How Common is Diabetes Distress, Really?

How Common is Diabetes Distress, Really?

The actual 7 questions researchers use to measure diabetes distress, explained in plain English. Neil explores the research, shares practical insights, and provides tools for managing the mental load of T1D.

What You'll Learn

• The 7 core questions - Each diabetes distress assessment question explained simply
• Scoring system - How the 1-6 scale works and what scores mean
• Cut points - Low (below 2.0), moderate (2.0-2.9), and high (3.0+) distress levels
• Assessment versions - Quick 7-question vs detailed 28-question options

The 7 Key Questions
Feeling overwhelmed by diabetes demands | Feeling like you're failing with your routine | Feeling diabetes takes too much energy | Not meeting your own expectations | Feeling burned out by constant effort | Feeling diabetes controls your life | Feeling angry, scared, or depressed about T1D

Take Action
Ready to assess your own diabetes distress? Both the T1-DDS-7 (quick) and 28-question (detailed) assessments are available at Neil's website.

Resources
Helpful resources and newsletter: yourbestt1dyear.com

Sponsor
Blue Circle Health offers free coaching and care that fits real life. Sign up free: bluecirclehealth.org

Connect
Instagram: @thebetes | TikTok: @the.betes | Website: yourbestt1dyear.com

Books on Amazon: Type 1 Diabetes - One Day at a Time or Type 1 Diabetes - True Stories

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Episoder(253)

The Desk Job Playbook

The Desk Job Playbook

Eight meetings, one mailbox trip, and a CGM drifting up by 3pm for no food-related reason. Welcome to October, the real-life month of the Keep It Moving challenge, starting with everyone whose job own...

5 Okt 6min

When You're Already High

When You're Already High

A scene from Neil's actual life: an airport layover, a stubborn high from hours of travel sitting, and one man doing laps past the same Cinnabon so many times the employees start whispering. This epis...

2 Okt 5min

Walking With Insulin Still Working

Walking With Insulin Still Working

The fear episode, faced head-on. The couch was never the real reason people with type 1 diabetes move less. The real reason is the low. So this is the safety net, built from the top shelf: the interna...

30 Sep 8min

Muscle Is Medicine // Strength Training with Type 1 Diabetes (Alex St. John, MSc)

Muscle Is Medicine // Strength Training with Type 1 Diabetes (Alex St. John, MSc)

Alex St. John is six foot five, about 295 pounds, and three years into serious lifting when type 1 diabetes showed up mid-semester of his kinesiology degree, at a blood sugar of 504. His response was ...

28 Sep 53min

"Snack" Before You Eat

"Snack" Before You Eat

The graduate seminar of movement snacks, with the loudest safety caveat of the month. A 2014 study in Diabetologia coined the term exercise snacks: short, brisk bursts of movement a few minutes BEFORE...

25 Sep 6min

The After-Dinner Ten

The After-Dinner Ten

Meet Neil's walking partner: Cora, a 5.9-pound senior Morkie whose hips don't lie and whose top speed is best described as eventually. Every evening, Neil, his wife Gina, and Cora take the after-dinne...

23 Sep 5min

You Don't Need The Gym

You Don't Need The Gym

Somebody sold all of us the same lie: that getting active means a membership, an hour a day, and a personality transplant. This episode formally cancels that belief system with receipts. Look at the e...

21 Sep 5min

The Movement "Snack"

The Movement "Snack"

For once, a study on our actual people. Published in 2026 in Diabetes Technology and Therapeutics: adults with type 1 diabetes on insulin pumps sat for six hours straight on one lab day, and on anothe...

18 Sep 5min

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