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Health Psychology

Hadiqa Asif

Roll # 14 Evening

BS (Hons) 2020-2024

Semester VI

Assignment-1

Summary of Articles on Diabetes Type-I

Mam Aasma Yousuf

August 10, 2023

Centre for Clinical Psychology

University of the Punjab
Lahore
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Article #1
Summary
Michael, C., et al., (2022) examined the acute glycemic effects of different types of

structured exercise sessions in Type 1 Diabetes in a real-world setting. For those with type 1

diabetes, maintaining glucose control before and after exercise continues to be very difficult. The

influence of activity type on glycemic management after exercise is yet unknown, however

glycemic reactions to exercise may vary depending on the type of exercise (aerobic, interval, or

resistance). The Type 1 Diabetes Exercise Initiative (T1DEXI) examined at-home exercise was a

real-world study. Six structured aerobic, interval, or weight training sessions were spread out

across four weeks for adult volunteers, who were allocated to them at random. Participants self-

reported study and non-study exercise, food intake, and insulin dosing (multiple daily injection

[MDI] users) using a custom smart phone application and provided pump (pump users), heart

rate, and continuous glucose monitoring data. The analysis included 497 type 1 diabetic people

(mean age ± SD 37±14 years; mean HbA1c ±SD 6.6±0.8% [49±8.7 mmol/mol]) who had been

allocated to organized aerobic (n = 162), interval (n = 165), or resistance (n = 170) exercise. For

aerobic, interval, and resistance training, the mean (SD) changes in blood glucose were -18±39, -

14±32, and -9±36 mg/dL, respectively (P<0.001). These results were consistent for closed-loop,

conventional pump, and MDI users. When compared to days without exercise, time in the range

of 70-180 mg/dL (3.9-10.0 mmol/L) was greater during the 24 hours following study activity

(mean ±SD 76 ± 20% vs. 70 ± 23%; P<0.001). The results showed that regardless of the insulin

administration method, adults with type 1 diabetes experienced the greatest reduction in blood

sugar levels with aerobic exercise, followed by interval and resistance training. Days with

regular exercise sessions related to clinically significant improvement in glucose time in range
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even in persons with well-controlled type 1 diabetes, while they may have slightly increased

blood.

Article #2

Summary

Troncone, A., et al., (2023) examined the possible demographic, clinical, and

psychological differences (defined as emotional and behavioral difficulties) between adolescents

with and without disordered eating behaviors (DEBs) in a sizable sample of Italian adolescents

with type 1 diabetes. The Youth Self Report (YSR) and the Diabetes Eating Problems Survey-

revised (DEPS-r) were completed by adolescents (aged 11 to 19) with type 1 diabetes.

Additionally, demographic and medical data were gathered. A total of 690 participants were

included in this study. Of 690 adolescents, 28.1% (21% boys, 35% girls) type 1 diabetic

teenagers evaluated in this study (mean age 14.97±1.81, n = 337 females) were DEPS-r positive

(score ≥ 20). Although there were no age differences in the mean DEPS-r total scores (p =.961),

girls had higher DEPS-r total scores than boys (p< .0001, d =.42). Adolescents with DEBs

showed substantially greater emotional and behavioral issues (both as internalizing and

externalizing difficulties) than those without DEBs (all p< .0001), higher zBMI (p <.0001, d

=.52), and HbA1c levels (p< .0001, d =.54) than those without DEBs. All age groups generally

corroborated these disparities. Teenagers who misused insulin had higher HbA1c values (p

=.001, d =.26), higher DEPS-r mean scores (p< .0001, d = 1.07), and more insulin resistance.

Adolescents with type 1 diabetes are more likely to have DEBs, and those who also had eating

disorders had detrimental clinical and psychological circumstances. Regular DEB and

psychological screening should be a crucial component of diabetes management, especially

throughout youth. According to this nationwide study, DEBs are common in T1D-affected
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adolescents and are associated with worse clinical outcomes as well as more emotional and

behavioral issues. Since it offers a deeper understanding of the co-occurring DEBs

(emotional/behavioral problems) in youths with T1D and emphasizes the significance of ongoing

psychological condition monitoring by a multidisciplinary team, it offers significant

contributions for those working with EDs and in the T1D field.
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References

Michael, C., et al., (2022). Prevalence of disordered eating behaviors in adolescents with type 1

diabetes: Results of multicenter Italian nationwide study. International Journal of Eating

Disorders. Department of the Woman, of the Child and of the General and Specialized

Surgery, Via L. De Crecchio 2, 80138, Naples, Italy. http://doi.org/10.1002/eat.23764.

Troncone, A., et al., (2023). Examining the Acute Glycemic Effects of Different Types of

Structured Exercise Sessions in Type 1 Diabetes in a Real-World Setting: The Type 1

Diabetes and Exercise Initiative (T1DEXI). Diabetes Care, 46(4):704–713.

http://doi.org/10.2337/d c22 -1721.