• Kartik Singhai, Mukesh Kumar Swami, Naresh Nebhinani, Ashu Rastogi, and Edward Jude.
• Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, 342005, India.
• Diabetes Metab Syndr. 2020 Nov 1; 14 (6): 1603-1605.

Background And AimsPeople with diabetes have multiple psychosocial issues related to diabetes and its complications and this may be exacerbated during the COVID-19 pandemic.MethodsWe reviewed the psychological adaptative difficulties in people with diabetes especially during natural disasters including the prevailing COVID-19 pandemic.ResultsThere are significant concerns regarding worsening of glycemic control, unavailability of appropriate medicines, inaccessibility to health care or acquiring SARS- CoV-2 infection and subsequent poorer outcomes during the COVID-19 pandemic. Although there are some guidance documents for managing diabetes and associated complications during COVID-19 pandemic but very few address the psychological issues in people with diabetes. We discuss the psychological adaptive difficulties and an approach to address the psychosocial concerns in people with diabetes during the COVID-19 pandemic.ConclusionsPeople with diabetes have significant diabetes distress and psychological adaptive difficulties that is aggravated by the COVID-19 pandemic. An integrated multidisciplinary approach is needed to manage the prevailing psychological issues amongst people with diabetes during the COVID-19 pandemic.Copyright © 2020 Diabetes India. Published by Elsevier Ltd. All rights reserved.

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