Background and Objectives: Diabetes mellitus is a prevalent chronic disease caused by inadequate insulin secretion or ineffective insulin response, leading to complications such as retinopathy, nephropathy, heart attacks, and strokes. Recently, “diabetes distress (DD)” has emerged as a concept, highlighting the significant emotional burden of managing diabetes, which can impact disease outcomes. Thus, this study evaluates the impact of virtual clinics on diabetes distress and glycemic measures in individuals with diabetes mellitus. Materials and Methods: A cross-sectional study was conducted between May and August 2024 at the Endocrine and Diabetes Center in Alahsa, Saudi Arabia, targeting persons aged 18 and older with diabetes who had engaged in-person clinics, virtual clinics, or both between 2019 and 2024. Data were collected through structured phone interviews, supplemented by laboratory results from clinical records. The survey included demographic details, diabetes information, and the Diabetes Distress Scale. Statistical analyses, including descriptive statistics, were performed to explore the relationships between diabetes distress, clinic visit type, and glycemic control, with Mann–Whitney and Chi-Squared tests used to compare variables between two groups. Results: Of the 108 participants, 55.6% were male, with a mean age of 38.5 years. Type 2 diabetes was reported in 51.9% of individuals, while 48.1% had type 1. High emotional burden (44.4%) and regimen-related distress (28.7%) were prevalent, particularly among individuals with suboptimal glycemic control. While virtual visits were not significantly correlated with lower distress levels, individuals with suboptimal glycemic control exhibited significantly higher diabetes distress across various domains, including emotional and regimen-related distress (p < 0.05). Laboratory analysis showed a median HbA1c of 8.2%, with poor control associated with greater distress. Conclusions: Diabetic individuals with suboptimal glycemic control report higher diabetes distress levels, underscoring the need for integrated psychological support in DM care. Although virtual clinic visits did not significantly reduce distress, they provide a feasible option for individual follow-up.

Background: Recovery after hip fracture surgery depends heavily on early mobilisation. However, psychological factors such as fear of pain and low motivation often delay ambulation. Current prehabilitation programmes focus on physical preparation and neglect the psychological readiness of patients. This study will aim to evaluate the effectiveness of mindfulness-enhanced prehabilitation for early mobilisation (M-PEM), a framework that combines mindfulness-based pain control and personalised goal setting to enhance post-operative recovery. Methodology: A randomised controlled trial was conducted on 120 patients with hip fractures. Participants were divided into two groups: one received standard prehabilitation, and the other received M-PEM, which included 3 weeks of pre-operative mindfulness training using biofeedback sensors and dynamic goal planning using artificial intelligence. Data were collected preoperatively and up to 2 weeks postoperatively, including pain levels, opioid use, walking ability and gait performance. Data were analysed using independent t-tests and Chi-square tests, with statistical significance set at P < 0.05. Results: Compared to controls, the M-PEM group showed greater reductions in pain (3.2 ± 0.8 vs. 1.9 ± 0.6, P < 0.001), lower opioid consumption (24.5 ± 6.7 morphine milligram equivalents [MME] vs. 38.2 ± 9.1 MME, P < 0.01), earlier ambulation (28.4 ± 6.2 h vs. 45.7 ± 8.9 h, P < 0.001), faster gait speed (0.68 ± 0.12 m/s vs. 0.52 ± 0.15 m/s, P < 0.05* [* means P < 0.05 significant]) and higher gait symmetry (89.2 ± 4.1% vs. 76.5 ± 5.8%, P < 0.01). Conclusion: The M-PEM framework proved effective in improving both physical and psychological aspects of hip fracture recovery. Its personalised, technology-supported design offers a promising model for integrating mental readiness into surgical care pathways.