Stress and coping behavior in patients with diabetes mellitus

Nomura, Masahiro; Fujimoto, Keisuke; Higashino, Akira; Denzumi, M; Miyagawa, Misao; Miyajima, Hitoshi; Nada, Teru; Kondo, Yuki; Tada, Yasuyuki; Kawaguchi, R; Morishita, T; Saito, Ken; Ito, Susumu; Nakaya, Yutaka

doi:10.1007/s005920070020

Cited by 31 publications

(23 citation statements)

References 7 publications

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“…HbA 1c % was higher when people with DM1 reported frequently eating at regular times. People with poorly controlled diabetes may follow their diabetes treatment more rigidly compared to people with good control [38]. We cannot explain the differences between DM1 and DM2.…”

Section: Discussionmentioning

confidence: 90%

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

Weijman

Ros

Rutten

et al. 2005

Diabetes Research and Clinical Practice

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We explored the relationship between frequency and perceived burden of different self-management activities and HbA 1c %, symptoms of diabetes, fatigue, depression, and quality of life in 292 employees between 30 and 60 years of age with insulin-treated diabetes. Participants completed questionnaires that assess self-management and health-related variables. t-Tests were performed for type 1 (DM1) and type 2 diabetes (DM2) separately to compare the mean health scores of individuals who frequently or infrequently perform self-management activities and who do or do not perceive this as a burden. Participants frequently perform their self-management activities, particularly injection of insulin (96.1%), following dietary guidelines (70.8%) and eating regularly (65.6%). Dietary self-management is most often seen as a burden (70.4%), while injecting insulin is seen as least burdensome (12.8%). The perceived burden of self-management is more strongly related to health than the frequency of self-management. Frequency of self-management especially relates to HbA 1c % in DM1. People with DM2 who frequently follow the dietary guidelines have more positive health outcomes. Participants who perceive dietary self-management and injecting insulin as a burden have more negative health outcomes. Because different relationships were found between frequency and perceived burden of self-management and health

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Section: Discussionmentioning

confidence: 90%

Frequency and perceived burden of diabetes self-management activities in employees with insulin-treated diabetes: relationships with health outcomes

Weijman

Ros

Rutten

et al. 2005

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

show abstract

“…Furthermore, there is a two-way relationship between chronic stress and poor adherence. For example, Nomura et al (2000) reported that among people with T1DM and T2DM, stress leads to poor adherence and thus poor glucose control. They also noted that non-adherence to self-management behaviours may have caused stress.…”

Section: Life Stressmentioning

confidence: 98%

Stress and Chronic Illness: the Case of Diabetes

2011

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Globally, Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent chronic illnesses. Managing T2DM is a major challenge now affecting the lives of around 200 million people. Even when medication, diet, and physical activity regimens are maintained, blood sugar levels might not be effectively controlled because stress triggers the release of sugar into the blood. This makes the management of stress an important adjunct to the treatment of T2DM. Stress includes both life stress, the major issues that people face in their lives, such as job loss, divorce, or death of a loved one, and daily hassles, smaller everyday problems, such as deadlines for work, traffic hold-ups, or family disagreements. The stress levels created by these events are exacerbated by the stress created by the demands of managing diabetes. In this paper, we first examine the evidence for the relationship between stress and poor blood sugar control in people with T2DM. Then, we consider research that has examined the impact of various stress management strategies on blood sugar level. Finally, we discuss some promising psychological techniques for managing stress that could be helpful for people with diabetes or pre-diabetes. We note the double benefit of physical activity, which directly assists in the metabolism of sugar from the blood and indirectly reduces acute stress and chronic stress reactivity, thus providing a buffer against the effects of stress for people with T2DM.

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“…Using a direct approach, studies have shown that children with high life stress tend to have worse glycemic control . Other research, using an indirect approach, found an adverse effect of diabetes stress on diabetes self‐management . There is support from intervention studies targeting diabetes stress for improved glycemic control .…”

Section: Stress and Copingmentioning

confidence: 99%