Specialism: Community care
The D-stress study is a 5-yr programme to develop and evaluate a care pathway for the assessment, prevention and management of diabetes distress in adults with type 1 diabetes and type 2 diabetes. Realist reviews to develop theories (or logic models) for how the D-stress care pathway may work underpinned the development of eight Good Practice Statements for the Assessment of Diabetes Distress in the EASD Clinical Guidelines on this topic 2026. D-stress pre-existed the development of the Guideline Clinical Recommendations for adults with type 1 diabetes but nevertheless embodies them. The presentation will introduce the conference to the 2026 EASD Clinical Guidelines for the Assessment and Management of Diabetes Distress and how the D-stress study will deliver a care pathway for delivering them in the UK.
13:25 - 13:30 - Chair's opening remarks
Richard Holt, Professor in Diabetes & Endocrinology, University of Southampton
13:30 - 13:45 - What Diabetes Distress means to someone living with it: a perspective from type 1 diabetes and type 2 diabetes
Michelle Law, Person living with type 1 diabetes and Honorary Professor, Exeter University & Mark Tiller, Person living with type 2 diabetes
13:45 - 13:55 - Introduction to the D-stress care pathway and research programme
Jackie Sturt, Professor of Behavioural Medicine in Nursing, King's College London
13:55 - 14:02 - EASD Guideline Good practice statements for the assessment of DD
Richard Holt, Professor in Diabetes & Endocrinology, University of Southampton
14:02 - 14:10 - How might comprehensive assessment of Diabetes Distress work and does it work differently for adults with type 1 diabetes and type 2 diabetes?
Ruth Harris, Professor of Healthcare for Older Adults, King's College London
14:10 - 14:18 - EASD Clinical recommendations for the management of Diabetes Distress in type 1 diabetes
Richard Holt, Professor in Diabetes & Endocrinology, University of Southampton
14:18 - 14:25 - How might a group, online, psychosocial intervention reduce elevated DD in type 2 diabetes?
Megan Peck, Research Assistant and D-stree doctoral candidate, King's College London