The influence of the disclosure of diabetes on the cognitive, physical ability and diabetes self-management in diabetic employed adults in Saudi Arabia.

Convenience sample of 146 employed Saudi adults with diabetes from one hospital in Riyadh, despite a target sample of 250, limits generalisability. All outcomes were self-reported and cross-sectional, so the study cannot show that disclosure caused fatigue, concentration, motivation or activity differences. The paper contains an internal inconsistency: it states a non-significant relationship between perceived self-management and other variables, then reports significant correlations between self-management and fatigue, concentration and physical activity. No clear primary outcome is stated, and several subgroup associations are reported, so findings should be treated as exploratory. Some sample characteristics in the supplied table appear internally inconsistent, which makes interpretation harder.

The authors declare no conflicts of interest.

Do not conclude that telling a manager caused worse fatigue, concentration, motivation or activity. The study was cross-sectional and used self-report, so the direction of association cannot be established. Do not read the correlations as proof that disclosure changes self-management.