Relations of Well-Being, Coping Styles, Perception of Self-Influence on the Diabetes Course and Sociodemographic Characteristics with HbA1c and BMI Among People with Advanced Type 2 Diabetes Mellitus

Łukasiewicz, Agnieszka; Kiejna, Andrzej; Cichoń, Ewelina; Jodko-Modlińska, Aleksandra; Obrębski, Marcin; Kokoszka, Andrzej

doi:10.2147/dmso.s320909

Cited by 5 publications

(8 citation statements)

References 32 publications

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“…However, it was in the group of obese patients that a statistically significant decrease in HbA1c concentration, by 0.2%, after MLD therapy was observed. Although the level of HbA1c was within the reference range, the decrease in the value seemed to be of clinical significance, which was confirmed by the research of other authors [ 20 , 44 , 45 , 46 ]. In a prospective study conducted on 4662 subjects, the lowest mortality rate was demonstrated in subjects with HbA1c levels below 5%.…”

Section: Discussionsupporting

confidence: 79%

“…In addition, it has been estimated that in subjects with HbA1c levels between 5–7%, lowering the average HbA1c concentration by 0.1% may prevent an excessive number of deaths by as much as 12%, or as much as 25% if the concentration is reduced by 0.2% [ 20 ]. Moreover, studies conducted so far have shown that a decrease in HbA1c levels reduces the risk of developing chronic vascular complications [ 45 , 46 ]. Therefore, it is very important to strive for normal HbA1c values in patients with abnormal body mass index.…”

Section: Discussionmentioning

confidence: 99%

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Significant Decrease in Glycated Hemoglobin, 2h-Post-Load Glucose and High-Sensitivity C-Reactive Protein Levels in Patients with Abnormal Body Mass Index after Therapy with Manual Lymphatic Drainage

et al. 2022

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The objective of this study was to investigate the effect of manual lymphatic drainage (MLD) on the insulin resistance parameter (HOMA-IR), glycated hemoglobin (HbA1c), C-peptide, insulin, fasting plasma glucose (FPG), 2h-post-loadglucose (2h-PG) and the concentration of high-sensitivity C-reactive protein (hsCRP) in patients with abnormal body mass index. The study involved 30 patients, including patients with normal body weight (as a control group; group I; n = 14), overweight patients (group II; n = 9) and obese patients (group III; n = 7). Each patient underwent 10 sessions of MLD therapy, 3 times a week for 30 min. In addition, we measured body mass index (BMI) and waist-to-hip ratio (WHR) and performed body composition analysis as well as biochemical tests before MLD therapy (stage 0′) and after MLD therapy (stage 1′). A statistically significant correlation was demonstrated between the concentration of C-peptide, BMI, the amount of visceral adipose tissue (r = 0.87, p = 0.003; r = 0.76, p = 0.003, respectively), and the HOMA-IR index, BMI and the amount of visceral adipose tissue (r = 0.86, p = 0.005; r = 0.84, p = 0.042, respectively), before and after MLD therapy. In overweight patients (group II), a statistically significant (p = 0.041) decrease in the hsCRP level by 2.9 mg/L and a significant (p = 0.050) decrease in the 2h-PG level by 12 mg/dL after the MLD therapy was detected. Moreover, in the group of obese patients (group III), a statistically significant (p = 0.013) decrease in HbA1c level by 0.2% after MLD therapy was demonstrated. Our results indicate that MLD may have a positive effect on selected biochemical parameters, with the most favorable changes in overweight patients. Further studies in a larger number of patients are warranted to confirm our findings, to test in-depth their mechanism, and to investigate clinical benefits of this alternative therapy in patients with abnormal body mass index.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Significant Decrease in Glycated Hemoglobin, 2h-Post-Load Glucose and High-Sensitivity C-Reactive Protein Levels in Patients with Abnormal Body Mass Index after Therapy with Manual Lymphatic Drainage

et al. 2022

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“…For comparison, in a previous study, a similar set of variables accounted for only 7% of variance of HbA 1c levels and 3% of variance of BMI. 28 It was shown that, considering psychological factors, the strongest relationships were between well-being (lower risk of depression) and the number of complications. Namely, the better the well-being, the fewer complications of diabetes.…”

Section: Discussionmentioning

confidence: 99%

“… 25 A previous article presents the relationship between well-being, coping styles, perception of self-influence on the diabetes course as well as sociodemographics with HbA1c and BMI among people with advanced type 2 diabetes. 28 This study is the second part of the data analysis and focuses on factors related to the number of diabetes complications.…”

Section: Methodsmentioning

confidence: 99%

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Association of Higher Rates of Type 2 Diabetes (T2DM) Complications with Psychological and Demographic Variables: Results of a Cross-Sectional Study

Łukasiewicz¹,

Cichoń²,

Kostecka³

et al. 2022

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Introduction The aim of this study was to assess the relationship between the occurrence and number of T2DM complications with sociodemographic (age, sex, habitation, education), clinical (duration of diabetes, HbA1c (%), BMI) and psychological (well-being, sense of influence on the diabetes course, coping styles) variables. Methods A total of 2574 adult patients were assessed using The Sense of Influence on the Diabetes Course Scale, WHO-5 Well-Being Index, and the Brief Method of Evaluating Coping with Disease. Hierarchical Regression Analysis was conducted with number of complications as the dependent variable and three sets of variables entered in sequential steps: (a) sociodemographic; (b) clinical and (c) psychological factors. Logistic regression analysis was used to examine the association of these variables with diabetes complications’ occurrence. Results A higher number of complications and higher odds ratios of occurrence of complications were associated with sociodemographic and clinical variables, poor well-being, low perception of influence on the diabetes course, and an emotion-oriented coping style. The logistic regression indicated that participants with HbA1c >7% (in comparison with HbA1c ≤ 7%) and with high risk of depression (in comparison with no risk of depression) had respectively 68% and 86% higher odds of developing complications. Discussion The number of complications has weak but statistically significant relations with psychological and clinical factors. Conclusion The results support the rationale of including the psychosocial factors in the context of diabetes management.

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Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

Al-Ozairi¹,

Taghadom²,

Irshad³

et al. 2023

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Poor self-care behavior and depression are associated with worse glycemic control, but the relationship between these variables is poorly reported. The present study aimed to describe self-care behaviors and explore the association between depression, self-care and glycemic control in people with type 2 diabetes in an Arab population. Patients and Methods: This study recruited 446 patients with type-2 diabetes from an outpatient clinic in Kuwait and completed assessments of diabetes self-care using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire and depression using the Patients Health Questionnaire-9 (PHQ-9) scales. Multiple linear regression models were used to determine the associations between depression, self-care behaviors and glycemic control. Results: Self-care behaviors were highest for medication taking (92.9%), an average for foot care (61.4%), blood glucose testing (60%) and healthy diet (55.7%), and lowest for exercise (27.1%). Depression, poor self-care activities and poor HbA1c levels were inter-correlated in univariate analysis (p< 0.03). In regression analysis, following healthful eating (B= −0.27, p< 0.001), general eating plan (B= −0.21, p= 0.01), more space carbohydrates evenly throughout the day (B= -0.17, p= 0.03) and exercise at least 30 minutes (B= −0.17, p= 0.02) behaviors were associated with better HbA1c levels. However, depression was associated with poor scores of following a general eating plan (B= −0.20, p= 0.03), space carbohydrates evenly throughout the day (B= −0.21, p= 0.05), and exercising at least 30 minutes (B= −0.24, p= 0.03) behaviors. Depression scores were also associated with poor HbA1c levels (B= 0.32, p= 0.03). However, this association no longer persists after mutual adjustment with following a healthy diet (B= 0.14, p= 0.38) and exercise (B = 0.26, p = 0.08) behaviors. Conclusion: Self-care activity was less than fifty percent in people with type 2 diabetes and higher activity was associated with better glycemic control. However, depression adversely affects self-care behaviors. To maintain and achieve glycemic control, diabetes educators might motivate people with type 2 diabetes to enhance their self-care activities, particularly those with depression symptoms and poor compliance with self-care activities.

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Relations of Well-Being, Coping Styles, Perception of Self-Influence on the Diabetes Course and Sociodemographic Characteristics with HbA1c and BMI Among People with Advanced Type 2 Diabetes Mellitus

Cited by 5 publications

References 32 publications

Significant Decrease in Glycated Hemoglobin, 2h-Post-Load Glucose and High-Sensitivity C-Reactive Protein Levels in Patients with Abnormal Body Mass Index after Therapy with Manual Lymphatic Drainage

Significant Decrease in Glycated Hemoglobin, 2h-Post-Load Glucose and High-Sensitivity C-Reactive Protein Levels in Patients with Abnormal Body Mass Index after Therapy with Manual Lymphatic Drainage

Association of Higher Rates of Type 2 Diabetes (T2DM) Complications with Psychological and Demographic Variables: Results of a Cross-Sectional Study

Association Between Depression, Diabetes Self-Care Activity and Glycemic Control in an Arab Population with Type 2 Diabetes

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