Psychological stress and blood glucose regulation in type I diabetic patients.
Fifteen Type I diabetic patients self-monitored daily mean blood glucose levels (BGL), psychological stress, diet, exercise, and insulin injections for a period of 8 weeks. Separate multiple-regression analyses were conducted for each subject to assess the predictability of BGL from stress reports, independent of the effects of diet, exercise, and insulin self-administration. Considerable individual variability in findings was evident, with stress predicting BGL in a statistically significant manner in 7 of the 15 subjects. Stress had a significant effect on BGL independent of diet, exercise, and insulin administration for each of these 7 subjects. Discussion focused on the problems of measuring the key self-management behaviors influencing BGL and on the possibility that a subgroup of diabetic patients may be BGL stress responders.
Halford
W K
WK
Department of Psychiatry, University of Queensland, Herston, Australia.
Cuddihy
S
S
Mortimer
R H
RH
D000293:Adolescent; D000328:Adult; D001143:Arousal / Q000502:physiology*; D001786:Blood Glucose / Q000378:metabolism*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications*
D001786:Blood Glucose; D006442:Glycated Hemoglobin