“…In this sense, family stress has been associated with T2DM and considered an important factor in adherence to treatment. In fact, stress plays a major role in T2DM, leading directly to the increase of blood glucose and, thus, to poor glycemic control (Amaral, 2012;Bhandary et al, 2013;Gonzalez et al, 2008;Guthrie, Bartsocas, Jarosz-Chabot, & Konstantinova, 2003;Polonsky et al, 2005). Indirectly, stress interferes with adherence to self-care behaviors, leading patients to ignore health care practices and adopt unhealthy behaviors that interfere with diet, exercise, and medication (Lloyd, Smith, & Weinger, 2005;Powers, 2005).…”