The association between poor glycemic control and PTSD in patients with diabetes mellitus in primary healthcare in Palestine - Report - MDSpire

The association between poor glycemic control and PTSD in patients with diabetes mellitus in primary healthcare in Palestine

  • By

  • Muna Ahmead

  • Hala Taqatqa

  • Maisa Nabulsi

  • June 1, 2026

  • 0 min

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Clinical Report: Inadequate Glycemic Management and PTSD in Diabetes Patients

Overview

This study highlights a significant association between poor glycemic control and PTSD among diabetes patients in Palestine. It underscores the need for integrated psychological and dietary interventions in primary care settings.

Background

Diabetes mellitus is a major global health issue, particularly in conflict zones where access to care is limited. Poor glycemic control can lead to severe complications, making effective management crucial. Understanding the interplay between mental health, such as PTSD, and diabetes management is essential for improving patient outcomes.

Data Highlights

FindingValue
Percentage of participants with poor glycemic control76.3%
AOR for type 2 diabetes and poor glycemic control2.348
AOR for PTSD and poor glycemic control5.455
AOR for moderate to high stress and poor glycemic control3.172
AOR for average dietary pattern reducing poor glycemic control0.054

Key Findings

  • 76.3% of diabetes patients exhibited poor glycemic control.
  • PTSD significantly increases the odds of poor glycemic control (AOR: 5.455).
  • Type 2 diabetes patients are more likely to have poor glycemic control (AOR: 2.348).
  • Moderate to high levels of stress are associated with poor glycemic control (AOR: 3.172).
  • Adopting an average dietary pattern is linked to better glycemic control (AOR: 0.054).

Clinical Implications

Healthcare providers should incorporate psychological assessments and dietary counseling into diabetes management plans. Addressing mental health issues like PTSD may improve glycemic control and overall health outcomes for patients with diabetes.

Conclusion

The study emphasizes the critical need for integrated care approaches that address both psychological and dietary factors in managing diabetes, particularly in conflict-affected regions.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Examining the Relationship Between Initial Hyperglycemia and Inflammatory Responses in Trauma Patients: A Prospective Clinical Investigation
  3. BMC Psychiatry (Springer) — Associations between childhood maltreatment, PTSD and metabolic outcomes in patients with common mental disorders at outpatient clinics in specialized care
  4. Standards of Care in Diabetes | ADA Clinical Guidelines
  5. Bidirectional associations between PTSD severity and glycemic control in trauma-exposed women with type 2 diabetes
  6. BMC Psychiatry (Springer) — Associations between COVID pandemic-related post-traumatic stress disorder symptoms and self-care behaviors, fear of hypoglycemia, and depressive symptoms among Chinese adults with type 2 diabetes in the post-pandemic era
  7. WHO Response Report January – December 2025
  8. Standards of Care in Diabetes | ADA Clinical Guidelines
  9. Bidirectional associations between PTSD severity and glycemic control in trauma-exposed women with type 2 diabetes | medRxiv

Original Source(s)

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