Afsane Riazi, John Pickup and Clare Bradley (2004) Daily stress and glycaemic control in Type 1 diabetes: individual differences in magnitude, direction and timing of stress-reactivity. Diabetes Research and Clinical Practice, 66 (3).
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The aim of this study was to investigate the relationships between daily stress and glycaemic control in 54 people with Type 1 diabetes over 21 days. Measures included daily reports of stress (hassles), four-times-daily blood glucose measurements, and HbA1c levels. Time-series analyses revealed considerable variation between individuals in the nature and extent of blood glucose response to stress (stress-reactivity). In approximately one-third of the sample, stress was significantly associated with either same- or next-day blood glucose levels (r-range:−0.79 to 0.58). The majority of stress-reactive individuals (20.4% of the sample) demonstrated a positive association between hassles and same-day blood glucose levels. A much less common effect was found in two individuals (3.7%), where hassles were related to decreased same-day blood glucose. ’Stress-reactive’ individuals tended to have high HbA1c values at baseline (t(52) = 2.2; P < 0.05), and significant relationships between emotion-focused coping and blood glucose levels (r = 0.93;P < 0.01). In conclusion, although a significant majority of this sample was resistant to the effects of stress, marked individual differences were found in the nature and extent of stress-reactivity. Our study goes beyond other published results as it is longitudinal, uses time-series analyses and includes a relatively larger sample. Clinicians need to be aware of these individual differences in order to advise patients about anticipating and preventing stress-related disruptions of glycaemic control.
This is a Published version This version's date is: 12/2004 This item is peer reviewed
https://repository.royalholloway.ac.uk/items/020ca289-09ad-f941-1c10-3967582714f1/1/
Deposited by () on 23-Dec-2009 in Royal Holloway Research Online.Last modified on 12-May-2010
The e-print is the authors' final draft. Published paper copyright Elsevier, 2004.
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