13- Stress and Diabetes Flashcards Preview

Psychology > 13- Stress and Diabetes > Flashcards

Flashcards in 13- Stress and Diabetes Deck (29):
1

What is diabetes ?

a metabolic disorder caused by a defect in insulin secretion or action resulting in chronic hyperglycemia

2

What organ is usually in dysfunction in diabetes?

the pancreas

3

what cells usually release insulin ?

beta cells of pancreas

4

what is diabetes type I characterized by (what kind of dysfunction)

destruction of beta cells in pancreas, therefore production of insulin is hindered

5

what is needed for survival in diabetes type I ?

insulin injection

6

what age does type I diabetes occur in ?

adolescence

7

what types of diabetes are called insulin dependent or non insulin dependent

insulin dependent : type I
non insulin dependent: type II

8

what kind of dysfunction happens in type II diabetes ?

pancreas fails to produce sufficient insulin levels for high blood glucose level

9

what kind of two treatments are needed in type II diabetes ?

lifestyle management and insulin support

10

can DMII become insulin dependent ?

yes

11

what effect does SNS have on insulin ?

liver releases glucose into bloodstream and secretion of insulin is decreased in pancreas

12

what is the relationship of cortisol and diabetes ?

cortisol increases blood glucose levels
cortisol causes a blocking effect which means glucose cannot be taken up even with normal or elevated insulin levels

13

what 4 hormones increase in diabetes with stress ?

cortisol, epinephrine, ach, glucagon

14

what hormones decreases in diabetes with stress ?

insulin

15

what family history concordance is there for diabetes type I

50%

16

what family concordance is there for diabetes type II

100%

17

how does environmental stress indirectly affect metabolic control of diabetes type II?

by interfering with diet and treatment compliance

18

what is the connection between type II diabetes and obesity ?

they are twin epidemics

19

what kind of correlation is there between the western diet and type II diabetes development ?

linear

20

what is the western diet ? (4)

red meat
refined carbs
sweets
full fat dairy products

21

what kind of fat is more harmful to fat-induced insulin insensitivity?

saturated

22

how can type II diabetes affect burnout risk ?

there is a 1.84 fold increase of risk of burnout

23

what population is at greater risk of developing type II diabetes ? why? (2 reasons)

african american women

healthier food is more expensive + stress due to lack of resources

24

what is the conservation of resources theory

individuals with less resources may experience more stress in the face of loss because they have less resources to fall back on

25

what factor impacts diabetes management due to social stigma ?

obesity
seen as being under the person's control, and therefore leads to daily stress and feelings of helplessness. leads to cycle of depression and bad lifestyle choices

26

what did the study with Pima Indians and white ppl doing the math task find ?

Pima= genetic predisposition to diabetes

10 min mental task induced increase in blood glucose levels in Pima Indians but not white counterparts

both groups showed similar neuroendocrine and cardiovascular responses

27

what mental illness is often a co-morbidity with diabetes ?

depression

28

how can depression affect weight leading to diabetes, and how can it then make diabetes worse ?

psychotropic medication leads to weight gain in predisposed individuals leading to type II diabetes development

depression also causes abnormal HPA axis functioning leading to glucose dysregulation

THEN, also associated with poorer diabetes related outcomes

29

what variable does 5 sessions of stress management have an impact on in diabetes ?

after 1 year, associated with small (0.5%) reduction in glycated hemoglobin test, which measures glucose levels in blood. this is a significant reduction in risk of microvascular complications