Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study.
BACKGROUND
Psychological distress is linked with impaired glycemic control among diabetics.


OBJECTIVE
Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program.


METHODS
Prospective, observational study.


METHODS
Academic health center.


METHODS
Adult patients with type 2 diabetes mellitus.


METHODS
Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant.


METHODS
Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores).


RESULTS
Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
Rosenzweig
Steven
S
Department of Emergency Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Reibel
Diane K
DK
Greeson
Jeffrey M
JM
Edman
Joel S
JS
Jasser
Samar A
SA
McMearty
Kathy D
KD
Goldstein
Barry J
BJ
D001007:Anxiety / Q000517:prevention & control; D003863:Depression / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D008297:Male; D019122:Meditation; D008875:Middle Aged; D019222:Mind-Body Relations, Metaphysical; D010865:Pilot Projects; D011446:Prospective Studies; D013315:Stress, Psychological / Q000150:complications / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
D006442:Glycated Hemoglobin