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Diabetics Have a High
Prevalence of Chronic Pain
posted January 20, 2005
Patients with comorbid (existing
simultaneously with and usually independently of another medical condition) chronic pain
and greater pain severity have poorer overall diabetes self-management and more
difficulty with self-care activities.
"Many adults experience chronic pain, yet little is known about the consequences
of such pain among individuals with diabetes," Dr. Sarah L. Krein, of the
University of Michigan Medical School, Ann Arbor, and colleagues write.
In a cross-sectional analysis, the researchers examined the effects of chronic
pain on diabetes self-management in 993 patients receiving treatment through the
Department of Veterans Affairs.
Data were collected using a written survey. Chronic pain was defined as the
presence of pain most of the time for at least 6 months during the past year.
Multiple regression analysis was performed, adjusting for sociodemographic data
and other health factors.
About 60% of the subjects reported chronic pain. Patients with chronic pain
tended to be younger than those without chronic pain, female, more likely to be
using insulin and had a higher body mass index.
A significant association was observed between chronic pain and poorer overall
diabetes self-management (p = 0.002). Patients with chronic pain also had more
difficulty following recommended exercise and eating plans (adjusted odds ratios
3.0 and 1.6).
"Among patients with chronic pain, overall self-management was also
significantly poorer for those who indicated their pain was severe or very
severe compared with those who rated their pain as mild or moderate (p =
0.003)," the researchers write. "Specifically, patients with severe pain
reported more difficulty with taking diabetes medications (adjusted OR = 2.0)
and with exercise (2.5)."
Based on the findings, Dr. Krein's group suggests that "comorbid chronic pain
may be a major limiting factor in the performance of certain self-care behaviors
and thereby reinforces the need to proactively address such potential competing
demands" to improve self-management in diabetics.
Source: Diabetes In Control.com:
Diabetes Care 2005;28:65-70.
January 2005 News Article Index
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