Abstract: Diabetic distress is the emotional response to diffrent aspects of diabetes, such as worry, anxiety and fears related to the disease and treatment. It's important to pay attention to diabetic distress, due to the impact it can have on the persons ability to handle the disease, wich also affects the HbA1c levels and consequently the risk of complications.  Aim: The aim was to describe how people with type 2 diabetes in primary care assesed their diabetic distress.To investigate correlations between diabetic distress anf HbA1c, duration of diabetes and age. As well as correlations between HbA1c levels and age and HbA1c levels and duration of diabetes. Method:The study was a quantitative descriptiv crss sectional study. A total of 69 people were included in the stydy, gathered from two primary care facilities in Sweden. The participants completed the questionnaire Swe-PAID -20 as well as questions regarding age, gender, duration of diabetes and HbA1c levels wee also registered. Data was analysed with non-parametric methods.  Main results: Results showed that 5.8 % percived increased diabetic distress among the participants. Which is lower than reported by other international studies. No significant correlations were shown between diabetic distress and HbA1c levels, age and duration of diabetes. No significant correlations were found between HbA1c levels and duration of diabetes or HbA1c levels and age.  Conclusion: To understand how people with type 2 diabetes experience their diabetic distress it is crucial to give optimal support. By offering adapted support and resources to the induvidual, it will promote the well-being of the induvidual, increase the sense of empowerment, the HbA1c controll and decrease the risk of complications. Thus promote the  induvidual and society as a whole. By decreasing the overall diabetic distress the disease causes the induvidual, the health care system and societys resources will be favored.

Bakgrund: Diabetesbörda innefattar emotionella aspekter kopplade till diabetes och är korrelerat till sämre glykemisk kontroll samt suboptimal sjukdomshantering. Diabetesbörda är ett lågt prioriterat problem i diabetesvården och det föreligger ett stort mörkertal, därtill berörs diabetesbörda sparsamt i de svenska nationella riktlinjerna för diabetesvård. Syfte: Syftet var att undersöka samband mellan diabetesbörda och glykemisk kontroll, diabetesduration samt demografisk data hos personer med Diabetes mellitus typ 1.  Metod: Kvantitativ deskriptiv tvärsnittsstudie. Totalt inkluderades 69 personer. Examensarbetet utfördes på två diabetesmottagningar i Sverige. Studiedeltagarna besvarade enkäten Swe-PAID-20 samt frågor avseende kön, ålder och diabetesduration och aktuellt HbA1c registrerades. Data analyserades med icke-parametriska metoder. Resultat: Förhöjd diabetesbörda upplevdes av 20% av studiedeltagarna och 45% rapporterade något diabetesrelaterat problem som ganska allvarligt respektive mycket allvarligt. Högt HbA1c var korrelerat med behandlingsrelaterade problem samt stödrelaterade problem. Samband mellan diabetesbörda och övriga variabler samt skillnader mellan subgrupper påvisades inte.  Slutsats: Diabetesbörda är ett relativt vanligt förekommande problem i den undersökta populationen. Högt HbA1c påvisades vara en prediktor för behandling- och stödrelaterade problem. Ökad kunskap om diabetesbörda kan bidra till ökad personcentrering i diabetesvården, minskat lidande för den enskilde individen samt en resursbesparing för samhället genom att minska risken för komplikationer. Screening av diabetesbörda hos samtliga individer med T1D kan vara av värde, då diabetesbörda inte är mer vanligt förekommande i någon specifik grupp av personer. / Background: Diabetes distress includes emotional aspects linked to diabetes and correlates to poor glycemic control and suboptimal self-management. There is many unreported cases and diabetes distress is currently a low priority problem and is sparsely addressed in the Swedish national guidelines for diabetes care. Aim: The aim was to investigate the correlation between diabetes distress and glycemic control, duration of diabetes, and demographic data in people with Diabetes mellitus type 1. Method: A quantitative descriptive cross-sectional study. A total of 69 people were included. Data was collected from two diabetes clinics in Sweden. The participants answered the Swe-PAID-20 questionnaire and questions regarding gender, age, and diabetes duration and current HbA1c was noted. Data were analyzed using non-parametric methods. Main results: Increased diabetes distress was experienced by 20% of the participants and 45% reported a diabetes-related problem as a “somewhat serious problem” or a “serious problem”. Higher HbA1c correlated with treatment-related problems as well as support-related problems. Associations between diabetes distress and other variables and differences between subgroups were not detected. Conclusion: Diabetes distress was a relatively common problem in the studied population. Elevated HbA1c values indicated treatment and support related problems. Increased knowledge about diabetes distress can contribute to a more person-centered diabetes care, reduce suffering for the individual and save resources for society by reducing the risk of complications. Screening is important as diabetes distress is not more common in any specific population and helps to identify people in need of support.