title: Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study.
abstract: 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.
authors: Department of Emergency Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
authors: Steven
authors: S
authors: Rosenzweig
authors: Diane K
authors: DK
authors: Reibel
authors: Jeffrey M
authors: JM
authors: Greeson
authors: Joel S
authors: JS
authors: Edman
authors: Samar A
authors: SA
authors: Jasser
authors: Kathy D
authors: KD
authors: McMearty
authors: Barry J
authors: BJ
authors: Goldstein
mesh_terms: 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
chemical_list: D006442:Glycated Hemoglobin