en Nursing Letter to editor <div style="text-align: justify;"><span style="line-height:2;"><span style="font-family:Times New Roman;"><span style="font-size:14px;"><span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Background:</span></i></b></span> <span new="" roman="" times="">Diabetes is a chronic and progressive metabolic disease with profound effects on mental health</span><span new="" roman="" times="">. </span></span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><b><i><span new="" roman="" times=""><span style="color:#2980b9;">Objectives:</span> </span></i></b><span new="" roman="" times="">This study aimed to determine diabetic distress status and its relationship with some demographic characteristics and clinical outcomes in patients with type 2 diabetes.</span></span></span><br> <span new="" roman="" times=""><span style="color:#2980b9;"><b><i>Methods:</i></b></span><span style="color:black"> This study was part of a larger study on psychological adjustment and diabetic distress. Data were collected using a demographic questionnaire and a standard 17-item tool for measuring diabetic distress and were analyzed using descriptive and analytical statistics, including mean (standard deviation), independent t-test, analysis of variance, and Pearson correlation coefficient, in SPSS version 22 software.</span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Results</span></i></b><b><span new="" roman="" times="">:</span></b></span><span new="" roman="" times=""> The mean (SD) of distress score in patients with type 2 diabetes was 2.12 (0.75). The prevalence of distress worthy of clinical attention was 11.4%. Regarding distress dimensions, the highest mean distress score was related to the emotional burden dimension 2.82 (1.06), and the lowest mean score was obtained in the dimension of interpersonal distress 1.48 (0.84). The overall distress score was significantly associated with hospitalization history (P &le;0.001) and history of diabetes-related problems (P=0.001). Also, the total distress score was significantly related to physical complications of diabetes (P=0.001), type of treatment (P=0.001), and occupation (P=0.018). The overall distress score significantly correlated with monthly income (r=-0.171, P=0.001), disease duration (r=0.268, P=0.001), and HbA₁c level (r=0.115, P=0.032).</span></span></span><br> <span style="unicode-bidi:embed"><span sans-serif=""><span style="color:#2980b9;"><b><i><span new="" roman="" times="">Conclusion:</span></i></b></span><span new="" roman="" times=""><span style="color:#2980b9;"> </span>Since the level of distress shows interindividual variations and is influenced by demographic, clinical, and social features, it is recommended that those in charge of providing care to diabetic patients consider individualized distress coping training for patients with diabetes.</span></span></span></span></span></span></div> Type 2 Diabetes, Diabetic Distress, Clinical Profile 9 18 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-874-1&slc_lang=en&sid=1 Fatemeh Bahramy f.bahrami@arums.ac.ir 100319475328460014301 100319475328460014301 No Department of Medical surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences Ardabil, Iran Zeinab Gahremani ghahremani@zums.ac.ir 100319475328460014302 100319475328460014302 Yes Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Masoumeh Namadian m.namadian@zums.ac.ir 100319475328460014303 100319475328460014303 No Social Determinants of Health Research Center, Zanjan University of Medical Sciences, Zanjan, Iran