Rec­om­men­da­tions

5.31 Psychoso­cial care should be in­te­grat­ed with a col­lab­o­ra­tive, pa­tient-‍cen­tered ap­proach and pro­vided to all peo­ple with di­a­betes, with the goals of op­ti­miz­ing health out­comes and health-‍re­lat­ed qual­i­ty of life. A

5.32 Psychoso­cial screen­ing and fol­low-‍up may in­clude, but are not lim­it­ed to, at­ti­tudes about di­a­betes, ex­pec­ta­tions for med­i­cal man­age­ment and out­comes, af­fect or mood, gen­er­al and di­a­betes-‍re­lat­ed qual­i­ty of life, avail­able re­sources (finan­cial, so­cial, and emo­tion­al), and psy­chi­atric his­to­ry. E

5.33 Providers should con­sid­er as­sess­ment for symp­toms of di­a­betes dis­tress, de­pres­sion, anx­i­ety, dis­or­dered eat­ing, and cog­ni­tive ca­pac­i­ties using pa­tient-‍ap­pro­pri­ate stan­dard­ized and val­i­dated tools at the ini­tial visit, at pe­ri­od­ic in­ter­vals, and when there is a change in dis­ease, treat­ment, or life cir­cum­stance. In­clud­ing care­givers and fam­i­ly mem­bers in this as­sess­ment is rec­om­mend­ed. B

5.34 Con­sid­er screen­ing older adults (aged ≥65 years) with di­a­betes for cog­ni­tive im­pairment and de­pres­sion. B