Stress and A1c Among People with Diabetes Across the Lifespan.
Stress is known to negatively affect health and is a potentially serious barrier to diabetes-related health outcomes. This paper synthesizes what is known about stress and glycemic control among people with type 1 and type 2 diabetes across the lifespan. Chronic stress-especially in relation to living with diabetes-was most strongly associated with A1c, particularly among subgroups that face disproportionate stress, such as minority groups or adolescents/young adults. Mechanisms of the stress-A1c association include physiological, psychological, behavioral, and environmental links. Understanding the dimensions of stress as they relate to health in diabetes can be of significant clinical importance, and interventions targeting mechanisms that either exacerbate or buffer stress have reported modest improvements in A1c.
Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, 1102 Bates Ave, Suite 940, Houston, TX, 77004, USA. Marisa.hilliard@bcm.edu.
Marisa E
ME
Hilliard
Seattle Children's Research Institute, Seattle, WA, 98101, USA.
Joyce P
JP
Yi-Frazier
Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, 94143, USA.
Danielle
D
Hessler
Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, 1102 Bates Ave, Suite 940, Houston, TX, 77004, USA.
Ashley M
AM
Butler
Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, 1102 Bates Ave, Suite 940, Houston, TX, 77004, USA.
Barbara J
BJ
Anderson
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN, 37232, USA.
Sarah
S
Jaser
D001519:Behavior; D001786:Blood Glucose / Q000032:analysis; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000523:psychology*; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D013315:Stress, Psychological / Q000097:blood
D001786:Blood Glucose; D006442:Glycated Hemoglobin
Glycemic control; Stress; Type 1 diabetes; Type 2 diabetes