Stress and blood glucose in type II diabetes mellitus

Goetsch, Virginia L.; Wiebe, Deborah J.; Veltum, Lois G.; Dorsten, Brent Van

doi:10.1016/0005-7967(90)90140-e

Cited by 48 publications

(28 citation statements)

References 22 publications

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“…The hypothalamo-pituitary-adrenocortical (HPA) axis response is initiated on a slightly longer time scale (due to its neuroendocrine components). The HPA axis introduces glucocorticoid hormones into the circulation to provide further redistribution of energy resources (e.g., hepatic gluconeogenesis), while also serving to limit the duration and impact of the initial stress response [13][14][15][16][17][18][19][20][21][22][23][24][25][26]. The findings are consistent with the results of our study, that blood pressure and heart rate increases progressively in stress conditions in both study groups [13].…”

Section: Discussionsupporting

confidence: 90%

Using Blood Glucose Estimation to Interpret Stress in Patients Undergoing Minor Oral Surgery Procedures

Murugan

kulsum

Neelak

et al. 2017

JDHODT

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Purpose: A prospective randomised case control study was conducted to evaluate the stress induced in patients during minor oral surgical procedures based on the variations in blood glucose levels, blood pressure and pulse rate and thereby to assess the relation between stress and the aforesaid parameters. Materials and methods:A total of 100 subjects who required routine minor oral surgical procedures were randomly divided into two equal groups with subjects of test Group I receiving 2 % lignocaine with adrenaline, subjects of control Group II received the same with an added oral intake of 10 mg glucose in 200 ml water after administration of local anaesthesia. The blood glucose level, blood pressure, and pulse rate were recorded before the commencement of procedure with the patient on the chair, before and immediately after local anaesthetic administration, finally after the procedure, and the obtained data was statistically analysed. Results:The blood glucose levels were found to decline at a point before extraction and then increase to a value higher than the preoperative value in group I, while in groups II the blood sugar values maintain a steady state without decline, until it progressively increases to a higher post-operative value. In all groups blood pressure was found to elevate progressively and an increase in pulse rate was observed in all stages till the administration of LA after which there was a marked decline. Conclusion:Our results point towards the phenomenon of a short lasting decline in blood glucose levels for a period of not more than four or five minutes before an elevation in blood glucose levels. In minor oral surgical procedures under local anaesthesia, this momentary hypoglycaemia is of great clinical significance as even moderate hypoglycaemia can lead to episodes of psychogenic syncope.

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Section: Discussionsupporting

confidence: 90%

Using Blood Glucose Estimation to Interpret Stress in Patients Undergoing Minor Oral Surgery Procedures

Murugan

kulsum

Neelak

et al. 2017

JDHODT

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“…In quantitative research, a large sample size ensures adequate power, thus increasing the credibility and generalisability of the results; whereas findings based on small samples need to be interpreted with caution, because it is unlikely that the results reflect reliable or precise estimates due to limited power (e.g., Hackshaw 2008). Many earlier studies (e.g., Goetsch et al 1990;Gonder-Frederick et al 1990;Naliboff et al 1985) examining the stress-blood glucose relationship involved small sample sizes (N = 6, 8, and 14, respectively) and may have added to the contradictory findings in the literature.…”

Section: Methodological Limitationsmentioning

confidence: 99%

“…After the first session, only the active stressor was associated with increases in blood glucose (Gonder-Frederick et al 1990). Similarly, Goetsch et al (1990) examined the effect of an acute stressor (mental arithmetic in a laboratory setting) on various physiological responses (e.g., heart rate, blood pressure), blood glucose, and subjective stress rating, among adults with T2DM. Compared to the control condition, the acute stressor resulted in significant increases in all of these variables.…”

Section: Acute Stressmentioning

confidence: 99%

Stress and Chronic Illness: the Case of Diabetes

2011

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Globally, Type 2 Diabetes Mellitus (T2DM) is one of the most prevalent chronic illnesses. Managing T2DM is a major challenge now affecting the lives of around 200 million people. Even when medication, diet, and physical activity regimens are maintained, blood sugar levels might not be effectively controlled because stress triggers the release of sugar into the blood. This makes the management of stress an important adjunct to the treatment of T2DM. Stress includes both life stress, the major issues that people face in their lives, such as job loss, divorce, or death of a loved one, and daily hassles, smaller everyday problems, such as deadlines for work, traffic hold-ups, or family disagreements. The stress levels created by these events are exacerbated by the stress created by the demands of managing diabetes. In this paper, we first examine the evidence for the relationship between stress and poor blood sugar control in people with T2DM. Then, we consider research that has examined the impact of various stress management strategies on blood sugar level. Finally, we discuss some promising psychological techniques for managing stress that could be helpful for people with diabetes or pre-diabetes. We note the double benefit of physical activity, which directly assists in the metabolism of sugar from the blood and indirectly reduces acute stress and chronic stress reactivity, thus providing a buffer against the effects of stress for people with T2DM.

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“…In fasting NIDDM patients, Naliboff et al [3] found no glycemic response to brief mental arith-metic stress, although a longer vigilance stressor caused exaggerated hyperglycemic responses to glucose load. With a mental calculation stressor, Goetsch et al [4] also induced glucose elevations in a small NIDDM sample. No stress effect was found by Bruce et al [5]; while noradren aline and tyramine elevated blood glucose, mental arith metic stress did not.…”

Section: Introductionmentioning

confidence: 98%

Psychological Predictors of Glycemic Change with Relaxation Training in Non-Insulin-Dependent Diabetes mellitus

Aikens

Kiolbasa

Sobel

1997

Psychother Psychosom

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Background: Previous findings are unclear regarding the possible glycemic benefits of applying behavioral relaxation training in non-insulin-dependent diabetes mellitus (NIDDM). Methods: Subjects with NIDDM were randomized to relaxation training (6 sessions of progressive muscle relaxation and imagery, n = 12) or control treatment (routine medical care, n = 10). Physiological measures were total glycosylated hemoglobin (GHb) and area under the 2-hour oral-glucose-tolerance curve (AUC). Psychological measures of generalized distress, anxiety and daily stress were also administered. All subjects were assessed before and after the 8-week intervention, and again at 16 weeks of long-term follow-up. Results: There were no postintervention group differences in physiological variables. Highly distressed subjects and those who rated their glucose as more stress responsive tended to practice relaxation less between sessions. Within the treated group only, lower preintervention stress responsivity was associated with greater improvement in GHb, and lower anxiety and distress levels predicted long-term improvement in AUC. Conclusions: It remains unclear whether relaxation training produces glycemic benefits in NIDDM. Perhaps the least anxious and stress-responsive patients only benefit from group-based relaxation training, whereas anxious individuals require intensive individually administered interventions.

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Stress and blood glucose in type II diabetes mellitus

Cited by 48 publications

References 22 publications

Using Blood Glucose Estimation to Interpret Stress in Patients Undergoing Minor Oral Surgery Procedures

Using Blood Glucose Estimation to Interpret Stress in Patients Undergoing Minor Oral Surgery Procedures

Stress and Chronic Illness: the Case of Diabetes

Psychological Predictors of Glycemic Change with Relaxation Training in Non-Insulin-Dependent Diabetes mellitus

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