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197, p  0.001), willingness to pay (β=-0.220, p  0.001), disease duration (β=0.119, p=0.014), and diabetes distress (β=0.181, p  0.001); 64.5% of the variance in diabetes-related quality of life (F=148.469, p  0.001) was significantly explained by greater financial stress (β=-0.112, p=0.002), diabetes distress (β=0.512, p  0.001), trait anxiety (β=0.183, p=0.001) and depressive symptoms (β=0.162, p=0.001). Greater financial stress and psychological factors have detrimental impacts on self-management outcomes during