Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes

Jorg Huber, Charles Fox, Anita Hill, T. McDonald, Bev Shields, Angus Jones

Research output: Contribution to conferenceAbstractResearchpeer-review

Abstract

Background: Previous research in young adults living with type 1 diabetes has shown that psychosocial resilience is associated with lower HbA1c, but it is possible that for type 1 patients this advantage is confounded by higher residual insulin levels in some patients, helping to make glycaemic control easier for this group of patients.
Methods: As part of a prospective study (StartRight; n=480), the CD-RISC 10-item resilience questionnaire scale was completed by 141 participants with type 1 diabetes with 2-12 months diabetes duration (mean duration=7.0 (SD 3.3) months; age 36.8 (13.6) years; males 57%). Regression analysis was carried out on those with c-peptide≥200pmol/l, a reliable indicator of a patient‘s residual insulin release.
Results: Resilience levels were high in this cohort (M=29.8; SD=7.0); the scale ranges from 0 to 40 (very low to very high resilience). In our regression model which adjusted for c- peptide and age as co-variates, stronger resilience was associated with lower HbA1c values (b=-0.53, p=0.02). The association of c-peptide with lower HbA1c values did not reach significance (b=-0.005, p=0.08), nor did age (b=0.12, p=0.10).
Conclusions: Stronger psychosocial resilience which tends to increase weakly with age is associated with better glycaemic control in adults with recently diagnosed type 1 diabetes and c-peptide levels above 200pmol/l. This finding is important in that resilience is linked to glucose control, independently of residual insulin levels, as demonstrated by our adjusted model. Follow-up data will provide further insight into the role of resilience, in relation to progressively reducing c-peptide levels, indicating reducing insulin release.
Original languageEnglish
Pages606
Number of pages1
Publication statusPublished - 21 Aug 2018
Event32nd Conference of the EHPS: Health psychology across the lifespan - University of Galway, Galway, Ireland
Duration: 21 Aug 201825 Aug 2018

Conference

Conference32nd Conference of the EHPS
CountryIreland
CityGalway
Period21/08/1825/08/18

Fingerprint

Type 1 Diabetes Mellitus
Insulin
Peptides
Young Adult
Regression Analysis
Prospective Studies
Glucose
Control Groups
Research

Bibliographical note

Presentation at EHPS, Galway 2018

Keywords

  • Diabetes
  • type 1 diabetes
  • resilience
  • C-peptide

Cite this

Huber, J., Fox, C., Hill, A., McDonald, T., Shields, B., & Jones, A. (2018). Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes. 606. Abstract from 32nd Conference of the EHPS, Galway, Ireland.
Huber, Jorg ; Fox, Charles ; Hill, Anita ; McDonald, T. ; Shields, Bev ; Jones, Angus. / Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes. Abstract from 32nd Conference of the EHPS, Galway, Ireland.1 p.
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abstract = "Background: Previous research in young adults living with type 1 diabetes has shown that psychosocial resilience is associated with lower HbA1c, but it is possible that for type 1 patients this advantage is confounded by higher residual insulin levels in some patients, helping to make glycaemic control easier for this group of patients.Methods: As part of a prospective study (StartRight; n=480), the CD-RISC 10-item resilience questionnaire scale was completed by 141 participants with type 1 diabetes with 2-12 months diabetes duration (mean duration=7.0 (SD 3.3) months; age 36.8 (13.6) years; males 57{\%}). Regression analysis was carried out on those with c-peptide≥200pmol/l, a reliable indicator of a patient‘s residual insulin release.Results: Resilience levels were high in this cohort (M=29.8; SD=7.0); the scale ranges from 0 to 40 (very low to very high resilience). In our regression model which adjusted for c- peptide and age as co-variates, stronger resilience was associated with lower HbA1c values (b=-0.53, p=0.02). The association of c-peptide with lower HbA1c values did not reach significance (b=-0.005, p=0.08), nor did age (b=0.12, p=0.10).Conclusions: Stronger psychosocial resilience which tends to increase weakly with age is associated with better glycaemic control in adults with recently diagnosed type 1 diabetes and c-peptide levels above 200pmol/l. This finding is important in that resilience is linked to glucose control, independently of residual insulin levels, as demonstrated by our adjusted model. Follow-up data will provide further insight into the role of resilience, in relation to progressively reducing c-peptide levels, indicating reducing insulin release.",
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Huber, J, Fox, C, Hill, A, McDonald, T, Shields, B & Jones, A 2018, 'Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes' 32nd Conference of the EHPS, Galway, Ireland, 21/08/18 - 25/08/18, pp. 606.

Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes. / Huber, Jorg; Fox, Charles; Hill, Anita; McDonald, T.; Shields, Bev; Jones, Angus.

2018. 606 Abstract from 32nd Conference of the EHPS, Galway, Ireland.

Research output: Contribution to conferenceAbstractResearchpeer-review

TY - CONF

T1 - Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes

AU - Huber, Jorg

AU - Fox, Charles

AU - Hill, Anita

AU - McDonald, T.

AU - Shields, Bev

AU - Jones, Angus

N1 - Presentation at EHPS, Galway 2018

PY - 2018/8/21

Y1 - 2018/8/21

N2 - Background: Previous research in young adults living with type 1 diabetes has shown that psychosocial resilience is associated with lower HbA1c, but it is possible that for type 1 patients this advantage is confounded by higher residual insulin levels in some patients, helping to make glycaemic control easier for this group of patients.Methods: As part of a prospective study (StartRight; n=480), the CD-RISC 10-item resilience questionnaire scale was completed by 141 participants with type 1 diabetes with 2-12 months diabetes duration (mean duration=7.0 (SD 3.3) months; age 36.8 (13.6) years; males 57%). Regression analysis was carried out on those with c-peptide≥200pmol/l, a reliable indicator of a patient‘s residual insulin release.Results: Resilience levels were high in this cohort (M=29.8; SD=7.0); the scale ranges from 0 to 40 (very low to very high resilience). In our regression model which adjusted for c- peptide and age as co-variates, stronger resilience was associated with lower HbA1c values (b=-0.53, p=0.02). The association of c-peptide with lower HbA1c values did not reach significance (b=-0.005, p=0.08), nor did age (b=0.12, p=0.10).Conclusions: Stronger psychosocial resilience which tends to increase weakly with age is associated with better glycaemic control in adults with recently diagnosed type 1 diabetes and c-peptide levels above 200pmol/l. This finding is important in that resilience is linked to glucose control, independently of residual insulin levels, as demonstrated by our adjusted model. Follow-up data will provide further insight into the role of resilience, in relation to progressively reducing c-peptide levels, indicating reducing insulin release.

AB - Background: Previous research in young adults living with type 1 diabetes has shown that psychosocial resilience is associated with lower HbA1c, but it is possible that for type 1 patients this advantage is confounded by higher residual insulin levels in some patients, helping to make glycaemic control easier for this group of patients.Methods: As part of a prospective study (StartRight; n=480), the CD-RISC 10-item resilience questionnaire scale was completed by 141 participants with type 1 diabetes with 2-12 months diabetes duration (mean duration=7.0 (SD 3.3) months; age 36.8 (13.6) years; males 57%). Regression analysis was carried out on those with c-peptide≥200pmol/l, a reliable indicator of a patient‘s residual insulin release.Results: Resilience levels were high in this cohort (M=29.8; SD=7.0); the scale ranges from 0 to 40 (very low to very high resilience). In our regression model which adjusted for c- peptide and age as co-variates, stronger resilience was associated with lower HbA1c values (b=-0.53, p=0.02). The association of c-peptide with lower HbA1c values did not reach significance (b=-0.005, p=0.08), nor did age (b=0.12, p=0.10).Conclusions: Stronger psychosocial resilience which tends to increase weakly with age is associated with better glycaemic control in adults with recently diagnosed type 1 diabetes and c-peptide levels above 200pmol/l. This finding is important in that resilience is linked to glucose control, independently of residual insulin levels, as demonstrated by our adjusted model. Follow-up data will provide further insight into the role of resilience, in relation to progressively reducing c-peptide levels, indicating reducing insulin release.

KW - Diabetes

KW - type 1 diabetes

KW - resilience

KW - C-peptide

UR - http://www.ehps2018.net

M3 - Abstract

SP - 606

ER -

Huber J, Fox C, Hill A, McDonald T, Shields B, Jones A. Psychosocial resilience contributes to better glycaemic control in people living with type 1 diabetes. 2018. Abstract from 32nd Conference of the EHPS, Galway, Ireland.