TY - JOUR AU - J. Latoo AU - Y. S. Khan AU - A. Latoo AU - M. Alabdulla AU - F. Jan AU - N. Masoodi AU - D. Sura AU - S. Islam AU - O. Wadoo A1 - AB - Diabetes mellitus is associated with a high burden of mental health issues, including both formal psychiatric disorders, such as depression and anxiety, and diabetes-specific psychological challenges like diabetes-related distress, psychological insulin resistance, and fear of hypoglycemia. These mental health difficulties significantly impair self-management, treatment adherence, and quality of life, increasing the risk of complications and mortality. The paper reviews the bidirectional relationship between diabetes and mental disorders, driven by biological and behavioural mechanisms. It highlights the high prevalence of depression, anxiety, cognitive impairment, and eating disorders among people with diabetes. The consequences of untreated mental health conditions include poor glycemic control, greater healthcare costs, increased hospitalization, and lower health-related quality of life. The review presents a range of evidence-based management strategies, including early screening, psychological and pharmacological interventions, lifestyle changes, and integrated collaborative care models. Particular emphasis is placed on the role of physicians and endocrinologists in recognizing and managing psychological difficulties. The paper also discusses challenges in low-resource settings and underscores the need for culturally adapted accessible interventions. It argues for a paradigm shift towards integrated, person-centred care models that address both physical and mental health needs in diabetes, offering practical recommendations for clinicians and policymakers. AD - Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar. ROR: https://ror.org/02zwb6n98. GRID: grid.413548.f. ISNI: 0000 0004 0571 546X; College of Medicine, Qatar University, Doha, Qatar. ROR: https://ror.org/00yhnba62. GRID: grid.412603.2. ISNI: 0000 0004 0634 1084; Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK. ROR: https://ror.org/026zzn846. GRID: grid.4868.2. ISNI: 0000 0001 2171 1133; Department of Psychiatry, Northamptonshire Healthcare NHS Foundation Trust, Northampton, UK. ROR: https://ror.org/0358tcd02. GRID: grid.500653.5. ISNI: 0000 0004 0489 4769; Department of Medicine, Hamad Medical Corporation, Doha, Qatar. ROR: https://ror.org/02zwb6n98. GRID: grid.413548.f. ISNI: 0000 0004 0571 546X; North Street Medical Care, Romford, Greater London, UK.; Department of Nutrition, College of Health and Human Sciences, Texas Tech University, Lubbock, TX USA. ROR: https://ror.org/0405mnx93. GRID: grid.264784.b. ISNI: 0000 0001 2186 7496 AN - 41799537 BT - J Diabetes Metab Disord C5 - Education & Workforce CP - 1 DA - Jun DO - 10.1007/s40200-026-01915-6 DP - NLM ET - 20260306 IS - 1 JF - J Diabetes Metab Disord LA - eng N2 - Diabetes mellitus is associated with a high burden of mental health issues, including both formal psychiatric disorders, such as depression and anxiety, and diabetes-specific psychological challenges like diabetes-related distress, psychological insulin resistance, and fear of hypoglycemia. These mental health difficulties significantly impair self-management, treatment adherence, and quality of life, increasing the risk of complications and mortality. The paper reviews the bidirectional relationship between diabetes and mental disorders, driven by biological and behavioural mechanisms. It highlights the high prevalence of depression, anxiety, cognitive impairment, and eating disorders among people with diabetes. The consequences of untreated mental health conditions include poor glycemic control, greater healthcare costs, increased hospitalization, and lower health-related quality of life. The review presents a range of evidence-based management strategies, including early screening, psychological and pharmacological interventions, lifestyle changes, and integrated collaborative care models. Particular emphasis is placed on the role of physicians and endocrinologists in recognizing and managing psychological difficulties. The paper also discusses challenges in low-resource settings and underscores the need for culturally adapted accessible interventions. It argues for a paradigm shift towards integrated, person-centred care models that address both physical and mental health needs in diabetes, offering practical recommendations for clinicians and policymakers. PY - 2026 SN - 2251-6581 (Print); 2251-6581 SP - 105 ST - The psychological burden of diabetes: common mental health disorders, their impact on disease outcomes and strategies for intervention T1 - The psychological burden of diabetes: common mental health disorders, their impact on disease outcomes and strategies for intervention T2 - J Diabetes Metab Disord TI - The psychological burden of diabetes: common mental health disorders, their impact on disease outcomes and strategies for intervention U1 - Education & Workforce U3 - 10.1007/s40200-026-01915-6 VL - 25 VO - 2251-6581 (Print); 2251-6581 Y1 - 2026 ER -