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Diabetes Distress Scale (DDS)
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Diabetes Distress Scale (DDS)
Instructions:
This tool helps assess emotional stress related to living with diabetes over the past month. Answer honestly based on how often you have experienced the following.
0 = Not at all
1 = Occasionally
2 = Sometimes
3 = Frequently
4 = Always
Each response earns points. Add up your total score at the end to interpret your results.
Questions:
1. Feeling overwhelmed by the demands of living with diabetes.
0
1
2
3
4
2. Feeling that I am failing with my diabetes management.
0
1
2
3
4
3. Worrying about whether my diabetes is getting worse.
0
1
2
3
4
4. Feeling guilty about not sticking to my diabetes care plan.
0
1
2
3
4
5. Not having a clear plan to manage my diabetes.
0
1
2
3
4
6. Worrying about the long-term complications of diabetes (e.g., eyesight, kidneys, heart).
0
1
2
3
4
7. Feeling frustrated with having to make so many changes to manage my diabetes.
0
1
2
3
4
8. Feeling unsupported by family or healthcare providers in managing my diabetes.
0
1
2
3
4
Add up your points for all 8 questions:
Interpretation of Results:
0–8 Points: Minimal Distress
You are managing your diabetes well emotionally. Keep following your care plan and stay connected with your support system.
9–16 Points: Mild Distress
Some emotional challenges may be present. Focus on areas that are causing stress and consider discussing them with a healthcare provider.
17–24 Points: Moderate Distress
Diabetes distress is impacting your daily life. Professional counseling or diabetes education can help improve your emotional and physical well-being.
25+ Points: High Distress
Your diabetes-related stress is significant. It’s important to seek immediate support to regain control and improve your quality of life.
What’s Next?
If your score indicates moderate or high distress, the Zan Center offers culturally sensitive counseling and diabetes management support tailored to your needs.
Disclaimer: This tool is for informational purposes only. Please consult a healthcare provider for personalized advice and care. This scal is a general modified guide tool quationares for Pakistani populations.
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