Psychosocial care

Researchers find psychologic resilience to be predictive of glycated hemoglobin levels in the 3 years after type 1 diabetes diagnosis.

Researchers have found that the early morning psychosocial state of adolescents and young adults with type 1 diabetes explains a proportion of their daily variance in time in range.

Negative emotional experience and skill at regulating emotions are associated with diabetes distress in adults with type 1 or type 2 diabetes, researchers report.

Factors associated with poor glycemic control in children with type 1 diabetes generally vary according to the insulin regimen used, but family conflict over diabetes management universally impacts all insulin users, US researchers report.

What does the proliferation of diabetes self-management and monitoring technologies in pediatric care mean for the future of adult services? Katharine Barnard looks at the situation in England and Wales.

The Flexible Lifestyles Empowering Change intervention has failed to improve glycated hemoglobin levels in a randomized trial involving adolescents with type 1 diabetes, despite improving some psychosocial outcomes.

Carmen Soto and David Strain provide their insights on clinical inertia in diabetes care and present the co-production model of open communication as an innovative means to address this widespread clinical issue.

Fisher L et al. Diabetes Care 2018. doi: 10.2337/dc18-0391

Diabetes and endocrinology Consultant and Advisory Board member Terence Pang highlights the benefits that a structured approach to glycemic goal setting can bring to your practice and patients with type 1 diabetes.

Loerbroks A et al. Diabetes Res Clin Prac 2018; Advance online publication. doi: 10.1016/j.diabres.2018.03.023

Lee AA et al. Diabetes Care 2018; Advance online publication. doi: 10.2337/dc17-2396

As the utility and availability of devices surges, so too do patient expectations. Advisory Board member Katharine Barnard provides key consultation questions to help determine your patients’ greatest needs and obstacles.

Psychological interventions might have a small positive effect on improving self-care and glucose control in patients with type 2 diabetes, but not for relieving diabetes-related distress, suggest findings from The Cochrane Library.

Supported problem-solving does not result in improved glycemic control in patients with type 1 diabetes, but does reduce diabetes distress, show the findings of a randomized trial.

Cognitive behavioral therapy may be a more effective intervention than non-directive, supportive counselling to help adolescents with type 1 diabetes to maintain glycemic control, a randomized control trial shows.

DeBoer MD et al. Diabetes Ther 2017; 8: 625–636. doi: 10.1007/s13300-017-0259-2