After controlling for age, gender and diabetes type, few differences in levels of psychological dysfunction were identified between the T1DM and T2DM cohorts. The exception to this was disinhibited eating behaviours: 22% of people with T2DM had severe levels of disinhibited eating, twice that recorded in the T1DM population. Overall, 36% (n=76) of study

participants had moderate–severe levels of depression, anxiety or both, and 9.5% (16 of 168) had scores suggestive of borderline personality disorder. Copyright © 2010 John Wiley & Sons. “
“Self-management of type 1 diabetes (T1DM) can be undermined by anxiety about life events; consequently, we introduced a counselling service for people with T1DM (using Person Centred Integrative Counselling) to address their concerns and anxieties about their condition, and BIBW2992 mw this involved a six-week http://www.selleckchem.com/products/PF-2341066.html course of

50-minute sessions with a qualified and experienced counsellor. We have evaluated the counselling service, looking for benefits for the participants. We undertook a retrospective analysis of data obtained for people referred to the service between June 2007 and June 2010, pre- and post-attendance at the course of counselling. Outcomes were HbA1c as a measure of glycaemic control, and scores from the Clinical Outcomes in Routine Evaluation (CORE) questionnaire (a measure of feelings of anxiety and risk) to assess the effectiveness of the counselling. Of 79 people referred, 62 completed the course. There was no difference between those who did or did not complete in terms of demographic data, pre-counselling HbA1c or pre-counselling CORE score. Of those who completed the course, there were reductions in HbA1c (pre-counselling [median

(range)] 9.5% [6.2, 17.8], post-counselling 9.3% [5.9, 11.4]; p=0.007) and CORE score (pre-counselling [mean ± SD] 1.60±0.71, post-counselling 0.89±0.57; p<0.001). Completion of a course of counselling sessions was associated with Tryptophan synthase improvements in glycaemic control and reduction in anxiety and risk about T1DM. This may be an effective intervention in helping patients with T1DM to self-manage their condition. Copyright © 2011 John Wiley & Sons. In type 1 diabetes, the achievement of good glycaemic control in order to reduce the risk of long-term complications is aided by people with diabetes managing their own condition well.1 Self-management of type 1 diabetes can be undermined by life events and anxiety about long-term complications,2 and there is evidence of higher rates of psychological morbidity in people with the condition.