Dr. Adams
06-15-2007, 12:44 PM
"Most patients with type 1 diabetes maintain good glycemic control without adjusting insulin dose when they are exposed to short-term mental stress.
Patients with diabetes and health care providers are often confronted with questions concerning psychological stress as a possible reason for glucose excursions; chronic psychosocial stress has been associated with higher levels of A1C and poor adherence to treatment.
Despite the evident stress, the investigators report that glucose concentrations were not significantly different during the control period and stress-testing period in the 10 patients investigated in the fasting state. For the 10 patients investigated in the postprandial state, glucose levels increased similarly in response to the meal on the control and stress-testing days, and returned to baseline within 3 hours of the meal.
Severe, short lived mental stress barely affected glucose control in patients with type 1 diabetes, the investigators conclude. However, they point out that the subjects in this experiment were in fairly good metabolic control. The results might not be the same for the many patients who face mental stress with poor glycemic control or have chronic mental stress."
Diabetes Care 2007;30:1599-1601.
Patients with diabetes and health care providers are often confronted with questions concerning psychological stress as a possible reason for glucose excursions; chronic psychosocial stress has been associated with higher levels of A1C and poor adherence to treatment.
Despite the evident stress, the investigators report that glucose concentrations were not significantly different during the control period and stress-testing period in the 10 patients investigated in the fasting state. For the 10 patients investigated in the postprandial state, glucose levels increased similarly in response to the meal on the control and stress-testing days, and returned to baseline within 3 hours of the meal.
Severe, short lived mental stress barely affected glucose control in patients with type 1 diabetes, the investigators conclude. However, they point out that the subjects in this experiment were in fairly good metabolic control. The results might not be the same for the many patients who face mental stress with poor glycemic control or have chronic mental stress."
Diabetes Care 2007;30:1599-1601.