Aged ; Counseling/methods* ; Demography ; Diabetes Mellitus, Type 2/diet therapy ; Diabetes Mellitus, Type 2/psychology ; Diabetes Mellitus, Type 2/therapy* ; Dietary Sucrose/therapeutic use* ; Female ; Glycated Hemoglobin A/metabolism ; Humans ; Life Style ; Male ; Middle Aged ; Multivariate Analysis ; Program Evaluation ; Stress, Psychological/therapy*
Keywords
Type 2 diabetes mellitus ; Glucose ; HbA1C ; Stress
Abstract
Purpose: This study was to evaluate the effects of a comprehensive life style modification program on glycemic control and stress response in type 2 diabetes.
Method: The participants(n=34) with type 2 diabetes were divided into either a usual care(control) or treatment(experimental) group. The experimental group(n=21) received a program that was based on a comprehensive life style modification protocol at a weekly meeting for 16 weeks. They also participated in individually prescribed exercise and diet along with stress management and self monitoring. The participants were followed for 6 months, during which postprandial glucose, HbA1C, and stress response inventory were measured.
Result: The experimental group showed a significant lower postprandial glucose and stress response compared to those of the control group. However, there was no significant change in the HbA1C value in either group.
Conclusions: These results suggest that a type 2 diabetes comprehensive lifestyle modification program may lead to clinical improvement in glycemic control and reduce the stress response.