Type 2 diabetes

Research indicates that despite a lot of overlap, diabetes distress can arise from different experiences according to whether people have type 1 or type 2 diabetes.

Lori Berard highlights the contribution of stress to poor glycemic control and considers how healthcare providers can account for this in their practice.

Gaining greater control of blood glucose and hypoglycemia awareness is associated with a reduction in diabetes distress among people who start using the FreeStyle Libre, researchers report.

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

A substantial proportion of people with diabetes experience negative psychologic consequences, and these issues are predicted by a number of factors including gaps in person-centered care, insulin use, and complications, suggest findings from a Danish national survey.

A patient-specific cognitive behavioral therapy and lifestyle counseling intervention can significantly improve psychological outcomes in type 2 diabetes patients with depression and/or regimen-related distress, say researchers.

Sanjay Kalra and Psychiatrist Yatan Pal Singh Balhara question whether “diabetes distress” is well understood outside of the diabetes field and consider whether alternative terminology may help to bridge the knowledge gap.

Clinical psychologists Diana Naranjo and Korey Hood tackle the negative feedback loops that can develop around diabetes self-management and offer their insights on strategies to identify and address the roots of distress.

Özcan B et al. Diabetes Care 2018. doi: 10.2337/dc17-2181

Zhu B et al. Acta Diabetol 2018. doi: 10.1007/s00592-018-1181-4

Berry E, Davies M, Dempster M. Diabetes Res Clin Prac 2018; 141: 244–255. doi: 10.1016/j.diabres.2018.05.020

Results of a cluster randomized trial suggest that supplementing diabetes education programs with peer support could lessen disease-associated distress for patients with type 2 diabetes.

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

Pearson S et al. Mindfulness 2018; Advance online publication. doi: 10.1007/s12671-018-0908-1

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.

A web-based self-management program significantly improves glycemic control in people with type 2 diabetes compared with simple website information, UK trial findings suggest.

UK research suggests that depressive symptoms have little impact on glycemic control in patients recently diagnosed with type 2 diabetes, but could be linked to macrovascular complications.

Nat Rev Endocrinol 2017; 13: 547–560. doi: 10.1038/nrendo.2017.64

Rossi MC et al. Health Qual Life Outcomes 2017; 15: 41. doi: 10.1186/s12955-017-0613-0

Jay Shubrook, Chair of the American Diabetes Association’s Primary Care Advisory Group, outlines what's new in 2017's ADA Standards of Care update.