Mindfulness, acceptance-based diabetes education may reduce
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Mindfulness- and acceptance-based approaches to diabetes education may lower diabetes distress and HbA1c more than usual care for adults with type 2 diabetes, according to findings published in Diabetic Medicine.

For people with type 2 diabetes, self management and fear of disease complication often cause psychological distress. Mindfulness and acceptance might be beneficial for reducing diabetes-related distress and glycemic level. Researchers systematically review the effects of mindfulness and acceptance-based interventions on diabetes distress and glycemic level in community-dwelling adults with type 2 diabetes.

Seven electronic databases were searched comprehensively. Data extraction and methodological quality assessment were independently performed by two reviewers using Grading of Recommendations, Assessment, Development and Evaluations criteria.

Results:
-- Nine RCTs (801 participants) examining the effects of acceptance and commitment therapy, mindfulness-based cognitive therapy, mindfulness-based stress reduction and self-directed mindfulness practice were included.

-- In the reviewed RCTs, the majority of participants (mean age: 50–66 years, average disease duration: 4–10 years) had suboptimal diabetes control (HbA1c more than 7.0%, 53 mmol/mol).

-- Compared with controls, the interventions significantly reduced diabetes distress and HbA1c up to 1 month post-intervention.

-- However, the underpowered studies may have led to overestimation, the interventions for diabetes distress and HbA1c were heterogeneous.

Conclusively, within evidenced-based diabetes education programmes, mindfulness and acceptance-based approaches may reduce distress and HbA1c levels and promote self care in people with type 2 diabetes. Further controlled trials are recommended to examine the clinical effectiveness of such programmes for people with type 2 diabetes of diverse clinical, cultural and socio-demographic backgrounds.

Source: https://onlinelibrary.wiley.com/doi/10.1111/dme.14525
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