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Cited by 102Diabetes Management and EducationDiabetes Management and ResearchDiabetes Treatment and Management

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Psychosocial and quality of life correlates of glycemic control during intensive treatment of type 1 diabetes

Weinger, Katie, Jacobson, Alan M·2001·Patient Education and Counseling
DOI 10.1016/s0738-3991(00)00098-7
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Abstract

To identify emotional and attitudinal barriers to improved glycemic control (HbA1c) during intensive diabetes treatment, 55 patients attending a 4-5 month intensive diabetes medical/education clinic were followed. Subjects completed a battery of psychological surveys, had HbA1c and body mass index measured, and rated their attitude toward weight gain and the extent of problems with specific self-management behaviors before and after the medical intervention. Although HbA1c improved on average, 29% had only modest improvement and 16% showed no improvement. The number of diabetes-related annoyances, worry about hypoglycemia, and diabetes-related emotional distress diminished. Only the satisfaction subscale of the Diabetes Quality of Life survey, diabetes-related emotional distress, and problems with self-management behaviors correlated with HbA1c. Treatment-related frustration and emotional distress may initially act as motivators to improve glycemia but can later become barriers to that goal. Interventions designed to help patients overcome attitudinal barriers should be incorporated into medical programs geared toward improving glycemia.

Overview

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Crossref · 10.1016/s0738-3991(00)00098-7

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33 of 33 references verified0 citation errors · 0 not checkable

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Metadata

Authors
Weinger, K., & Jacobson, A. M.
Affiliations
Joslin Diabetes Center (US)
Corresponding author
Weinger, Katie
ORCID
Weinger, Katie
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2001-02
Volume
42
Issue
2
Pages
123-131
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/s0738-3991(00)00098-7
OpenAlex
W1984734963
Cited by
102
References
33
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 4 · 2017: 6 · 2016: 2 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 8
FWCI
2.04
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health
  • National Institute of Nursing Research (F32NR007157, NR07157)
  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK42315, R01DK042315)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
type 1 diabetes, glycemic control, intensive diabetes treatment, HbA1c, quality of life, emotional distress, self-management behavior, diabetes education
MeSH terms
Adult, Attitude to Health, Diabetes Mellitus, Type 1, Fear, Female, Humans, Male, Quality of Life, Blood Glucose Self-Monitoring, Weight Gain, Body Mass Index

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