TY - JOUR
AU - L. N. Hao
AU - X. W. Ma
AU - L. N. Kang
AU - Y . Y. Wang
AU - H. Shi
A1 - 
AB - Conventional outpatient diabetes management, which focuses mainly on biomedical measures like glycemic control, may be inadequate for achieving sustainable long-term health outcomes, especially among patients with co-occurring psychosocial challenges. Although these methods are physiologically important, they often ignore key psychosocial factors that greatly affect self-management, treatment adherence, and clinical results. Based on the biopsychosocial model, this article proposes a comprehensive care framework that includes structured psychosocial support as a core part of diabetes management. Strong evidence shows that psychosocial factors-such as diabetes-related distress, mental health conditions, and social determinants-directly influence glycemic control, quality of life, and complication rates. The article also points out structural weaknesses in current healthcare systems that prevent integrated care. In response, a coordinated, multi-level strategy is introduced. This includes systematic psychosocial screening, communication methods supported by evidence, digital health technologies, and personalized stepped-care interventions. Finally, we recommend systemic reforms in clinical practice, payment policies, and medical education to support a shift toward person-centered, biopsychosocial diabetes care. These changes are necessary to address the complex nature of diabetes and improve both health outcomes and patient well-being.
AD - Outpatient Department, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, China.; Department of Intensive Care Unit, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, China.; Blood Draw Room, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, China.; Department of Endocrinology, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, China.; Department of Rheumatology and Immunology, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, China.
AN - 41393288
BT - Front Endocrinol (Lausanne)
C5 - Healthcare Disparities
DO - 10.3389/fendo.2025.1708620
DP - NLM
ET - 20251127
JF - Front Endocrinol (Lausanne)
LA - eng
N2 - Conventional outpatient diabetes management, which focuses mainly on biomedical measures like glycemic control, may be inadequate for achieving sustainable long-term health outcomes, especially among patients with co-occurring psychosocial challenges. Although these methods are physiologically important, they often ignore key psychosocial factors that greatly affect self-management, treatment adherence, and clinical results. Based on the biopsychosocial model, this article proposes a comprehensive care framework that includes structured psychosocial support as a core part of diabetes management. Strong evidence shows that psychosocial factors-such as diabetes-related distress, mental health conditions, and social determinants-directly influence glycemic control, quality of life, and complication rates. The article also points out structural weaknesses in current healthcare systems that prevent integrated care. In response, a coordinated, multi-level strategy is introduced. This includes systematic psychosocial screening, communication methods supported by evidence, digital health technologies, and personalized stepped-care interventions. Finally, we recommend systemic reforms in clinical practice, payment policies, and medical education to support a shift toward person-centered, biopsychosocial diabetes care. These changes are necessary to address the complex nature of diabetes and improve both health outcomes and patient well-being.
PY - 2025
SN - 1664-2392 (Print); 1664-2392
SP - 1708620
ST - Beyond glycemic control: a holistic perspective on psychosocial support in outpatient diabetes management
T1 - Beyond glycemic control: a holistic perspective on psychosocial support in outpatient diabetes management
T2 - Front Endocrinol (Lausanne)
TI - Beyond glycemic control: a holistic perspective on psychosocial support in outpatient diabetes management
U1 - Healthcare Disparities
U3 - 10.3389/fendo.2025.1708620
VL - 16
VO - 1664-2392 (Print); 1664-2392
Y1 - 2025
ER -