Diabetes Distress and Glycemic Control: The Buffering Effect of Autonomy Support From Important Family Members and Friends

Lee, Aaron A.; Piette, John D.; Heisler, Michele; Rosland, Ann‐Marie

doi:10.2337/dc17-2396

Cited by 92 publications

(77 citation statements)

References 41 publications

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“…Sharing problems with friends and family members was the most common strategy adopted. This is similar to the findings reported in previous studies where participants reported increased need to talk with someone to vent out their distress [30].…”

Section: Discussionsupporting

confidence: 91%

COVID-19 pandemic: a double trouble for Indian adolescents and young adults living with type 1 diabetes

Agarwal¹,

Harikar

Shukla³

et al. 2020

Int J Diabetes Dev Ctries

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Background Strict isolation measures and interrupted health care services during the COVID 19 pandemic are contemplated to instigate stress universally, particularly in those with chronic illnesses such as type 1 diabetes (T1D). Methods A cross-sectional, observational study was done to assess determinants of stress and its impact on glycemic control in adolescents and young adults (aged 12-24 years) living with T1D in India. An online, semi-structured survey including Perceived Stress Scale (PSS-10) was distributed and results were analyzed. Results A total of 89 participants (46 males, mean age 19.61 ± 3.8 years) with T1D completed the survey. Age (r = 0.325, p = 0.005) and HBA1C level within the preceding 3 months (r = 0.274, p = 0.036) correlated positively with PSS-10 scores. There was a statistically significant difference in PSS-10 score based on gender (t(70) = − 2.147; p = 0.035), education (F (4,67) = 4.34, p = 0.003), and occupation (F(3,68) = 4.50, p = .006). On multiple linear regression, gender, occupation, and HbA1C were the significant determinants of PSS-10 (F(3,55) = 12.01, p < 0.001, R 2 = 0.363). One-way ANOVA showed a significant impact of mean PSS-10 score on the glycemic control (F(2,69) = 3.813, p = 0.027). Conclusion An increased prevalence of stress was seen among Indian adolescents and young adults living with T1D. Female gender, salaried individuals, and pre-existing poorly controlled diabetes contributed to an increased risk of stress. Increased stress resulted in worsened glycemic control.

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Section: Discussionsupporting

confidence: 91%

COVID-19 pandemic: a double trouble for Indian adolescents and young adults living with type 1 diabetes

Agarwal¹,

Harikar

Shukla³

et al. 2020

Int J Diabetes Dev Ctries

View full text Add to dashboard Cite

show abstract

“…Sharing problems with friends and family members was the most common strategy adopted. This is similar to the ndings reported in previous studies where participants reported increased felt need to talk with someone to vent out their distress [25].…”

Section: Discussionsupporting

confidence: 91%

Perceived Stress Among Indian Children And Young Adults Living With Type 1 Diabetes During the COVID-19 Outbreak

Agarwal¹,

Harikar

Shukla³

et al. 2020

Preprint

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Background - Strict isolation measures and interrupted healthcare services during the COVID 19 pandemic are contemplated to instigate stress universally, particularly in those with chronic illnesses such as Type 1 Diabetes (T1D).Objective- To evaluate perceived stress towards COVID-19 among T1D individuals.Study Design - A cross-sectional, observational study. Participants - Adolescents and young adults (aged 10 - 25), living with T1D; and age, gender matched controls.Interventions - An online, semi-structured survey including Perceived Stress Scale. Outcomes - Determinants of stress and its impact on glycemic control.Results - A total of 97 cases (49 males; mean age 18.8 ± 4.5 years), diagnosed with T1D (mean diabetes duration 8.0 ± 5.0 years; mean HBA1C 8.1 ± 1.5%) completed the survey. Among cases, 53.6% reported moderate stress; 41.2% low stress and 5.2% severe stress. No significant difference was observed in the mean PSS score between the cases and controls. Cases with higher PSS scores tracked pandemic-related updates with significantly lesser frequency than those with lower scores (mean rank 78.75; p = 0.01). High PSS score was significantly associated with HbA1C over last 6 months (r 0.276; p = 0.015) and worsened glycemic control (mean rank 63.97 p = 0.012). Conclusion- An increased apprehension was seen regarding the acquisition of optimal diabetes management and care during the current infectious outbreak. Tele-medicine could emerge as an effective tool and a promising initiative to manage T1D patients during the pandemic.

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“…Family members and peers are an underutilized resource for ongoing support and often struggle with how to best provide help (47,48). Including family members in the DSMES process can help facilitate their involvement (49)(50)(51). Such support people can be especially helpful and serve as cultural navigators in health care systems and as liaisons to the community (52).…”

Section: Social Determinants Of Health (1183)mentioning

confidence: 99%

Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association

et al. 2020

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Diabetes is a complex and challenging disease that requires daily self-management decisions made by the person with diabetes. Diabetes self-management education and support (DSMES) addresses the comprehensive blend of clinical, educational, psychosocial, and behavioral aspects of care needed for daily self-management and provides the foundation to help all people with diabetes navigate their daily self-care with confidence and improved outcomes (1,2). The prevalence of diagnosed diabetes is projected to increase in the U.S. from 22.3 million (9.1% of the total population) in 2014, to 39.7 million (13%) in 2030, and to 60.6 million (17%) in 2060 (3). Approximately 90-95% of those with diabetes have type 2 diabetes (4). Diabetes is an expensive disease, and the medical costs of health care alone for a person with diabetes are 2.3 times more than for a person without diabetes (5). Confounding the diabetes epidemic and high costs, therapeutic targets are not being met (6). There is a lack of improvement in reaching clinical target goals since 2005 despite advancements in medication and technology treatment modalities. Indeed, between 2010 and 2016 improved outcomes stalled or reversed (6). The goals of this Consensus Report are to improve clinical care and education services, to improve the health of individuals and populations, and to reduce diabetesassociated per capita health care costs (1,7). This article is specifically directed toward health care providers (physicians, nurse practitioners, physician assistants [PAs]), referred to herein as providers, as it outlines the benefits of DSMES, defines four critical times to provide and modify DSMES (see Fig. 1), proposes how to locate DSMESrelated resources, and discusses potential solutions to access and utilization barriers. This

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Diabetes Distress and Glycemic Control: The Buffering Effect of Autonomy Support From Important Family Members and Friends

Cited by 92 publications

References 41 publications

COVID-19 pandemic: a double trouble for Indian adolescents and young adults living with type 1 diabetes

COVID-19 pandemic: a double trouble for Indian adolescents and young adults living with type 1 diabetes

Perceived Stress Among Indian Children And Young Adults Living With Type 1 Diabetes During the COVID-19 Outbreak

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