학술논문

A daily study of stressors, continuously measured glucose, and diabetes symptoms in latinos with type 2 diabetes.
Document Type
Article
Source
Journal of Behavioral Medicine. 2021, Vol. 44 Issue 1, p94-103. 10p. 2 Charts, 1 Graph.
Subject
*BLOOD sugar monitoring
*DIABETES
*HISPANIC Americans
*HYPERGLYCEMIA
*TYPE 2 diabetes
*PATIENT education
*RELAXATION for health
*STATISTICAL sampling
*PSYCHOLOGICAL stress
*STRESS management
*RANDOMIZED controlled trials
*DESCRIPTIVE statistics
*DISEASE risk factors
*SYMPTOMS
Language
ISSN
0160-7715
Abstract
This study examined whether daily stressors and continuously monitored glucose levels and glucose variability predict daily diabetes symptoms. Fifty Latinos with type 2 diabetes were randomized to either diabetes education (DE-only; N = 23) or DE plus stress management and relaxation training (DE + SMR; N = 32). After treatment, for 7 days they wore 'blinded' continuous glucose monitors and reported common stressors and diabetes symptoms twice daily. Between individuals, participants with more numerous overall stressors and more time in hyperglycemia reported higher symptoms. Within individuals, symptoms were higher during intervals of greater than usual stressors. Yet, diabetes symptoms did not covary with changes in glucose levels or glucose variability. The within-person stressor-symptom association was stronger among older individuals and non-significant for participants in DE + SMR condition. Diabetes symptoms were associated with recent stressor exposure, but not recent glucose level or changes in glucose. Clinical Trial Number: ClinicalTrials.gov Identifier (No. NCT01578096). [ABSTRACT FROM AUTHOR]