Looking at Diabetes-Related Distress through a New Lens: The Socio-Ecological Health Model
Round 1
Reviewer 1 Report
In this manuscript, Farnoudi et al. examined the effects of diabetes-related distress on patients. Researchers examined published research on the effects of social determinants of health (SDOH) on DRD in adults between 1995 and 2020. They found that SDOH patients were strongly influenced by the way they grew up, worked, and age. The Authors concluded that the Socio-Ecological Model of Health (SEMH) system, which is a model that can be used in terms of public health, is more widely used.
This review has been extensively reviewed. However, table 1 shown in the review is far from clear. The rearrangement of this table will be understandable to readers.
Author Response
Thank you for your comments. We have revised Table 1 so that it may be understandable to readers.
Author Response File: 
Author Response.docx
Reviewer 2 Report
The current review covers an interesting and important topic which is related to fining screening tool for DRD. Authors included comprehensive information by covering all potential confounding factors, there are just small issues that are needed to be addressed.
1. Diabetes could be type I and type II, it would be great if authors mention how type of diabetes affects their findings?
2. table is very small and very difficult to read. it would be great if authors make some graphical abstract to illustrate their modelling
Author Response
Thank you for your comments.
- According to the most recent National Diabetes Statistic Report from the CDC, type 2 diabetes encompasses 95% of all diabetes in the US. We would like to clarify that our paper focuses on type 2 diabetes. To make this clear, we have removed any mention of type 1 diabetes that was previously included.
- We have edited the format of Table 1 so that it may be clearer to readers.
Author Response File: Author Response.docx
