The science of diabetes self-management and care最新文献

{"title":"Physical and Psychological Health in Adolescents and Young Adults With Type 1 Diabetes: The Mediating Roles of Diabetes Self-Management and Social Relationships.","authors":"Tal Mamou, Sonya Meyer","doi":"10.1177/26350106261483742","DOIUrl":"https://doi.org/10.1177/26350106261483742","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine whether diabetes self-management and social relationships mediate the association between self-perceived physical health and psychological health among Israeli adolescents and young adults with type 1 diabetes (T1D).</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted among 79 individuals ages 16 to 25 years with T1D, recruited through diabetes-related social media platforms. Participants completed self-report measures of diabetes self-management and quality of life. Physical health, psychological health, and social relationships were assessed using the World Health Organization Quality of Life Questionnaire-Brief Version, and diabetes self-management was assessed using the Diabetes Self-Management Questionnaire. Parallel mediation analyses were conducted using PROCESS Model 4 with 5000 bootstrap resamples.</p><p><strong>Results: </strong>Better physical health was significantly associated with better psychological health. When diabetes self-management and social relationships were included in the model, the direct association remained significant. Significant indirect effects were found through social relationships and diabetes self-management. The total indirect effect was significant, but the contrast between the 2 indirect effects was not.</p><p><strong>Conclusions: </strong>Diabetes self-management and social relationships statistically accounted for part of the association between physical and psychological health among adolescents and young adults with T1D. Because the study was cross-sectional, the results should be interpreted as indirect associations rather than causal pathways. Overall, these findings highlight the importance of addressing both behavioral and interpersonal resources in diabetes care and education during the transition to adulthood.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"26350106261483742"},"PeriodicalIF":2.2,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149083175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Associations Between Diabetes Distress, Diet, and psychosocial Factors in Hispanic and Latino Adults Living With Type 2 Diabetes in the U.S.: Results From An Online Survey.","authors":"Kellie A McLean, Angela C B Trude, Kristie J Lancaster","doi":"10.1177/26350106261483736","DOIUrl":"https://doi.org/10.1177/26350106261483736","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to explore the associations between dietary intake, social support, acculturation, coping, and diabetes distress (DD) levels among Hispanic and Latino adults with type 2 diabetes.</p><p><strong>Materials and methods: </strong>An online cross-sectional survey was administered using Qualtrics. Multiple linear regression models analyzed the relationships between DD, diabetes-related behaviors, diet, acculturation, social support, and coping.</p><p><strong>Results: </strong>Participants (n = 200) were, on average, 48.8 ± 14.4 (mean ± <i>SD</i>) years old, born in the U.S. (83.5%), and had type 2 diabetes for 2.8 ± 0.9 years. They self-reported an A1C level of ≥6.0% (80.5%), at least one other chronic disease (55.5%), and were prescribed diabetes medications (78.8%) and/or insulin (59.0%). Linear regression models showed that taking insulin significantly predicted lower levels of distress (<i>b</i> = -0.118; 95% CI, -0.18 to -0.05), and lower coping ability significantly predicted higher DD levels (<i>b</i> = 5.519; 95% CI, 4.04-7.00). There were no significant differences in DD associated with dietary intake.</p><p><strong>Conclusions: </strong>This study highlights the need for including effective coping strategies for DD management into diabetes care programs for Hispanic and Latino adults with type 2 diabetes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"26350106261483736"},"PeriodicalIF":2.2,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and Attitudes Regarding Continuous Glucose Monitors as Predictors of Current Use.","authors":"Skyler P Gallegos, Jennifer H Zohn, Andrea M Hutchins, Leah A Derksen, Melissa J Benton","doi":"10.1177/26350106261483745","DOIUrl":"https://doi.org/10.1177/26350106261483745","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the individual influences of knowledge and attitudes about continuous glucose monitors (CGMs) among adults with type 1 or type 2 diabetes.</p><p><strong>Methods: </strong>Adults diagnosed with type 1 or type 2 diabetes completed an online survey regarding knowledge and attitudes about CGM use. Knowledge was measured using the benefits subscale of the CGM Satisfaction Scale, and attitudes were measured using the hassles subscale. Binomial regression was used to evaluate the individual influence of knowledge and attitudes and their predictive ability for current CGM use.</p><p><strong>Results: </strong>A total of 58 adults participated. Of these, 38 (66%) reported current CGM use, and among current users, 90% reported a diagnosis of type 1 diabetes, and 10% reported a diagnosis of type 2 diabetes. Attitudes regarding CGM were statistically better than knowledge. Current use of a CGM correlated with knowledge and attitudes, and therefore, knowledge and attitudes were entered into binomial logistic regression. The model was statistically significant, explaining 36% of the variance in current CGM use. Participants with better attitudes were more likely to use a CGM, while those with greater knowledge were less likely to do so.</p><p><strong>Conclusions: </strong>Consistent with the hypothesis, knowledge and attitudes influenced use of CGM differently. Based on these findings, patient education to promote use of CGM should focus on improving attitudes regarding the hassles of CGM as these exert the greatest influence on current use.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"26350106261483745"},"PeriodicalIF":2.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of the Comprehensive Overweight/Obesity Management Pre-Kidney Transplant Program: A Group-Based Lifestyle Intervention and GLP-1 Receptor Agonist Therapy for End-Stage Kidney Disease Candidates Ineligible Due to Obesity.","authors":"Evan M Sisson, Dana Burns, Sarah E Wheeler, Keerthana Akkisetty, Johanna L Christensen, Gaurav Gupta","doi":"10.1177/26350106261483738","DOIUrl":"https://doi.org/10.1177/26350106261483738","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the feasibility of applying a structured interprofessional weight-loss intervention to improve transplant eligibility among candidates with body mass index (BMI) >35 kg/m².</p><p><strong>Methods: </strong>The Comprehensive Overweight/Obesity Management Pre-Kidney Transplant (COMPKT) program was a single-arm feasibility study at an academic center. Participants attended 15 weekly virtual group education sessions using the National Diabetes Prevention Program PreventT2 curriculum delivered by trained lifestyle coaches, with remote monitoring and interprofessional pharmacotherapy management including glucagon-like peptide-1 (GLP-1) receptor agonist or GLP-1/glucose-dependent insulinotropic polypeptide co-agonist therapy when clinically appropriate. Feasibility outcomes were enrollment, attendance, and GLP-1 uptake; clinical outcomes were BMI and percentage weight change.</p><p><strong>Results: </strong>Twenty-nine participants from the first 3 cohorts (median baseline BMI 41.1 kg/m²; interquartile range 40.4-44.8) were analyzed. Attendance varied: 44.8% attended < 50% of sessions, 20.7% attended 50% to 75%, and 34.5% attended > 75%. GLP-1 therapy use rose from 62.1% at baseline to 72.4% at session 15, with 52.4% reaching high-dose therapy. Median weight change was -3.44% (range -10.89% to +1.91%). Participants attending ≥ 50% of sessions had greater median weight loss than those with lower attendance, independent of GLP-1 use. Two participants received kidney transplants during the evaluation period.</p><p><strong>Conclusions: </strong>COMPKT was feasible and produced modest but clinically meaningful weight loss in a high-risk population. Session engagement, rather than GLP-1 pharmacotherapy alone, appeared to drive outcomes, informing future program design and implementation.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"26350106261483738"},"PeriodicalIF":2.2,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the Indonesian Version of the Type 2 Diabetes Stigma Assessment Scale and Its Clinical Correlates With Glycated Hemoglobin, Fatigue, and Depression.","authors":"Debby Syahru Romadlon, Samia Salim Alharrasi, Mickael Antoine Joseph, Rudy Kurniawan, Safiruddin Al Baqi, Mario Pratama","doi":"10.1177/26350106261451193","DOIUrl":"10.1177/26350106261451193","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to adapt and psychometrically evaluate an Indonesian version of the Type 2 Diabetes Stigma Assessment Scale (I-DSAS-2) for Indonesians with type 2 diabetes.</p><p><strong>Methods: </strong>A cross-sectional psychometric and correlational study was conducted among 190 participants recruited from outpatient clinics. The Type 2 Diabetes Stigma Assessment Scale was translated and culturally adapted following established guidelines. Psychometric evaluation included exploratory factor analysis, internal consistency testing (Cronbach's alpha), and test-retest reliability (intraclass correlation coefficient). Clinical outcomes were assessed using A1C, the Indonesian Multidimensional Fatigue Inventory, and the Beck Depression Inventory-2nd Edition. Associations between stigma and clinical outcomes were analyzed using Pearson correlations and multiple linear regression, adjusting for age, gender, diabetes duration, and comorbidities.</p><p><strong>Results: </strong>The I-DSAS-2 demonstrated excellent psychometric properties, revealing a 3-factor structure (treated differently, blame and judgement, and self-stigma), strong internal consistency, and high test-retest reliability. Higher stigma scores were significantly associated with elevated A1C, greater fatigue, and more severe depressive symptoms. In multivariate models, stigma independently predicted all 3 outcomes, with the strongest association observed for depression.</p><p><strong>Conclusion: </strong>The I-DSAS-2 is a valid, reliable, and culturally relevant instrument for assessing diabetes-related stigma in Indonesian populations. It captures the multifaceted nature of stigma and its significant links to critical clinical outcomes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"308-318"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148220821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Black Family and Community Health Worker Dynamics in a Family-Centric Diabetes Prevention and self-Management Education and Support Intervention.","authors":"Cynthia Baur, Devlon N Jackson, Julie Bromberg, Monica Miller, Darlene R Saunders, Nkossi Dambita, Rebecca Ledsky","doi":"10.1177/26350106261450912","DOIUrl":"10.1177/26350106261450912","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to assess a culturally tailored, family-focused diabetes self-management education and support intervention with community health worker (CHW) support among Black families with prediabetes and diabetes.</p><p><strong>Methods: </strong>The study enrolled 70 Black family members and assigned them CHWs for a 20-week diabetes prevention and self-management education and support intervention. Family members and CHWs were interviewed, and thematic analysis identified 4 themes associated with family-CHW dynamics that affected program outcomes: (1) family and CHW communication, (2) health literacy support, (3) technology support, and (4) program adherence support. The communication dynamics were bidirectional, and the health literacy, program adherence, and technology support flowed from CHWs to families.</p><p><strong>Results: </strong>Participants appreciated that their CHWs were empathetic, relatable, adaptable, and good communicators, and both families and CHWs spoke of strong emotional and task-based bonds. CHWs' positive impact on adherence was confirmed. Data on health literacy and technology support activities identify families' additional needs to be successful in these programs.</p><p><strong>Conclusions: </strong>The study results on family-CHW dynamics add to the literature on family-based diabetes prevention and self-management education and support programs and the limited literature on how participants and CHWs interact, communicate, and share information during lengthy chronic disease programs. Expanding the public health impact of diabetes programs for Black adults may come from innovations in family-based programs supported by positive CHW interactions.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"332-340"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Writing up the Results section of a Research Report.","authors":"James A Fain","doi":"10.1177/26350106261464045","DOIUrl":"10.1177/26350106261464045","url":null,"abstract":"","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"293-294"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148341405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Continuous Glucose Monitoring Improve Glycemic Control and Quality of Life Among Adults With Type 2 Diabetes in Primary Care Settings? A Systematic Review and Meta-Analysis.","authors":"Helen Park-Chong, Michelle Benrimon, Arlene Smaldone","doi":"10.1177/26350106261451194","DOIUrl":"10.1177/26350106261451194","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this systematic review and meta-analysis was to evaluate the impact of continuous glucose monitoring (CGM) on glycemic control and quality of life (QoL) among adults with type 2 diabetes (T2DM) managed within primary care settings.</p><p><strong>Methods: </strong>Following PRISMA 2020 guidelines, 4 databases were comprehensively searched for randomized controlled trials (RCTs) published through July 9, 2025. Eligible trials reported on A1C, QoL, diabetes distress, and device satisfaction. Shorter term (6-8 months) and longer term (12-14 months) A1C outcomes were synthesized using random effects meta-analysis models.</p><p><strong>Results: </strong>Of 739 records, 4 multisite RCTs (6 reports) met inclusion criteria and represent data from 566 adults with T2DM in primary care settings. Two trials utilized real time CGM, while others employed retrospective or intermittently scanned CGM. Participants attended primary care visits during the trial, receiving diabetes management and medication changes as required. The CGM intervention significantly improved glycemic control with pooled A1C reduction of -0.46% at 6 to 8 months and -0.33% at 12 to 14 months and device satisfaction with no differences in QoL.</p><p><strong>Conclusion: </strong>These results demonstrate that CGM significantly improves glycemic control with no change in QoL among adults with T2DM in primary care and suggest that CGM utilization within this setting offers distinct advantages in patient engagement and diabetes management, particularly when integrated through a multidisciplinary team approach. Future research should prioritize populations currently ineligible for CGM coverage, such as non-insulin-using patients and underserved groups, while also investigating the impact of updated sensors' accuracy on clinical outcomes.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"353-365"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148045201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness Among Black/African American Men With Type 2 Diabetes: Associations of Demographics, Symptomatology, and Social Networks.","authors":"Jeong-Hui Park, Tyler Prochnow, Meg S Patterson, Ledric D Sherman, Harry O Taylor, Matthew Lee Smith","doi":"10.1177/26350106261450914","DOIUrl":"10.1177/26350106261450914","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the associations of demographics, diabetes-related symptoms, and egocentric social networks with loneliness among Black/African American men with type 2 diabetes (T2D).</p><p><strong>Methods: </strong>As part of a National Institute of Health-funded study, cross-sectional data were collected using an internet-based survey. Eligible respondents (n = 1220) were men who identified as Black/African American and self-reported having T2D. The dependent variable was loneliness, measured with the 3-item UCLA Loneliness Scale (UCLA-3; score ≥6 indicating loneliness). Diabetes symptoms were measured by Diabetes Care Profile items. Egocentric networks were elicited with a multiprompt name generator to derive network size, perceived support, and frequency of diabetes-specific discussions. Poisson egressions were fitted to examine associations of demographics, T2D symptoms, and social-network factors with loneliness.</p><p><strong>Results: </strong>Of the participants, 45.3% reported being lonely. In the Poisson regression, older age (prevalence ratio [PR] 0.99, 95% CI, 0.98-0.99), higher household income (PR 0.93, 95% CI, 0.88-0.98), and rural residence (PR 0.75, 95% CI, 0.59-0.96) were associated with a lower likelihood of loneliness. Greater hypoglycemia symptom burden was associated with a higher likelihood of loneliness (PR 1.24, 95% CI, 1.16-1.33). Higher perceived network support was associated with a lower likelihood of loneliness (PR 0.79, 95% CI, 0.72-0.88), while network size and diabetes-specific discussions with others were not significantly associated with loneliness.</p><p><strong>Conclusions: </strong>Diabetes care should routinely screen for loneliness, prioritize younger and lower income patients, and actively reduce hypoglycemia. Efforts to strengthen social support should emphasize strategies such as culturally responsive coaching to mobilize existing ties, warm handoffs to peer mentors, and community partnerships.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"319-331"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation and Cross-Cultural Adaptation of the Diabetes Distress Scale in a Spanish Population.","authors":"Miguel Garrido-Bueno, Pilar Santa Cruz-Álvarez, Manuel Pabón-Carrasco, Rocío Romero-Castillo","doi":"10.1177/26350106261457885","DOIUrl":"10.1177/26350106261457885","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to translate, culturally adapt, and validate the Diabetes Distress Scale (DDS) in Spain.</p><p><strong>Methods: </strong>A cross-sectional validation study was conducted among adults with diabetes attending public health centers in Spain. Participants completed the Spanish DDS and Problem Areas in Diabetes (PAID) questionnaire. Exploratory and confirmatory factor analyses used polychoric correlations and diagonally weighted least squares estimation. Reliability was examined with Cronbach's α and McDonald's ω. Concurrent, convergent, discriminant, and incremental validity were tested through correlation and regression analyses. Gender invariance was assessed using multigroup confirmatory factor analysis.</p><p><strong>Results: </strong>The 4-factor model was supported. Internal consistency was excellent. DDS total scores strongly correlated with PAID scores, explaining 84.5% of variance (<i>R</i>² = 0.845). Original DDS cutoffs (<2.0, 2.0-2.9, ≥3.0) were confirmed, showing PAID differences. Gender invariance was achieved.</p><p><strong>Conclusions: </strong>The Spanish DDS showed strong psychometric properties, replicating the original 4-factor structure with high reliability and validity, offering a culturally appropriate tool for diabetes-related distress in Spain.</p>","PeriodicalId":75187,"journal":{"name":"The science of diabetes self-management and care","volume":" ","pages":"295-307"},"PeriodicalIF":2.2,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}