The Diabetes Distress 2 is another useful screening tool to rapidly assess diabetes distress in practice. Fisher et al (2012) describes the DDS2 as a 2-item diabetes distress screening instrument asking respondents to rate on a 6-point scale the degree to which the following items caused distress: (1) feeling overwhelmed by the demands of living with diabetes, and (2) feeling that I am often failing with my diabetes regimen. The DDS17 can be administered to those who have positive findings on the DDS2 to define the content of distress and to direct intervention (www.annfammed.org/content/6/3/246.full.pdf+html).