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Diabetics Have a High Prevalence of Chronic Pain
Diabetics Have a High Prevalence of Chronic Pain -- Posted by Gumbo on 02-02-05 19:01
Diabetics Have a High Prevalence of Chronic Pain
Patients with comorbid 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.
Diabetes Care 2005;28:65-70.
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