Publications

BDI along with colleagues in the field of diabetes health and mental well being are continuously working on research projects to further improve the lives of people living with diabetes worldwide.

Diabetes distress in adults with type 1 diabetes: Prevalence, incidence and change over time

Authors: Fisher, L., Hessler, D., Polonsky, W., Strycker, L., Masharani, U., Peters, A. Abstract Aims: To document the prevalence and 9-month incidence of elevated diabetes distress (DD) and the stability of DD over time using both single threshold and minimal clinically important differences (MCID) approaches. Methods: Adults with type 1 diabetes (T1D) (N=224) completed the 28-item T1-Diabetes Distress Scale (T1-DDS) at

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Psychosocial Impact of the Bionic Pancreas During Summer Camp

Authors: Weissberg-Benchell, J., Hessler, D., Polonsky, WH., Fisher, L. Abstract Background: The psychosocial impact of the bionic pancreas (BP) was assessed among children attending diabetes camp. Methods: Nineteen children were randomly assigned for 5 days to the BP condition and 5 days to the control condition in a crossover design. Results: Significant reductions in hypoglycemic fear and regimen burden were found.

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Understanding the Areas and Correlates of Diabetes-Related Distress in Parents of Teens With Type 1 Diabetes

Authors: Hessler, D., Fisher, L., Polonsky, W., Johnson, N. Abstract Objective: To identify the unique areas of diabetes-related distress (DD) for parents of teens with type 1 diabetes and parent and teen characteristics associated with DD. Methods: Areas of DD were developed from structured interviews and translated into 46 survey items. Items were analyzed with exploratory factor analysis (EFA). Results: An

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Emotional Distress in the Partners of Type 1 Diabetes Adults: Worries About Hypoglycemia and Other Key Concerns

Authors:   Polonsky, WH., Fisher, L., Hessler, D., Johnson, N. Abstract Background: Although the widespread prevalence of diabetes-related distress (DD) in adults with type 1 diabetes (T1D) has been well established, there has been little inquiry into the experiences of their spouse/partners. Therefore the goal of this study was to investigate the prevalence and sources of DD in the spouses

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Prevalence of depression in Type 1 diabetes and the problem of over-diagnosis

Authors: Fisher, L., Hessler, DM., Polonsky, WH., Masharani, U., Peters, AL., Blumer, I., Strycher, LA. Abstract Aims: To determine the prevalence of depression and diabetes distress in adults with Type 1 diabetes and the rate of false-positives when compared with rates of major depressive disorder. Methods: The sample consisted of 368 individuals with Type 1 diabetes, aged > 19 years. Individuals

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Identifying the worries and concerns about hypoglycemia in adults with type 2 diabetes

Authors:  Polonsky, WH., Fisher, L., Hessler, D., Edelman, SV. Abstract Aims: To identify the hypoglycemic concerns of adults with type 2 diabetes (T2D) and examine how these concerns are associated with key patient characteristics. Methods: Qualitative interviews with 16 T2D adults and 11 diabetes care providers were conducted. Survey items were then developed and submitted to exploratory factor analyses (EFAs).

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Development of a New Measure for Assessing Insulin Delivery Device Satisfaction in Patients with Type 1 and Type 2 Diabetes

Authors:  Polonsky, WH., Fisher, L., Hessler, D., Edelman, SV. Abstract Background: Although many different types of insulin delivery devices are currently available, there is no well-accepted, validated method to assess patient satisfaction with these devices and their impact on quality of life and other patient-reported outcomes. To address this problem, we developed the Insulin Device Satisfaction Survey (IDSS) and herein

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Development of a New Measure for Assessing Glucose Monitoring Device-Related Treatment Satisfaction and Quality of Life

Authors:  Polonsky, WH., Fisher, L., Hessler, D., Edelman, SV. Abstract Background: Many different devices are available to patients to measure glucose levels, but there is no validated method to assess treatment satisfaction with glucose monitoring devices and its impact on quality of life and other patient-reported outcomes. To address this problem, we developed the Glucose Monitoring System Satisfaction Survey (GMSS).

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When does personalized feedback make a difference? A narrative review of recent findings and their implications for promoting better diabetes self-care

Authors:  Polonsky, WH., Fisher, L. Abstract Providing behavioral, biomarker, or disease risk feedback to patients is a key component of most behavioral interventions in diabetes, but it remains unclear what is necessary for such feedback to be truly engaging and effective. We sought to identify how personalized health-related feedback is most effectively designed and delivered, and how feedback may be

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Understanding the sources of diabetes distress in adults with type 1 diabetes

Authors: Fisher, L., Polonsky, WH., Hessler, DM., Masharani, U., Blumer, I., Peters, AL., Strycher, LA., Bowyer, V. Abstract Aims: To identify the unique sources of diabetes distress (DD) for adults with type 1 diabetes (T1D). Methods: Sources of DD were developed from qualitative interviews with 25 T1D adults and 10 diabetes health care providers. Survey items were then developed and

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BDI Monthly Events

June 5-8
June 5-8ADA Scientific Sessions
June 5 - 8: It will be a busy time at the American Diabetes Association’s 85th Scientific Sessions (New Orleans, LA), with new projects to be developed, old friends to see, and much to learn. Dr. Polonsky, BDI President, will serve a co-author on four poster presentations
June 10
June 10Case Consultation
May 13: BDI hosts the San Diego-wide, monthly case consultation meeting (for mental health professionals working in the field of diabetes). Contact us at [email protected] if you are in the greater San Diego area and would like further information about this program.
August 14-16
August 14-16ONE 2026
August 14 - 16. Taking Control of Your Diabetes (TCOYD) will be hosting the in-person ONE event, an amazing weekend experience here in San Diego for more than 500 people with type 1 diabetes and their loved ones. Dr. Polonsky is honored to be one of the presenters, and we will hope to see many of you there. There are still a few spaces left, so if you’d like to know more, please visit
October 24
October 24CME Workshop
On October 24, BDI will host a live, one-day, CME workshop: Engaging the Disengaged: Innovative Strategies for Promoting Behavior Change in Diabetes. Run by Dr. Polonsky (BDI President) and Dr. Guzman (BDI Clinic Director), Participants will deepen their skills in recognizing and addressing common barriers to effective self-care and cardiometabolic medication initiation and maintenance, while fostering respectful, stigma-free clinical encounters.

Publications

BDI along with colleagues in the field of diabetes health and mental well being are continuously working on research projects

Read More