To examine the prevalence of poor glycemic control and its association with PTSD, stress, and dietary patterns in individuals with type 1 and type 2 diabetes in primary healthcare settings in southern Palestine from October 1, 2025, to December 1, 2025.
Key Findings:
76.3% of participants had poor glycemic control.
Type 2 diabetes patients had an adjusted odds ratio (AOR) of 2.348 (p < 0.015) for poor glycemic control.
Patients with PTSD had an AOR of 5.455 (p < 0.001) for poor glycemic control.
Moderate to high stress levels were associated with poor glycemic control (AOR: 3.172, p < 0.001).
An average dietary pattern was linked to a lower likelihood of poor glycemic control (AOR: 0.054, p < 0.001).
Interpretation:
The findings indicate a high prevalence of poor glycemic control among diabetes patients, particularly those with PTSD and high stress levels, suggesting a need for integrated care approaches.
Limitations:
The study is limited to a specific geographic area (southern Palestine), which may affect the generalizability of the findings.
Self-reported data may introduce bias, as participants might underreport or overreport their symptoms and dietary habits.
Conclusion:
Psychological interventions and dietary counseling should be made available at primary health care centers to support patients with diabetes mellitus.
