ArticlePsychosomatic medicine2017
Mean Levels and Variability in Affect, Diabetes Self-Care Behaviors, and Continuously Monitored Glucose: A Daily Study of Latinos With Type 2 Diabetes.
Article in Psychosomatic medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Glucose variability and mood in adults with diabetes: A systematic review.Endocrinology, diabetes & metabolism · 2021Pooled it
- A daily study of stressors, continuously measured glucose, and diabetes symptoms in latinos with type 2 diabetes.Journal of behavioral medicine · 2021Trial
- Ecological Momentary Assessment of Person-Reported Outcomes in Diabetes: Unlocking Insights with Continuous Glucose Monitoring and the Potential for Precision Medicine.Current diabetes reports · 2026Review
- Glucose levels are associated with mood, but the association is mediated by ratings of metabolic state.EBioMedicine · 2026Observational
- Psychosocial predictors of short-term glucose among people with diabetes: A narrative review.Journal of behavioral medicine · 2025Review
- The impact of hypoglycaemia on daily functioning among adults with diabetes: a prospective observational study using the Hypo-METRICS app.Diabetologia · 2024Observational
- Associations between continuous glucose monitoring (CGM) metrics and psycholinguistic measures: a correlational study.Acta diabetologica · 2024Article
- The role of cognitive rehabilitation in people with type 2 diabetes: A study protocol for a randomized controlled trial.PloS one · 2023Article
- Lay health worker research personnel for home-based data collection in clinical and translational research: Qualitative and quantitative findings from two trials in hard-to-reach populations.Journal of clinical and translational science · 2023Article
- Ecological Momentary Assessment of Positive and Negative Affect and Associations with Blood Glucose in Teens with Type 1 Diabetes.Journal of diabetes science and technology · 2023Article
- Coordination of glucose monitoring, self-care behaviour and mental health: achieving precision monitoring in diabetes.Diabetologia · 2022Review
- The two-stage therapeutic effect of posture biofeedback training on back pain and the associated mechanism: A retrospective cohort study.Frontiers in physiology · 2022Article
- Function and Emotion in Everyday Life With Type 1 Diabetes (FEEL-T1D): Protocol for a Fully Remote Intensive Longitudinal Study.JMIR research protocols · 2021Article
- Associations of Time in Range and Other Continuous Glucose Monitoring-Derived Metrics With Well-Being and Patient-Reported Outcomes: Overview and Trends.Diabetes spectrum : a publication of the American Diabetes Association · 2021Article
- Latinx with Type 2 Diabetes: Perceptions of Cognitive Health.Journal of immigrant and minority health · 2021Article
- Role of Digital Engagement in Diabetes Care Beyond Measurement: Retrospective Cohort Study.JMIR diabetes · 2021Article
- Within-Day Variability in Negative Affect Moderates Cue Responsiveness in High-Calorie Snacking.Frontiers in psychology · 2020Article
- Optimizing Postprandial Glucose Management in Adults With Insulin-Requiring Diabetes: Report and Recommendations.Journal of the Endocrine Society · 2019Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThis study investigated between- and within-person associations among mean levels and variability in affect, diabetes self-care behaviors, and continuously monitored glucose in Latinos with type 2 diabetes.
methodsFifty participants (M [SD] age = 57.8 [11.7] years, 74% women, mean [SD] glycosylated hemoglobin A1c = 8.3% [1.5%]) wore a "blinded" continuous glucose monitor for 7 days, and they responded to twice daily automated phone surveys regarding positive affect, negative affect, and self-care behaviors.
resultsHigher mean levels of NA were associated with higher mean glucose (r = .30), greater percent hyperglycemia (r = .34) and greater percentage of out-of-range glucose (r = .34). Higher NA variability was also related to higher mean glucose (r = .34), greater percent of hyperglycemia (r = .44) and greater percentage of out-of-range glucose (r = .43). Higher positive affect variability was related to lower percentage of hypoglycemia (r = -.33). Higher mean levels of self-care behaviors were related to lower glucose variability (r = -.35). Finally, higher self-care behavior variability was related to greater percentage of hyperglycemia (r = .31) and greater percentage of out-of-range glucose (r = -.28). In multilevel regression models, within-person increases from mean levels of self-care were associated with lower mean levels of glucose (b = -7.4, 95% confidence interval [CI] = -12.8 to -1.9), lower percentage of hyperglycemia (b = -0.04, 95% CI = -0.07 to -0.01), and higher percentage of hypoglycemia (b = 0.02, 95% CI = 0.01 to 0.03) in the subsequent 10-hour period.
conclusionsNear-to-real time sampling documented associations of glucose with affect and diabetes self-care that are not detectable with traditional measures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.