 The DHP-18 was developed for people with Type 1 and Type 2 diabetes to measure the impact of living with diabetes on the patient's quality of life(5).It comprises 18 items which capture the three key domains based on a conceptual model and conceptual framework identified for the DHP-1.These are, Psychological distress – 6-items (dysphoric mood, feelings of hopelessness, irritability); Barriers to activity 7-items ( perceived limitation to activity, operant anxiety) and Disinhibited eating 5-items (lack of eating control, response to food cues and emotional arousal).