Mindfulness-based stress reduction is associated with improved glycemic control in type 2 diabetes mellitus: a pilot study

Altern Ther Health Med. Sep-Oct 2007;13(5):36-8.

Abstract

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.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / prevention & control
  • Depression / prevention & control
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / psychology
  • Diabetes Mellitus, Type 2 / therapy*
  • Female
  • Glycated Hemoglobin A / metabolism*
  • Humans
  • Male
  • Meditation*
  • Middle Aged
  • Mind-Body Relations, Metaphysical*
  • Pilot Projects
  • Prospective Studies
  • Stress, Psychological / complications
  • Stress, Psychological / psychology
  • Stress, Psychological / therapy*
  • Treatment Outcome

Substances

  • Glycated Hemoglobin A