The Diabetes Attitudes, Wishes and Needs Study (DAWN) was first conducted in 2001 and demonstrated the value of a team care approach and the importance of psychosocial issues in diabetes care. The study was repeated in 2011 as DAWN2 with results reported at the ADA Scientific Sessions and published in Diabetic Medicine. DAWN2 interviewed 15,000 people, with both Type 1 and Type 2 diabetes, in 17 countries and included the views of the families of adults with diabetes.
Top-line results for people with diabetes included:
- 13.8% were likely to have depression
- 44.6% experienced diabetes-related distress
- 12.2% rated their quality of life as poor or very poor
- 40% said their medication interfered with their ability to live a normal life
- Only 48.8% had participated in any form of educational programme
- 55.5% were worried by the risk of hypoglycaemia.
Top-line results for family members included:
- 35.3% found supporting a family member with diabetes as burden
- 61.3% were worried by the risk of hypoglycaemia
- 44.6% felt their emotional wellbeing was negatively affected
- 37.1% did not know how to support the person with diabetes
- Only 23.1% had been offered participation in educational programmes.
Top-line results for healthcare professionals (HCPs):
- 60% felt there was a need for improved diabetes self-management education
- 61.4–92.9% felt that people with diabetes needed to improve various self-management activities
- In some countries, up to a third of HCPs had not received any formal diabetes training
- 32.8% reported societal discrimination against people with diabetes.
The study highlights very significant country variation. The results for the UK are being looked at by a study group, which Diabetes UK is part of, to see if there are any significant issues in the UK.