recollection of these interactions with regard to patients’ personal needs and distress was also observed.
Conclusion
While distress remains under-assessed by HCPs, the negative impact of diabetes on the lives of PWD and FMs clearly induces distress on both groups. These findings provide new understanding of barriers precluding optimal management of diabetes. Developing strategies to overcome these barriers is now warranted.
Acknowledgments
We thank ClinSearch (Bagneux, France) who provided medical writing assistance on behalf of Novo Nordisk. This study was supported by Novo Nordisk.
Disclosure
CA has participated in an advisory board for Novo Nordisk concerning results of the DAWN2™ study. OB has received fees for advisory board participation for Novo Nordisk and Boehringer Ingelheim. CC has received fees for participation in an advisory board for Abbott, Novo Nordisk, Eli Lilly, Takeda, and Bristol-Myers Squibb. SMC has received fees for participation in an advisory board for Novo Nordisk, and for lectures from AstraZeneca, Bayer, Boehringer Ingelheim, Bristol-Myers Squibb, Eli Lilly, Euthérapie, GlaxoSmithKline, Gilead, Janssen, Lundbeck, MSD, Merck Sharp and Dohme, Novartis, Novo Nordisk, Otsuka Pharmaceutical France, Pfizer, Sanofi, Servier, and Wyeth. MD has received fees for advisory board participation for Novo Nordisk; she has participated in an advisory board, was a speaker, and was responsible for the coordination and moderation of medico-scientific sessions for Novartis. PF has received fees for participation in an advisory board for Novo Nordisk (and for the analysis of the results of the DAWN2™ study), Eli Lilly, Sanofi, Merck Sharp and Dohme, Boehringer Ingelheim, and GlaxoSmithKline. SH declares to be engaged and paid as an expert in some scientific boards, clinical research, and lectures, and to receive invitations as a participant in different international meetings (with support fees) by Astra Zeneca, Boehringer Ingelheim, Bristol-Myers Squibb, Eli Lilly, Merck Sharp and Dohme, Novartis, Novo Nordisk, Roche Diagnostics, and Sanofi. CM has received fees for participation in an advisory board for Novo Nordisk. SP has received fees from Novo Nordisk for participation in symposia. GR has received honoraria for giving lectures in symposia organized by Abbott, Astra Zeneka, Bayer Diagnostics, Dexcom, Janssen, Lifescan, Eli Lilly, Menarini, Merck-Serono, MSD, Novartis, Novo Nordisk, Roche Diagnostics, and Sanofi-Aventis; he has served on the advisory boards of Abbott, BayerDiagnostics, Lifescan, Roche Diagnostics, and Sanofi-Aventis; he has also received a grant from Lifescan for evaluating an educational tool used in functional insulin therapy; he has received honoraria from Novo Nordisk for participating in meetings analyzing the DAWN2™ data. CTT has participated in an advisory board for Novo Nordisk concerning results of the DAWN2™ study.