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Momentary Partner Involvement in Diabetes Self-Care and Continuously Measured Glucose: A Dynamic Analysis
Emily C Soriano1, M James Lenhard, Jeffrey S Gonzalez
1From the Department of Psychological and Brain Sciences (Soriano, Otto, Perndorfer, Laurenceau), University of Delaware; Section of Endocrinology and Metabolism (Lenhard, Siegel, Laurenceau), Christiana Care Health System, Newark, Delaware; Department of Medicine, Epidemiology, and Population Health (Gonzalez), Ferkauf Graduate School of Psychology & Albert Einstein College of Medicine, Yeshiva University, New York City, New York; Departments of Community Medicine and Psychiatry (Tennen), University of Connecticut School of Medicine, Farmington, Connecticut; and Division of Psychology (Shen), Nanyang Technological University, Singapore.
Partner involvement in diabetes self-care improves glucose control in adults with type 2 diabetes. This study highlights the importance of support systems for managing blood sugar levels effectively.
Area of Science:
- Endocrinology
- Behavioral Science
- Health Psychology
Background:
- Type 2 diabetes management requires continuous self-care behaviors.
- Partner involvement can significantly influence patient adherence and health outcomes.
- Real-time data on glucose control and partner interactions are crucial for understanding dynamic associations.
Purpose of the Study:
- To investigate the immediate, real-time relationship between partner involvement in diabetes self-care and continuous glucose monitoring (CGM) metrics.
- To determine if partner involvement predicts short-term glycemic control in adults with type 2 diabetes.
- To explore the reciprocal effects of CGM metrics on subsequent partner involvement.
Main Methods:
- Sixty-three adults with type 2 diabetes participated for one week.
- Participants wore Dexcom G4 CGMs and reported partner involvement five times daily.
- Dynamic structural equation modeling analyzed lagged effects between partner involvement and CGM metrics.
Main Results:
- Partner involvement predicted improved glucose control in five of six CGM metrics.
- Following partner involvement, glucose levels decreased by 26.34 mg/dl and glucose variability reduced.
- Higher glucose levels and meeting target time below range predicted increased partner involvement in the subsequent hour.
Conclusions:
- This study provides the first evidence that partner involvement in daily diabetes management predicts short-term glycemic control.
- Further research is needed to elucidate the mechanisms of partner influence on glycemic control.
- Interventions promoting partner engagement in diabetes care warrant evaluation.
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