Glycosylated Hemoglobin Levels and Self-Reported Stress in Adults with Diabetes

Demers, Raymond Y.; Neale, Anne Victoria; Wenzloff, Nancy J.; Gronsman, Kimberly J.; Jaber, Linda A.

doi:10.1080/08964289.1989.9934580

Cited by 14 publications

(2 citation statements)

References 17 publications

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“…Studies of this interaction do not yield consistent results and do not lead to reliable conclusions on its causality. Some of the studies dealing with the relationship of glycaemia control measured by values of glycosylated haemoglobin and the subjective perception of stress experiences, indicate that life stress in persons with diabetes is related to higher values of glycosylated haemoglobin (Chase & Jackson, 1981;Linn et al 1983;Cox et al 1984;Jacobsen et al 1985;Demers et al 1989). Possible mechanisms of this relationship are identified at the level of counter-regulatory hormones and at the level of disintegration of health behaviour at times of stress (Tarnow & Silverman, 1981;Evans, 1985).…”

Section: Introductionmentioning

confidence: 99%

War-induced prolonged stress and metabolic control in Type 2 diabetic patients

Pibernik-Okanović¹,

Roglić²,

Prašek³

et al. 1993

Psychol. Med.

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SynopsisSound evidence that psychological stress may significantly worsen metabolic control in diabetic patients is lacking. The stressful effects of war on glycaemia control have not been assessed as yet. A randomly selected sample of displaced Type 2 diabetic persons (N= 44) was compared to a matched group of diabetic persons who had not been forced to leave their homes. The self-reported stress, depression level, fasting and post-prandial blood glucose, glycosylated haemoglobin and serum lipids were compared. The two groups were found to be significantly different in scores for self-reported stress and depression levels (P< 0·001). The proportion of subjects belonging to the category of clinically significant depression was larger in the group of displaced persons (P< 0·001), as well as the proportion of extreme scores for self-reported stress (P< 0·001). No significant differences between the groups were found for variables measuring metabolic control (P> 0·05), except for the serum triglycerides which were found to be significantly higher in the group of displaced persons (P< 0·01). This is assumed to be the result of differences in nutrition. The results do not demonstrate an association between prolonged stress and glycaemic control in Type 2 diabetic patients. The variability of data measuring stress and depression level in two extreme groups with respect to HbA1cvalues suggests that individual factors which determine the response to stressors need to be explored.

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Section: Introductionmentioning

confidence: 99%

War-induced prolonged stress and metabolic control in Type 2 diabetic patients

Pibernik-Okanović¹,

Roglić²,

Prašek³

et al. 1993

Psychol. Med.

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“…In NIDDM, diabetes-specific health beliefs and fears, such as beliefs about the benefits of treatment, attributions to personal diabetes control and fear of hospitalisation, are known to influence adherence to doctors' instructions [8][9][10]. Moreover, diabetes has a strong impact on patients' life and, at the same time, stress, anxiety, and neuroticism can deregulate diabetes [11][12][13]. Consequently, affective communication which focuses on the meaning of the disease for the patient and instrumental communication giving clear information necessary to alter dysfunctional beliefs will both be important in the treatment of NIDDM.…”

Section: Introductionmentioning

confidence: 99%

Shifts in doctor-patient communication during a series of outpatient consultations in non-insulin-dependent diabetes mellitus

Dulmen

Verhaak

Bilo

1997

Patient Education and Counseling

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As the treatment of non-insulin-dependent diabetes mellitus (NIDDM) largely depends on self-management, patient compliance and satisfaction, diabetes specific beliefs and fears need special consideration during medical consultations by means of effective communication. Communication patterns are likely to change through time. For that reason, the first three consultations between 18 newly referred patients with poorly controlled NIDDM and their medical specialist were videotaped. Subsequently, changes in doctor's and patients' verbal and nonverbal communication behaviours during these 54 consultations were analysed. Furthermore, an investigation was carried out to distinguish those communication behaviours most strongly related to patient satisfaction. Findings suggest that the first consultation is most important for building an effective doctor-patient relationship, the second for discussing treatment matters, and the third for addressing psychosocial issues. Further research incorporating clinical outcome measures is recommended to determine which were the behaviours with the greatest influence on patient health outcome.

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The Effect of Stress on Glycemic Control in Patients with Type II Diabetes During Glyburide and Glipizide Therapy

Jaber¹,

Lewis²,

Slaughter³

et al. 1993

The Journal of Clinical Pharma

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Stress adversely affects glycemic control in patients with type II diabetes mellitus. In addition, stress reduction with relaxation techniques or medication use in the management of hyperglycemia has been recommended. This study examined the relationship of glycemic control to self-reported stress in 19 patients with type II diabetes mellitus who were randomly allocated to receive either glyburide or glipizide for 16 weeks in a double-blind crossover design. Each treatment phase was preceded by a 2-week washout period. A previously designed and validated nine-item stress questionnaire was used to assess areas such as safety, financial wellbeing, energy level, health, etc. These areas were evaluated as more/less, better/worse, or no change. The stress questionnaire, fasting blood glucose (FBG), and glycosylated hemoglobin (GHb) concentrations were completed or measured at the end of glyburide and glipizide treatment periods. By assigning a value of 1, 2, or 3 to a positive, no change, or negative response, respectively, a composite stress score was computed and compared with glycemic control as assessed by FBG and GHb. Regression analysis showed highly significant correlations (P < .05) between stress scores and FBG (r = .70) as well as GHb (r = 0.84) with glipizide therapy. No such correlation was noted with glyburide (FBG: r = 0.29; GHb: r = 0.29). These findings suggest that during glyburide treatment, in contrast to glipizide, an increase in stress was not associated with a corresponding rise in blood glucose or worsening of metabolic control.(ABSTRACT TRUNCATED AT 250 WORDS)

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Glycosylated Hemoglobin Levels and Self-Reported Stress in Adults with Diabetes

Cited by 14 publications

References 17 publications

War-induced prolonged stress and metabolic control in Type 2 diabetic patients

War-induced prolonged stress and metabolic control in Type 2 diabetic patients

Shifts in doctor-patient communication during a series of outpatient consultations in non-insulin-dependent diabetes mellitus

The Effect of Stress on Glycemic Control in Patients with Type II Diabetes During Glyburide and Glipizide Therapy

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