BACKGROUND:
Diabetes Mellitus (DM) affects millions of people worldwide, and the International Diabetes Federation (IDF) estimates that nearly 60 million people in the African region will be affected by 2050. Diabetes is one of the most problematic and complex chronic conditions, and the burden of the disease extends beyond the physical and impacts emotional and psychological wellbeing as well. Limited resources are, however, dedicated to DM prevention and treatment, specifically, the mental health needs of people living with DM (PLWD). This study intended to explore the psychological distress of people living with diabetes (PLWD) and their views regarding the accessibility and quality of mental health support.

METHODS:
The study used a cross-sectional research design with a survey method for data collection. Participants were recruited using purposive sampling via Diabetes support groups on Facebook and were requested to complete a demographic questionnaire and the Patient-Health Questionnaire (PHQ-9).

RESULTS:
The findings show that 22.1% of the sample present with mild depression and moderate depression, respectively. Some participants, 17.8%, presented with moderately severe depression and 13% with severe depression. In relation to mental health support, 41.9% of participants indicated preference for in-person mental health support and 49.8% of the sample advocated that mental health support must be tailored for people with diabetes. Participants also highlighted the unaffordability of mental health support and the experience of stigma in seeking support for mental health concerns.

CONCLUSIONS:
The findings emphasise the mental health challenges experienced by PLWD and the limitations faced in a multicultural context where health disparities are evident. It is recommended that tailored mental health approaches be developed and more resources be invested in improving the overall wellbeing of PLWD.