Effects of Meditation Intervention on Self-management in Adult Patients With Type 2 Diabetes

Heo, Seongkum; Kang, Junghee; Umeakunne, Erica; Lee, Sohye; Bertulfo, Tara F; Barbé, Tammy; Kim, JinShil; Black, Vicki; An, Minjeong; Randolph, Justus

doi:10.1097/jcn.0000000000000973

Cited by 4 publications

(4 citation statements)

References 50 publications

(290 reference statements)

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“…Heo et al [ 42 ] assessed the effects of meditation on self-management in people with type 2 diabetes. A total of nine RCTs (10 articles) with 698 subjects were included in the analysis [ 17 , 19 , 31 , 32 , 36 , 43 , 44 , 45 , 46 , 47 ].…”

Section: Resultsmentioning

confidence: 99%

The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses

Hamasaki

2023

Medicines

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Background: Previous research has demonstrated the effectiveness of mindfulness interventions in improving glycemic control. By enhancing attention control, emotion regulation, and self-awareness, mindfulness shows promise in managing the lifestyle factors associated with cardiovascular disease risk. However, the impact of mindfulness on glycemic control in people with diabetes remains unclear. This overview aims to summarize the current evidence of the impact of mindfulness interventions on glycemic control in people with diabetes and propose suggestions for future research. Methods: The author searched electronic databases (PubMed/MEDLINE, Embase, and Cochrane Library) to identify relevant systematic reviews and meta-analyses. The current evidence regarding the effects of mindfulness on glycemic control in people with diabetes was summarized. Results: This review evaluated a total of five systematic reviews and meta-analyses of randomized controlled trials (RCTs). Mindfulness interventions show potential for improving glycemic control as measured by hemoglobin A1c (HbA1c) levels, as well as reducing stress, depression, and anxiety in people with diabetes. Four out of five systematic reviews and meta-analyses reported a significant reduction in HbA1c levels by approximately 0.3%. However, the available studies lacked adequate description of key characteristics of study subjects, such as body mass index, medication, and disease conditions, which are essential for assessing the impact of mindfulness on glycemic control. Moreover, there was significant heterogeneity in the intervention methods employed across the included RCTs. Conclusions: Mindfulness interventions are effective in improving glycemic control in people with type 2 diabetes. However, the overall quality of the reviewed studies raises uncertainty regarding the effectiveness of mindfulness as a treatment for people with diabetes. Further research is necessary to elucidate the biological effects of mindfulness on physiological, neurological, and endocrinological functions in humans.

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Section: Resultsmentioning

confidence: 99%

The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses

Hamasaki

2023

Medicines

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“…This approach should involve interventions such as meditation, improving sleep patterns, cultivating social support networks, and providing psychological support. [21][22][23][24] Recognizing the need for these interventions is crucial in effectively managing diabetes.…”

Section: Tablementioning

confidence: 99%

The effect of close and intensive therapeutic monitoring of patients with poorly controlled type 2 diabetes with different glycemic background

Erbakan,

Arslan Bahadir,

Kaya

et al. 2023

Medicine

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Patients with type 2 diabetes who have HbA1c values ≥ 10% have different previous glycemic trends, including new diagnosis of diabetes. We aimed to assess the efficacy of 3 months of intensive and facilitated antihyperglycemic treatment in patients with different glycemic backgrounds. In this observational study, patients with type 2 diabetes and poor glycemic control (indicated by an HbA1c level of > = 10%) were divided into groups based on their previous HbA1c levels (group 1; newly diagnosed type 2 diabetics, group 2; patients with previously controlled but now deteriorated HbA1c levels, group 3; patients whose HbA1c was not previously in the target range but was now above 10%, and group 4; patients whose HbA1c was above 10% from the start). Patients received intensive diabetes management with close monitoring and facilitated hospital visits. For further analysis, patients who were known to have previously had good metabolic control (either did not have diabetes or had previously had an HbA1c value < =7) and patients who had prior poor metabolic control were analyzed separately. Of the 195 participants [female, n = 84 (43.1%)], the median age was 54 years (inter-quantile range [IQR] = 15, min = 29, max = 80) and the median baseline HbA1c was 11.8% (IQR = 2.6%, min = 10%, max = 18.3%). The median duration of diabetes was 10 years (IQR = 9, min = 1, max = 35) when newly diagnosed patients were excluded. The ≥ 20% reduction in HbA1c at month 3 was observed in groups 1 to 4 in 97%, 88.1%, 69.1%, and 55.4%, respectively. The percentage of patients who achieved an HbA1c level of 7% or less was 60.6%, 38.1%, 16.4%, and 6.2% in the groups, respectively. The rate of those who achieved an HbA1c of 7% or less was nearly 50% of patients with type 2 diabetes mellitus who had previously had good metabolic control, whereas successful control was achieved in only 1 in 10 patients with persistently high HbA1c levels. Patients’ glycemic history played an important role in determining their HbA1c levels at 3 months, suggesting that previous glycemic management patterns may indicate future success in diabetes control.

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“…One systematic review and meta-analysis study was conducted to assess the effects of meditation interventions on the self-management of people with T2D. It found that mindfulness-based meditation reduced hemoglobin A1c levels but not fasting blood sugar levels [120]. There were problems with the randomization in some studies and with missing information about the results.…”

Section: Meditationmentioning

confidence: 99%

“…There were problems with the randomization in some studies and with missing information about the results. Variations in the duration of follow-up, group size, and measured outcomes were prominent among the included studies [120].…”

Section: Meditationmentioning

confidence: 99%

Paradigm of Complementary and Alternative Medicine in Type 2 Diabetes

Zaid Aljulifi

2023

Type 2 Diabetes in 2024 - From Early Suspicion to Effective Management

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Complementary and alternative medicine (CAM) is increasingly used by patients nowadays. The pooled prevalence of CAM use is about 51%. Many types of CAM have been practiced by patients with diabetes. Some of them showed promising results on blood glucose and other cardiometabolic parameters such as blood pressure, body mass, and lipid profile. This chapter explores two main types of CAM: Herbs and mind–body therapy. Different types of mind–body therapy and plants, plant extracts, and herbal substances have been utilized for an extended period and are sometimes favored by many individuals with T2D. Those practices and compounds found in these natural remedies are believed to have the potential to benefit the body in several ways, including the reduction of symptoms, alleviation of pain, and promotion of overall health. This chapter includes a summary of the findings of the available systematic reviews and meta-analyses regarding the most used medicinal herbs and body–mind therapies. In conclusion, as some of these interventions are promising, it is unclear to what extent glucose metabolism and certain substances can help mitigate complications in late-stage diabetes. Healthcare providers should be aware about them.

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Effects of Meditation Intervention on Self-management in Adult Patients With Type 2 Diabetes

Cited by 4 publications

References 50 publications

The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses

The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses

The effect of close and intensive therapeutic monitoring of patients with poorly controlled type 2 diabetes with different glycemic background

Paradigm of Complementary and Alternative Medicine in Type 2 Diabetes

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