{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T04:28:01Z","timestamp":1774153681014,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004312","name":"Eli Lilly and Company","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>In patients with breast cancer (BCa) and diabetes (DM), diabetes distress (DD) and treatment satisfaction (DTS) can influence BCa management and outcomes. We assessed the impact of implementing a personalized diabetes care model in patients with BCa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients in active treatment or surveillance for BCa with an HbA1c\u2009&gt;\u200953\u2009mmol\/mol (7%) or random blood glucose &gt;11.1\u2009mmol\/L were included. Participants were offered continuous glucose monitoring (CGM), virtual care and a dedicated diabetes provider for 6\u2009months. Primary outcomes included DD measured by the Diabetes Distress Survey (DDS) and DTS measured by the Diabetes Treatment Satisfaction Questionnaire (DTSQ). Questionnaires were conducted at 0, 3 and 6\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010one women were enrolled (median age 61, IQR 49.0\u201369.0). Compared to baseline, the mean DDS score was lower at both 3\u2009months (2.2 vs. 1.8 [<jats:italic>n<\/jats:italic>\u2009=\u200927], <jats:italic>p<\/jats:italic>\u2009=\u20090.004, SD\u2009=\u20090.70) and 6\u2009months (2.3 vs. 1.8 [<jats:italic>n<\/jats:italic>\u2009=\u200923], <jats:italic>p<\/jats:italic>\u2009=\u20090.002, SD\u2009=\u20090.70). The mean DTSQ score was higher at 3\u2009months (baseline: 20.5 vs. 3\u2009months: 28.7 [<jats:italic>n<\/jats:italic>\u2009=\u200928], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, SD\u2009=\u20099.2) and 6\u2009months (baseline: 20.4 vs. 6\u2009months: 30.0 [<jats:italic>n<\/jats:italic>\u2009=\u200926], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001, SD\u2009=\u20099.7).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Personalized diabetes care models that emphasize remote management and optimize access for those with BCa may lower DD and improve DTS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15292","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T05:09:15Z","timestamp":1706677755000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of personalized diabetes care on distress and treatment satisfaction in people with breast cancer"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2858-5966","authenticated-orcid":false,"given":"Julia C.","family":"Harrod","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yee\u2010Ming M.","family":"Cheung","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"Division of Endocrinology, Diabetes and Metabolism, Northwell Health  Manhasset New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren","family":"Buckley","sequence":"additional","affiliation":[{"name":"Division of Breast Oncology, Department of Medical Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace E.","family":"Cromwell","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen M.","family":"Fowler","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa E.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Division of Breast Oncology, Department of Medical Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nancy U.","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Breast Oncology, Department of Medical Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara M.","family":"Tolaney","sequence":"additional","affiliation":[{"name":"Division of Breast Oncology, Department of Medical Oncology Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Le","family":"Min","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie E.","family":"McDonnell","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Diabetes, and Hypertension, Department of Medicine Brigham and Women's Hospital  Boston Massachusetts 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