Personal and relationship challenges of adults with type 1 diabetes: a qualitative focus group study.


OBJECTIVE:Little is known about the psychosocial challenges of adults living with type 1 diabetes or its impact on partner relationships. This qualitative study was undertaken to gain better understanding of these issues. RESEARCH DESIGN AND METHODS:Four focus groups were held, two with adult type 1 diabetic patients (n = 16) and two with partners (n = 14). Two broad questions were posed: "What are the emotional and interpersonal challenges you have experienced because you have (your partner has) type 1 diabetes?" and "How does the fact that you have (your partner has) type 1 diabetes affect your relationship with your partner, positively and/or negatively?" Sessions were recorded and transcribed, and analyzed by a team of four researchers, using constant comparative methods to identify core domains and concepts. RESULTS:Four main domains were identified: 1) impact of diabetes on the relationship, including level of partner involvement, emotional impact of diabetes on the relationship, and concerns about child-rearing; 2) understanding the impact of hypoglycemia; 3) stress of potential complications; and 4) benefits of technology. Themes suggest that, although partner involvement varies (very little to significant), there exists significant anxiety about hypoglycemia and future complications and sources of conflict that may increase relationship stress. Partner support is highly valued, and technology has a positive influence. CONCLUSIONS:Adults with type 1 diabetes face unique emotional and interpersonal challenges. Future research should focus on gaining a better understanding of how they cope and the effect of psychosocial stressors and coping on adherence, quality of life, and glycemic control.


Diabetes Care


Diabetes care


Trief PM,Sandberg JG,Dimmock JA,Forken PJ,Weinstock RS




Has Abstract


2013-09-01 00:00:00














  • Surveillance in Florida of continuous subcutaneous insulin infusion use in cohort.

    abstract::Because of concerns about safety and expense associated with continuous subcutaneous insulin infusion (CSII), all people who had used CSII as of July 1982 were identified. Annual follow-up has resulted in data for up to 61 mo. Of the 92 nonpregnant registrees, 31 were less than 20 yr old, 36 were 20-29, and 25 were 30...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Deeb LC,Williams PE

    更新日期:1986-11-01 00:00:00

  • Neural correlates of stress- and food cue-induced food craving in obesity: association with insulin levels.

    abstract:OBJECTIVE:Obesity is associated with alterations in corticolimbic-striatal brain regions involved in food motivation and reward. Stress and the presence of food cues may each motivate eating and engage corticolimibic-striatal neurocircuitry. It is unknown how these factors interact to influence brain responses and whet...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Jastreboff AM,Sinha R,Lacadie C,Small DM,Sherwin RS,Potenza MN

    更新日期:2013-02-01 00:00:00

  • Life years lost and lifetime health care expenditures associated with diabetes in the U.S., National Health Interview Survey, 1997-2000.

    abstract:OBJECTIVE:This study analyzed the lifetime health care expenditures and life years lost associated with diabetes in the U.S. RESEARCH DESIGN AND METHODS:Data from the National Health Interview Survey (NHIS), the Medical Expenditure Panel Survey from 1997 to 2000, and the NHIS Linked Mortality Public-use Files with a m...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Leung MY,Pollack LM,Colditz GA,Chang SH

    更新日期:2015-03-01 00:00:00

  • Effect of rosiglitazone versus insulin on the pancreatic beta-cell function of subjects with type 2 diabetes.

    abstract:OBJECTIVE:In a previous study, we found observational evidence of improvement in beta-cell function when rosiglitazone was added to a failing oral antihyperglycemic regimen consisting of sulfonylureas and metformin. To confirm our previous observations, we designed and performed a prospective, randomized, and controlle...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Ovalle F,Bell DS

    更新日期:2004-11-01 00:00:00

  • Increased foot pressures after great toe amputation in diabetes.

    abstract:OBJECTIVE:To compare peak pressures on the sole of the foot in non-insulin-dependent diabetic patients with isolated, unilateral amputations of the great toe and first metatarsal with the patients' contralateral, intact foot. RESEARCH DESIGN AND METHODS:Eleven patients with a unilateral great toe and partial first met...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Lavery LA,Lavery DC,Quebedeax-Farnham TL

    更新日期:1995-11-01 00:00:00

  • Cost-effectiveness of aspirin use among persons with newly diagnosed type 2 diabetes.

    abstract:OBJECTIVE:To assess the long-term cost-effectiveness of aspirin use among adults aged >or=40 years with newly diagnosed type 2 diabetes. RESEARCH DESIGN AND METHODS:We used a validated cost-effectiveness model of type 2 diabetes to assess the lifetime health and cost consequences of use or nonuse of aspirin. The model...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Li R,Zhang P,Barker LE,Hoerger TJ

    更新日期:2010-06-01 00:00:00

  • Fertility in women with type 1 diabetes: a population-based cohort study in Sweden.

    abstract:OBJECTIVE:The purpose of this study was to assess fertility in women with type 1 diabetes and the risk of congenital malformations in their offspring. RESEARCH DESIGN AND METHODS:This was a register-based cohort study in Sweden. All 5,978 women hospitalized for type 1 diabetes at age

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Jonasson JM,Brismar K,Sparén P,Lambe M,Nyrén O,Ostenson CG,Ye W

    更新日期:2007-09-01 00:00:00

  • Cyclosporin therapy for prevention and cure of IDDM. Epidemiological perspective of benefits and risks.

    abstract::Cyclosporin and other immunosuppressive agents have been proposed as a preventive treatment against the development of insulin-dependent diabetes mellitus (IDDM) in relatives at increased risk for the disease, based on the understanding that its etiology is an ongoing process of autoimmune beta-cell destruction. We us...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,评审


    authors: Lipton R,LaPorte RE,Becker DJ,Dorman JS,Orchard TJ,Atchison J,Drash AL

    更新日期:1990-07-01 00:00:00

  • Dietary cod protein improves insulin sensitivity in insulin-resistant men and women: a randomized controlled trial.

    abstract:OBJECTIVE:The purpose of this article was to compare the effects of cod protein to those of other animal proteins on insulin sensitivity in insulin-resistant human subjects. RESEARCH DESIGN AND METHODS:Insulin sensitivity (M/I) was assessed using a hyperinsulinemic-euglycemic clamp in 19 insulin-resistant subjects fed...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验


    authors: Ouellet V,Marois J,Weisnagel SJ,Jacques H

    更新日期:2007-11-01 00:00:00

  • Optimal insulin delivery for the pregnant diabetic patient.

    abstract::It is now possible to virtually normalize ambient blood glucose levels in insulin-dependent diabetic women during pregnancy. Successful programs have been developed that utilize home blood glucose monitoring, physiologic delivery of insulin, and quantitation of caloric intake carefully matched to insulin dosage. The r...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审


    authors: Jovanovic L,Peterson CM

    更新日期:1982-05-01 00:00:00

  • Delayed gastric emptying and gastric autoimmunity in type 1 diabetes.

    abstract:OBJECTIVE:Delayed gastric emptying and/or gastrointestinal symptoms occur in 30-50% of diabetic patients. Known contributing factors are autonomic neuropathy and acute hyperglycemia, but the role of gastric autoimmunity has never been investigated, although 15-20% of type 1 diabetic patients exhibit parietal cell antib...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: De Block CE,De Leeuw IH,Pelckmans PA,Callens D,Máday E,Van Gaal LF

    更新日期:2002-05-01 00:00:00

  • Cost and Cost-effectiveness of Large-scale Screening for Type 1 Diabetes in Colorado.

    abstract:OBJECTIVE:To assess the costs and project the potential lifetime cost-effectiveness of the ongoing Autoimmunity Screening for Kids (ASK) program, a large-scale, presymptomatic type 1 diabetes screening program for children and adolescents in the metropolitan Denver region. RESEARCH DESIGN AND METHODS:We report the res...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: McQueen RB,Geno Rasmussen C,Waugh K,Frohnert BI,Steck AK,Yu L,Baxter J,Rewers M

    更新日期:2020-07-01 00:00:00

  • Impact of a natural disaster on diabetes: exacerbation of disparities and long-term consequences.

    abstract:OBJECTIVE:To examine the impact of Hurricane Katrina on the health of individuals with diabetes. RESEARCH DESIGN AND METHODS:This was an observational study in 1,795 adults with an A1C measurement 6 months before and 6-16 months after Hurricane Katrina in three health care systems: private (Tulane University Hospital ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Fonseca VA,Smith H,Kuhadiya N,Leger SM,Yau CL,Reynolds K,Shi L,McDuffie RH,Thethi T,John-Kalarickal J

    更新日期:2009-09-01 00:00:00

  • Impaired mitochondrial function and insulin resistance of skeletal muscle in mitochondrial diabetes.

    abstract:OBJECTIVE:Impaired muscular mitochondrial function is related to common insulin resistance in type 2 diabetes. Mitochondrial diseases frequently lead to diabetes, which is mostly attributed to defective beta-cell mitochondria and secretion. RESEARCH DESIGN AND METHODS:We assessed muscular mitochondrial function and li...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Szendroedi J,Schmid AI,Meyerspeer M,Cervin C,Kacerovsky M,Smekal G,Gräser-Lang S,Groop L,Roden M

    更新日期:2009-04-01 00:00:00

  • Intact proinsulin and beta-cell function in lean and obese subjects with and without type 2 diabetes.

    abstract:OBJECTIVE:Type 2 diabetes is a heterogeneous disease in which both beta-cell dysfunction and insulin resistance are pathogenetic factors. Disproportionate hyperproinsulinemia (elevated proinsulin/insulin) is another abnormality in type 2 diabetes whose mechanism is unknown. Increased demand due to obesity and/or insuli...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Røder ME,Dinesen B,Hartling SG,Houssa P,Vestergaard H,Sodoyez-Goffaux F,Binder C

    更新日期:1999-04-01 00:00:00

  • Erythrocyte sodium-lithium countertransport activity in non-nephropathic diabetic twins.

    abstract:OBJECTIVE:It has proved difficult to separate the role of the diabetic state as distinct from its complications in causing the elevation in erythrocyte sodium-lithium (Na-Li) countertransport activity that has been observed in diabetes. The present study sought to isolate the impact of diabetes on the countertransporte...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Hardman TC,Dubrey SW,Leslie RD,Lant AF

    更新日期:1996-01-01 00:00:00

  • Long-acting insulin analogs.

    abstract::Once daily injection of existing intermediate/long-acting insulin preparations does not provide a 24-h basal insulinemia in most patients. High variability, pronounced insulin peaks, and (as a result) a high risk of nocturnal hypoglycemia only poorly simulate normal physiology. One principle to prolong insulin action ...

    journal_title:Diabetes care

    pub_type: 杂志文章,评审


    authors: Rosskamp RH,Park G

    更新日期:1999-03-01 00:00:00

  • Skeletal muscle morphology and exercise response in congenital generalized lipodystrophy.

    abstract:OBJECTIVE:Congenital generalized lipodystrophy (CGL) is an autosomal recessive genetic disorder characterized by almost complete absence of adipose tissue, muscular appearance, and severe insulin resistance since birth. We investigated whether insulin resistance in CGL patients is associated with abnormal muscle morpho...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Garg A,Stray-Gundersen J,Parsons D,Bertocci LA

    更新日期:2000-10-01 00:00:00

  • HLA-DQ beta typing and non-Asp57 alleles in IDDM and nondiabetic subjects in New Zealand.

    abstract:OBJECTIVE:To determine the frequency of IDDM risk-associated HLA-DQ beta alleles in New Zealanders with IDDM and nondiabetic control subjects, and to examine these as susceptibility markers in relation to IDDM incidence. RESEARCH DESIGN AND METHODS:HLA-DQ beta typing was conducted in 55 juvenile-onset IDDM subjects di...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Forbes LV,Brown LJ,Scott RS

    更新日期:1993-08-01 00:00:00

  • Assessment of diabetic retinopathy using nonmydriatic ultra-widefield scanning laser ophthalmoscopy (Optomap) compared with ETDRS 7-field stereo photography.

    abstract:OBJECTIVE:To compare the diagnostic properties of a nonmydriatic 200° ultra-widefield scanning laser ophthalmoscope (SLO) versus mydriatic Early Treatment of Diabetic Retinopathy Study (ETDRS) 7-field photography for diabetic retinopathy (DR) screening. RESEARCH DESIGN AND METHODS:A consecutive series of 212 eyes of 1...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Kernt M,Hadi I,Pinter F,Seidensticker F,Hirneiss C,Haritoglou C,Kampik A,Ulbig MW,Neubauer AS

    更新日期:2012-12-01 00:00:00

  • Pharmacokinetics and pharmacodynamics of insulin glargine given in the evening as compared with in the morning in type 2 diabetes.

    abstract:OBJECTIVE:To compare pharmacokinetics (PK) and pharmacodynamics (PD) of insulin glargine in type 2 diabetes mellitus (T2DM) after evening versus morning administration. RESEARCH DESIGN AND METHODS:Ten T2DM insulin-treated persons were studied during 24-h euglycemic glucose clamp, after glargine injection (0.4 units/kg...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验


    authors: Porcellati F,Lucidi P,Cioli P,Candeloro P,Marinelli Andreoli A,Marzotti S,Ambrogi M,Bolli GB,Fanelli CG

    更新日期:2015-03-01 00:00:00

  • Renal glucose handling: impact of chronic kidney disease and sodium-glucose cotransporter 2 inhibition in patients with type 2 diabetes.

    abstract:OBJECTIVE:Ipragliflozin, a sodium-glucose cotransporter 2 inhibitor, stimulates glycosuria and lowers glycemia in patients with type 2 diabetes (T2DM). The objective of this study was to assess the pharmacodynamics of ipragliflozin in T2DM patients with impaired renal function. RESEARCH DESIGN AND METHODS:Glycosuria w...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Ferrannini E,Veltkamp SA,Smulders RA,Kadokura T

    更新日期:2013-05-01 00:00:00

  • Metabolic Factors, Lifestyle Habits, and Possible Polyneuropathy in Early Type 2 Diabetes: A Nationwide Study of 5,249 Patients in the Danish Centre for Strategic Research in Type 2 Diabetes (DD2) Cohort.

    abstract:OBJECTIVE:To investigate the association of metabolic and lifestyle factors with possible diabetic polyneuropathy (DPN) and neuropathic pain in patients with early type 2 diabetes. RESEARCH DESIGN AND METHODS:We thoroughly characterized 6,726 patients with recently diagnosed diabetes. After a median of 2.8 years, we s...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Christensen DH,Knudsen ST,Gylfadottir SS,Christensen LB,Nielsen JS,Beck-Nielsen H,Sørensen HT,Andersen H,Callaghan BC,Feldman EL,Finnerup NB,Jensen TS,Thomsen RW

    更新日期:2020-06-01 00:00:00

  • Independent and combined association of muscle strength and cardiorespiratory fitness in youth with insulin resistance and β-cell function in young adulthood: the European Youth Heart Study.

    abstract:OBJECTIVE:To examine the independent and combined association of isometric muscle strength of the abdomen and back and cardiorespiratory fitness (CRF) in youth with indices of glucose metabolism in young adulthood among boys and girls from the European Youth Heart Study. RESEARCH DESIGN AND METHODS:We used data from a...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Grøntved A,Ried-Larsen M,Ekelund U,Froberg K,Brage S,Andersen LB

    更新日期:2013-09-01 00:00:00

  • Glycosylated hemoglobin in relation to rapid fluctuations in blood glucose in children with insulin-dependent diabetes: a comparison of methods with and without prior dialysis.

    abstract::To evaluate the importance of dialysis in the determination of glycosylated hemoglobin (HbA1), we studied blood glucose and HbA1 in 38 insulin-dependent diabetic children during a morning fast and again 6 h postprandially. We used two methods to determine glycosylated hemoglobin: (1) the conventional macrocolumn metho...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Ditzel J,Kjaergaard JJ,Kawahara R,Ostergaard GZ,Mourits-Andersen T

    更新日期:1981-09-01 00:00:00

  • Blood or urine glucose-based insulin therapy and control of glycemia. Computer-simulation study.

    abstract::Adjustment algorithms for conventional insulin therapy must be tested for safety and efficacy before clinical implementation. We did this by computer simulation. Accordingly, a computer simulator of human intermediary metabolism created 10 randomly chosen diabetic subjects for study. All were well defined with respect...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Albisser AM,Sozzi S,Strack TR

    更新日期:1990-04-01 00:00:00

  • Changes in Screening Practices for Prediabetes and Diabetes Since the Recommendation for Hemoglobin A1c Testing.

    abstract:OBJECTIVE:Screening involves the presumptive identification of asymptomatic individuals at increased risk for unrecognized disease. We examined changes in screening practices for prediabetes and diabetes since January 2010, when HbA1c was first recommended as an option for screening and diagnosis. RESEARCH DESIGN AND ...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Evron JM,Herman WH,McEwen LN

    更新日期:2019-04-01 00:00:00

  • Effects and correlates of blood glucose awareness training among patients with IDDM.

    abstract::Whereas self-monitoring of blood glucose (SMBG) is the recommended source of information on which to make self-care decisions, patients frequently use estimates of their own blood glucose (BG). This study evaluated whether patients with insulin-dependent diabetes mellitus (IDDM) could learn to improve accuracy of BG e...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Cox DJ,Gonder-Frederick LA,Lee JH,Julian DM,Carter WR,Clarke WL

    更新日期:1989-05-01 00:00:00

  • Consumption of sugar-sweetened beverages among adults with type 2 diabetes.

    abstract:OBJECTIVE:To examine patterns of sugar-sweetened beverage (SSB) consumption among U.S. adults with type 2 diabetes in 2003-2006. RESEARCH DESIGN AND METHODS:We analyzed 24-h dietary recall data from the National Health and Nutrition Examination Survey 2003-2006 to estimate SSB consumption levels among 1,090 adults (ag...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Bleich SN,Wang YC

    更新日期:2011-03-01 00:00:00

  • Prognostic value of resting heart rate on cardiovascular and renal outcomes in type 2 diabetic patients: a competing risk analysis in a prospective cohort.

    abstract:OBJECTIVE:Epidemiological studies and randomized clinical trials have demonstrated in various populations that resting heart rate (RHR) was an independent predictor of cardiovascular (CV) risk and all-cause mortality. However, few data specifically evaluated the relationship between RHR and long-term CV and renal compl...

    journal_title:Diabetes care

    pub_type: 杂志文章


    authors: Miot A,Ragot S,Hammi W,Saulnier PJ,Sosner P,Piguel X,Torremocha F,Marechaud R,Hadjadj S

    更新日期:2012-10-01 00:00:00