J Korean Acad Nurs.  2006 Aug;36(5):751-760.

The Effects of a Comprehensive Life Style Modification Program on Glycemic Control and Stress Response in Type 2 Diabetes

• Yoo JS
• Kim EJ
• Lee SJ

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.

Keyword

Type 2 diabetes mellitus; Glucose; HbA1C; Stress

MeSH Terms

Aged
Counseling/*methods
Demography
Diabetes Mellitus, Type 2/diet therapy/psychology/*therapy
Dietary Sucrose/*therapeutic use
Female
Hemoglobin A, Glycosylated/metabolism
Humans
Life Style
Male
Middle Aged
Multivariate Analysis
Program Evaluation
Stress, Psychological/*therapy