The association between glycemic control and stress-adjustment system in type 2 diabetes patients and the intervention study of stress management program

为了明确2型糖尿病患者血糖控制与压力调节系统之间的关系，在计算压力测试前后，测量了患者的感知压力状态、压力应对能力和压力相关血清激素水平。糖尿病患者表现出明显更高的感受到的压力水平和更低的压力相关能力，这两者都与个体的HbA1C水平无关。荷尔蒙对应激负荷的反应在患者和对照组之间没有显著差异。本研究结果提示，无论每个患者的S血糖控制状态如何，医务人员都需要关注患者的应激水平增加和应对能力下降。

In order to clarify the association between glycemic control and stress-adjustment system in type 2 diabetes patients, perceived stress state, stress-coping related abilities, and stress-related serum hormone levels before and after calculation stress test, were measured. Diabetes patients showed significantly higher perceived stress levels and lower stress-related abilities, both of which were not associated with individual HbA1C level. Hormonal responses to stress loading showed no significant differences between patients and controls. The present results suggest that medical professionals need to concern the patients' increased stress-levels and decreased stress-coping abilities, irrespective of each patient' s glycemic control state.