scholarly journals Diabetes distress is linked with worsening diabetes management over time in adults with Type 1 diabetes

2017 ◽  
Vol 34 (9) ◽  
pp. 1228-1234 ◽  
Author(s):  
D. M. Hessler ◽  
L. Fisher ◽  
W. H. Polonsky ◽  
U. Masharani ◽  
L. A. Strycker ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Over Time

scholarly journals Challenges and Considerations for Reducing Diabetes Distress and Fear of Hypoglycemia in Parents of Youth With Type 1 Diabetes During the COVID-19 Pandemic (Preprint)

2020 ◽  
Author(s):  
Alexandra Monzon ◽  
Nicole Kahhan ◽  
Arwen Marker ◽  
Susana Patton
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Treatment Needs ◽  
Treatment Groups ◽  
Manualized Treatment ◽  
Fear Of Hypoglycemia ◽  
Psychosocial Concerns ◽  
P Type

UNSTRUCTURED Type 1 diabetes management can be challenging for children and their families. To address psychosocial concerns for parents of youth with type 1 diabetes, we developed two parent-focused interventions to reduce their diabetes distress and fear of hypoglycemia. Our team conducted several of these interventions during the early stages of the COVID-19 pandemic and recognized a need to make timely adjustments to our interventions. In this viewpoint article, we describe our experience conducting these manualized treatment groups during the pandemic, the range of challenges and concerns specific to COVID-19 that parents expressed, and how we adjusted our approach to better address parents’ treatment needs.

scholarly journals Diabetes distress in adults with type 1 diabetes: Prevalence, incidence and change over time

2016 ◽  
Vol 30 (6) ◽  
pp. 1123-1128 ◽  
Author(s):  
Lawrence Fisher ◽  
Danielle Hessler ◽  
William Polonsky ◽  
Lisa Strycker ◽  
Umesh Masharani ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Prevalence ◽  
Diabetes Distress ◽  
Change Over Time ◽  
Over Time

scholarly journals An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Rhonda M. Merwin ◽  
Ashley A. Moskovich ◽  
Michael Babyak ◽  
Mark Feinglos ◽  
Lisa K. Honeycutt ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Type 1 Diabetes ◽  
Acceptance And Commitment Therapy ◽  
Diabetes Management ◽  
Personal Values ◽  
Psychological Flexibility ◽  
Open Trial ◽  
Diabetes Distress ◽  
Acceptance And Commitment

Abstract Background Eating disorders (EDs) among individuals with type 1 diabetes (T1D) increase the risk of early and severe diabetes-related medical complications and premature death. Conventional eating disorder (ED) treatments have been largely ineffective for T1D patients, indicating the need to tailor treatments to this patient population and the unique conditions under which ED symptoms emerge (in the context of a chronic illness with unrelenting demands to control blood glucose, diet and exercise). The current study was a pilot open trial of iACT, a novel intervention for EDs in T1D grounded in Acceptance and Commitment Therapy (ACT). iACT was based on the premise that ED symptoms emerge as individuals attempt to cope with T1D and related emotional distress. iACT taught acceptance and mindfulness as an alternative to maladaptive avoidance and control, and leveraged personal values to increase willingness to engage in T1D management, even when it was upsetting (e.g., after overeating). A tailored mobile application (“app”) was used in between sessions to facilitate the application of ACT skills in the moment that individuals are making decisions about their diabetes management. Methods Adults with T1D who met criteria for an ED completed 12 sessions of iACT (with three optional tapering sessions). In addition to examining whether treatment was acceptable and feasible (the primary aim of the study), the study also examined whether iACT was associated with increased psychological flexibility (i.e., the ability to have distressing thoughts/feelings about diabetes while pursuing personally meaningful values), and improvements in ED symptoms, diabetes management and diabetes distress. Results Treatment was acceptable to T1D patients with EDs and feasible to implement. Participants reported increased psychological flexibility with diabetes-related thoughts/feelings, and less obstruction and greater progress in pursuing personal values. There were large effects for change in ED symptoms, diabetes self-management and diabetes distress from baseline to end-of-treatment (Cohen’s d = .90–1.79). Hemoglobin A1c also improved, but the p-value did not reach statistical significance, p = .08. Conclusions Findings provide preliminary evidence for iACT to improve outcomes for T1D patients with EDs and support further evaluation of this approach in a controlled trial. Trial registration NCT02980627. Registered 8 July 2016.

scholarly journals Understanding the Lived Experience of Children With Type 1 Diabetes in Kenya: Daily Routines and Adaptation Over Time

2021 ◽  
pp. 104973232110497
Author(s):  
Tom Palmer ◽  
Cynthia Waliaula ◽  
Geordan Shannon ◽  
Francesco Salustri ◽  
Gulraj Grewal ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Focus Group ◽  
Lived Experience ◽  
Diabetes Management ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Daily Routines ◽  
Over Time

Focusing only on biomedical targets neglects the important role that psychosocial factors play in effective diabetes self-management. This study aims to understand the lived experiences of children with Type 1 Diabetes (T1DM) in Kenya. Children ( n = 15) participated in focus group discussions and photo diary data collection. Focus group discussions and semi-structured interviews were also conducted with caregivers ( n = 14). We describe an adaptation to diabetes over time, identifying four overarching themes: knowledge and awareness, economic exclusion, the importance of social support, and striving for normality. Photo diaries are then categorized to explore daily realities of diabetes management. Children with T1DM in Kenya face varied barriers to care but can lead a “normal” and fulfilling life, provided adequate support is in place. To improve the lives of children with diabetes in this context and others like it, stakeholders must take note of children’s experiences and recognize their multidimensional needs.

scholarly journals A call for inclusion of work-related diabetes distress in the spectrum of diabetes management: Results from a cross-sectional survey among working people with type 1 diabetes

2018 ◽  
Vol 140 ◽  
pp. 139-147 ◽  
Author(s):  
Ulla M. Hansen ◽  
Kasper Olesen ◽  
Jessica L. Browne ◽  
Timothy C. Skinner ◽  
Ingrid Willaing
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Working People

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 Targeting Diabetes Distress: The Missing Piece of the Successful Type 1 Diabetes Management Puzzle

2014 ◽  
Vol 27 (2) ◽  
pp. 143-149 ◽  
Author(s):  
M. Pallayova ◽  
S. Taheri
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Diabetes Distress

scholarly journals Challenges and Considerations for Reducing Diabetes Distress and Fear of Hypoglycemia in Parents of Youth With Type 1 Diabetes During the COVID-19 Pandemic

10.2196/25106 ◽  
2021 ◽  
Vol 4 (2) ◽  
pp. e25106
Author(s):  
Alexandra Monzon ◽  
Nicole Kahhan ◽  
Arwen Marker ◽  
Susana Patton
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Treatment Needs ◽  
Treatment Groups ◽  
Manualized Treatment ◽  
Early Stages ◽  
Fear Of Hypoglycemia ◽  
Psychosocial Concerns

Type 1 diabetes management can be challenging for children and their families. To address psychosocial concerns for parents of youth with type 1 diabetes, we developed two parent-focused interventions to reduce their diabetes distress and fear of hypoglycemia. Our team conducted several of these interventions during the early stages of the COVID-19 pandemic and recognized a need to make timely adjustments to our interventions. In this viewpoint article, we describe our experience conducting these manualized treatment groups during the pandemic, the range of challenges and concerns specific to COVID-19 that parents expressed, and how we adjusted our approach to better address parents’ treatment needs.

1301-P: Factors Predicting Diabetes Distress over 18 Months in Teens with Type 1 Diabetes (T1D)

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1301-P
Author(s):  
DAYNA E. MCGILL ◽  
LISA K. VOLKENING ◽  
PERSIS V. COMMISSARIAT ◽  
RACHEL M. WASSERMAN ◽  
BARBARA ANDERSON ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Diabetes Distress
Sign in / Sign up

Export Citation Format

Share Document