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Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot
Steven Rosenzweig1, Diane K Reibel, Jeffrey M Greeson
1Department of Emergency Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Context:
Psychological distress is linked with impaired glycemic control among diabetics.
Objective:
Estimate changes in glycemic control, weight, blood pressure, and stress-related psychological symptoms in patients with type 2 diabetes participating in a standard Mindfulness Based Stress Reduction (MBSR) program.
Design:
Prospective, observational study.
Setting:
Academic health center.
Patients:
Adult patients with type 2 diabetes mellitus.
Interventions:
Participation in MBSR program for heterogeneous patient population. Diet and exercise regimens held constant.
Main Outcome Measures:
Glycosylated hemoglobin A1c (HA1c), blood pressure, body weight, and Symptom Checklist 90-Revised (anxiety, depression, somatization, and general psychological distress scores).
Results:
Eleven of 14 patients completed the intervention. At 1 month follow-up, HA1c was reduced by 0.48% (P = .03), and mean arterial pressure was reduced by 6 mmHg (P = .009). Body weight did not change. A decrease in measures of depression, anxiety, and general psychological distress was observed.
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