People with diabetes are especially vulnerable to depression, psychological distress and anxiety. The MILES study found that adults with insulin-treated type 2 diabetes are more likely to experience moderate to severe symptoms of depression and anxiety than other adults with diabetes[1]. People who live in rural and remote areas also have slightly higher levels of depression, anxiety and diabetes related distress but have poorer access to services.  Despite the well-known association between diabetes and mental health problems, these issues are commonly not discussed by health professionals with their clients, with only 25% of people being asked what’s important to them or how they feel about living with diabetes¹.

 “Minding Diabetes” is a web-based self-assessment tool developed by NDSS in consultation with mental health professionals, to enable people with diabetes to identify diabetes-related distress, depression and anxiety, encouraging them to seek assistance.  After completing the questionnaire,    personalised results, advice and on-line resources are provided.  Printed results encourage discussion with their health professional. The tool uses validated scales; Problem Areas in Diabetes[2], and 2-item Generalized Anxiety Disorders[3] and 2 item depression screen[4] to identify common problems that can be managed in the community.

Twenty-four (6.3%) people participated in the pilot. Ninety percent found it user-friendly, 75% declared it useful and would recommend it and 46% would take results to their doctor. Comments included “it has enabled me to see these things are not uncommon and it’s not just me dealing with it” and know there are references and places to go for more advice."

 “Minding Diabetes” enables people with diabetes to identify possible mental health issues, promotes self management and encourages engagement with health professionals regarding mental health.