Acute psychological stress affects glucose concentrations in patients with type 1 diabetes following food intake but not in the fasting state
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OBJECTIVE: To compare the effect of acute psychosocial stress on glucose concentrations in the fasting state and following food intake in patients with type 1 diabetes. RESEARCH DESIGN AND METHODS: In study 1, 20 patients were exposed to moderate psychosocial stress by means of the Trier Social Stress Test (TSST) in the fasting state. In study 2, the TSST was applied to 20 additional patients 75 min after intake of a standard meal. Glucose concentrations (by continuous glucose monitoring system), blood pressure, and heart rate were monitored on the control day and on the stress testing day. RESULTS: In both studies, blood pressure increased in response to TSST from 122/77 +/- 14/9 mmHg at baseline to a maximum of 152/93 +/- 21/13 mmHg (P < 0.001), and heart rate increased from 80 +/- 11 to 99 +/- 19 bpm (P < 0.001). In the fasting state (study 1), glucose concentrations remained unchanged during the control day as well as during the stress testing day. In study 2, glucose concentrations were similar on both days before and up to 75 min after the intake of the standard meal. However, a significant delay (of 45 min) in the decrease of glucose concentrations was induced by psychological stress. A two-factor repeated-measures ANOVA revealed a significant difference of glucose concentrations over time (F = 646.65/P < 0.001). CONCLUSIONS: In the postprandial period, acute psychological stress induced a significantly delayed decrease of glucose concentrations, whereas in the fasting state, no effect on poststress glucose concentrations was observed.
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Stress affects glucose levels and increases glucose variability in patients with type 1 and type 2 diabetes.
“stress affects glucose levels and increased glucose variability in both patients with type 1 and 2 diabetes”
From Role of addiction and stress neurobiology on food intake and obesity (2018) · cites this paper as Wiesli et al., 2005
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FACTORS INFLUENCING IMPEDANCE DURING RADIOFREQUENCY ABLATION IN HUMANS
王德, JEdwardHulse, EdwardPWalsh, & JPhilipSaul (1995) · 中华医学杂志：英文版
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New Technologies for Insulin Administration
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Emotion regulation by Affective Touch in individuals with Type 1 Diabetes Mellitus
CHIODI, G., Addabbo, M., Randazzo, E., Piaggio, C., Turati, C., & Nava, E. (2026) · Cognition & Emotion · doi:10.1080/02699931.2026.2704695
- Authors
- Wiesli, P., Schmid, C., Kerwer, O., Nigg-Koch, C., Klaghofer, R., Seifert, B., Spinas, G. A., & Schwegler, K.
- Affiliations
- University Hospital Zurich (CH)
- Department of Internal Medicine, Medical Policlinic, University Hospital of Zurich, Zurich, Switzerland
- University of Zurich (CH)
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2005-08-01
- Volume
- 28
- Issue
- 8
- Pages
- 1910-1915
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2135271043
- Cited by
- 88
- References
- 26
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2022: 4 · 2021: 10 · 2020: 6 · 2019: 5 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 4 · 2012: 8
- FWCI
- 2.05
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- acute psychological stress, type 1 diabetes, blood glucose, postprandial blood glucose, fasting blood glucose, Trier Social Stress Test, glucose kinetics, blood pressure, heart rate
- MeSH terms
- Adult, Blood Glucose, Diabetes Mellitus, Type 1, Diabetic Retinopathy, Fasting, Female, Humans, Male, Psychological Tests, Stress, Psychological, Body Mass Index, Blood Pressure Monitoring, Ambulatory, Postprandial Period
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