|
Programs that help people with diabetes to manage stress can help
lower blood sugar levels and may eventually reduce the risk of medical
complications such as kidney disease and blindness.
The report of 72 adults with type 2 diabetes found that those
who participated in just 5 sessions of group stress management therapy
reduced their long-term blood sugar (glucose) by an average of 0.5%
-- equal to the effect seen with some drugs.
Nearly one third of patients who received
stress management lowered their blood glucose levels by 1%,
compared with 12% of diabetics who did not participate in the sessions.
According to the authors, reducing blood glucose by as little
as 0.5% may translate into a lower risk of diabetes-related medical
complications. Earlier studies had shown that intensive, one-on-one
stress management sessions can help diabetics to control their blood
sugar, and this study is the first to show that a group approach
can work as well.
Patients with type 2 diabetes should be aware that stress can
negatively impact on glucose control. They might want to try learning
stress management either in a clinical setting or through a self-help
approach.
The study included patients at least 30 years old who managed
their diabetes through a combination of diet, exercise and oral
medication. Individuals who were receiving therapy and those who
had participated in other previous relaxation or stress management
training were excluded.
The 38 patients in the stress management program learned muscle
relaxation techniques and ways to recognize and reduce stress through
deep breathing or guided imagery. Instructors encouraged participants
to practice the techniques on their own at home and talked about
the health consequences of stress.
After 1 year, patients who received stress
management had lower glucose levels while those in the control group
showed slightly higher blood glucose levels, report researchers.
Their study found no significant changes in diet and exercise habits,
suggesting that these lifestyle factors did not contribute to the
lower blood sugar levels seen in adults participating in stress
management sessions.
Patients who were the most anxious before the study began did
not benefit any more than those who were only mildly stressed, the
study found.
Diabetes Care January 2002;25:30-34
|