Diabetes-related distress and associated factors among adults with diabetes in Germany: Results of the nationwide study “Disease knowledge and information needs – Diabetes mellitus 2017”

•One of seven adults with diabetes in Germany shows diabetes-related distress•Worrying about the future and serious complications was a major concern•Diabetes-related distress was present in 38% of patients with depressive symptoms•Diabetes-related distress is significantly associated with insulin use•Psychological interventions need to be implemented in diabetes care