title: [The effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes].
abstract: OBJECTIVE
  This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes.
  
  
  METHODS
  The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA1C, and stress response inventory were measured.
  
  
  RESULTS
  The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA1C value in either group.
  
  
  CONCLUSIONS
  These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.
authors.affiliation: College of Nursing, Yonsei University, Nursing Policy Research Institute, Seoul, Korea.
authors.forename: Ji Soo
authors.initials: JS
authors.lastname: Yoo
authors.forename: Eun Jung
authors.initials: EJ
authors.lastname: Kim
authors.forename: Suk Jeong
authors.initials: SJ
authors.lastname: Lee
mesh_terms: D000368:Aged; D003376:Counseling / Q000379:methods*; D003710:Demography; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy / Q000523:psychology / Q000628:therapy*; D019422:Dietary Sucrose / Q000627:therapeutic use*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015397:Program Evaluation; D013315:Stress, Psychological / Q000628:therapy*
chemical_list: D019422:Dietary Sucrose; D006442:Glycated Hemoglobin