scholarly journals Diabetes Distress, Intentional Hyperglycemia at Work, and Glycemic Control Among Workers With Type 1 Diabetes

Diabetes Care ◽  
2019 ◽  
Vol 42 (5) ◽  
pp. 797-803 ◽  
Author(s):  
Ulla M. Hansen ◽  
Timothy Skinner ◽  
Kasper Olesen ◽  
Ingrid Willaing
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Diabetes Distress

scholarly journals Feasibility study of real-time online text-based CBT to support self-management for people with type 1 diabetes: the Diabetes On-line Therapy (DOT) Study

2021 ◽  
Vol 9 (1) ◽  
pp. e001934
Author(s):  
Anne M Doherty ◽  
Anne Herrmann-Werner ◽  
Arann Rowe ◽  
Jennie Brown ◽  
Scott Weich ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Real Time ◽  
Instant Messaging ◽  
Controlled Trial ◽  
Self Management ◽  
Diabetes Distress ◽  
The Mean ◽  
Distress Scale

IntroductionThis study examines the feasibility of conducting diabetes-focused cognitive–behavioral therapy (CBT) via a secure online real-time instant messaging system intervention to support self-management and improve glycemic control in people with type 1 diabetes.Research design and methodsWe used a pre–post uncontrolled intervention design over 12 months. We recruited adults with type 1 diabetes and suboptimal glycemic control (HbA1c ≥69 mmol/mol (DCCT 8.5%) for 12 months) across four hospitals in London. The intervention comprised 10 sessions of diabetes-focused CBT delivered by diabetes specialist nurses. The primary outcomes were number of eligible patients, rates of recruitment and follow-up, number of sessions completed and SD of the main outcome measure, change in HbA1c over 12 months. We measured the feasibility of collecting secondary outcomes, that is, depression measured using Patient Health Questionnaire-9 (PHQ-9), anxiety measured Generalised Anxiety Disorder (GAD) and the Diabetes Distress Scale (DDS).ResultsWe screened 3177 patients, of whom 638 were potentially eligible, from whom 71 (11.1%) were recruited. The mean age was 28.1 (13.1) years, and the mean HbA1c was 84.6 mmol/mol (17.8), DCCT 9.9%. Forty-six (65%) patients had at least 1 session and 29 (41%) completed all sessions. There was a significant reduction in HbA1c over 12 months (mean difference −6.2 (2.3) mmol/mol, DCCT 0.6%, p=0.038). The change scores in PHQ-9, GAD and DDS also improved.ConclusionsIt would be feasible to conduct a full-scale text-based synchronized real-time diabetes-focused CBT as an efficacy randomized controlled trial.

Diabetes Distress and Glycemic Control in Working People with Type 1 Diabetes—The Role of Intentional Hyperglycemia at Work

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 813-P
Author(s):  
ULLA M. HANSEN ◽  
KASPER OLESEN ◽  
TIMOTHY C. SKINNER ◽  
INGRID WILLAING
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Diabetes Distress ◽  
Working People

scholarly journals The Impact of Diabetes Distress on the Glycemic Control Among Adolescents and Youth With Type 1 Diabetes in Two Tertiary Centers, Jeddah, Saudi Arabia

Cureus ◽  
2021 ◽  
Author(s):  
Naseem Y Alyahyawi ◽  
Ragad M Alrifay ◽  
Norah A Albadi ◽  
Maram Y Alqahtani ◽  
Raghad M Alzahrani ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Saudi Arabia ◽  
Glycemic Control ◽  
Diabetes Distress ◽  
The Impact

scholarly journals Parental Diabetes Behaviors and Distress Are Related to Glycemic Control in Youth with Type 1 Diabetes: Longitudinal Data from the DINO Study

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Minke M. A. Eilander ◽  
Frank J. Snoek ◽  
Joost Rotteveel ◽  
Henk-Jan Aanstoot ◽  
Willie M. Bakker-van Waarde ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Problem Behavior ◽  
Well Being ◽  
Diabetes Distress ◽  
Parental Distress ◽  
Family Behavior ◽  
Parental Diabetes ◽  
Design And Methods

Objective. To evaluate (1) the longitudinal relationship between parental well-being and glycemic control in youth with type 1 diabetes and (2) if youth’s problem behavior, diabetes parenting behavior, and parental diabetes-distress influence this relationship. Research Design and Methods. Parents of youth 8–15 yrs (at baseline) (N=174) participating in the DINO study completed questionnaires at three time waves (1 yr interval). Using generalized estimating equations, the relationship between parental well-being (WHO-5) and youth’s HbA1c was examined. Second, relationships between WHO-5, Strength and Difficulties Questionnaire (SDQ), Diabetes Family Behavior Checklist (DFBC), Problem Areas In Diabetes-Parent Revised (PAID-Pr) scores, and HbA1c were analyzed. Results. Low well-being was reported by 32% of parents. No relationship was found between parents’ WHO-5 scores and youth’s HbA1c (β=−0.052, p=0.650). WHO-5 related to SDQ (β=−0.219, p<0.01), DFBC unsupportive scale (β=−0.174, p<0.01), and PAID-Pr (β=−0.666, p<0.01). Both DFBC scales (supportive β=−0.259, p=0.01; unsupportive β=0.383, p=0.017), PAID-Pr (β=0.276, p<0.01), and SDQ (β=0.424, p<0.01) related to HbA1c. Conclusions. Over time, reduced parental well-being relates to increased problem behavior in youth, unsupportive parenting, and parental distress, which negatively associate with HbA1c. More unsupportive diabetes parenting and distress relate to youth’s problem behavior.

832-P: Resilience Outstrips the Negative Impact of Diabetes Distress on Glycemic Control and Self-Management among Youth with Type 1 Diabetes

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 832-P
Author(s):  
DAN LUO ◽  
JINGJING XU ◽  
MIN ZHU ◽  
HONG WANG ◽  
YUBING WANG ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glycemic Control ◽  
Negative Impact ◽  
Self Management ◽  
Diabetes Distress

25. Linkages between Diabetes Distress and Depressive Symptoms with Glycemic Control Over Time in Adults with Type 1 Diabetes (846-P)

2015 ◽  
Vol 13 (3) ◽  
pp. 80-80
Author(s):  
Danielle M. Hessler ◽  
Lawrence Fisher ◽  
William H. Polonsky ◽  
Umesh Masharani ◽  
Lisa Strycker ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Depressive Symptoms ◽  
Glycemic Control ◽  
Diabetes Distress ◽  
Over Time

scholarly journals Validation of the Healthcare Transition Outcomes Inventory for Young Adults With Type 1 Diabetes

2020 ◽  
Vol 45 (7) ◽  
pp. 767-779
Author(s):  
Jessica Pierce ◽  
Jobayer Hossain ◽  
Anthony Gannon
Keyword(s):  
Quality Of Life ◽  
Type 1 Diabetes ◽  
Young Adults ◽  
Glycemic Control ◽  
Psychometric Properties ◽  
Diabetes Distress ◽  
Transition Outcomes ◽  
Healthcare Transition

Abstract Objective We recently developed and content validated the Healthcare Transition Outcomes Inventory (HCTOI), a stakeholder vetted, multidimensional measure of the outcomes of the transition from pediatric to adult healthcare for young adults (YA) with type 1 diabetes (T1D). In this study, we aimed to evaluate the psychometric properties of the HCTOI. Methods We collected and analyzed cross-sectional data from 128 YA (18–25 years old) with T1D to evaluate the psychometric properties of the HCTOI. We conducted confirmatory factor analysis (CFA), item analysis, and examined reliability and validity in relation to measures of quality of life, diabetes distress, regimen adherence, and glycemic control. Results CFA supported a five-factor solution: integration of T1D into emerging adult roles, balance of parental support with T1D autonomy, establishing and maintaining continuity of care, forming a collaborative patient–provider relationship, and ownership of T1D. We reduced the HCTOI from 54 to 34 items. The HCTOI demonstrated adequate internal consistency (α’s = 0.62–0.87) and significant correlations demonstrated construct (quality of life, diabetes distress) and criterion validity (adherence, glycemic control). Conclusions The HCTOI demonstrated promising initial psychometric properties. As the first measure of the multiple dimensions of healthcare transition outcomes, the HCTOI provides a means to examine longitudinal relations between transition readiness and outcomes and to assess the efficacy or effectiveness of interventions and programs designed to improve the transition process for YA with T1D.

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