ArticleJournal of advanced nursing2015
Glucose control and fatigue in type 2 diabetes: the mediating roles of diabetes symptoms and distress.
Article in Journal of advanced nursing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 52 citations in OpenAlex.
- Health-related quality of life in racial and ethnic minority adults with type 2 diabetes: validity and responsiveness of the EQ-5D-3L.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Trial
- The role of glycemic control and symptoms and symptom clusters in breast cancer survivors with type 2 diabetes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Detailed descriptions of physical activity patterns among individuals with diabetes and prediabetes: the Lolland-Falster Health Study.BMJ open diabetes research & care · 2023Article
- Factors Associated With Diabetes Distress Among Patients With Poorly Controlled Type 2 Diabetes.Journal of the Endocrine Society · 2023Article
- A structural equation model in adults with type 1 and 2 diabetes: exploring the interplay of psychological states and diabetes outcomes, and the mediating effect of resilience.Acta diabetologica · 2022Article
- Hyperglycemia, symptoms, and symptom clusters in colorectal cancer survivors with type 2 diabetes.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Are disease-related symptoms important to predicting developing diabetes from prediabetes?Turkish journal of medical sciences · 2022Article
- Article
- Feasibility and user experience of the unguided web-based self-help app 'MyDiaMate' aimed to prevent and reduce psychological distress and fatigue in adults with diabetes.Internet interventions · 2021Article
- Subjective cognitive decline in diabetes: Associations with psychological, sleep, and diabetes-related factors.Journal of advanced nursing · 2021Article
- Fatigue, Pain, Sleep Difficulties, and Depressive Symptoms in Mexican Americans and Chinese Americans with Type 2 Diabetes.Journal of immigrant and minority health · 2020Article
- Real-Time Associations Between Glucose Levels and Fatigue in Type 2 Diabetes: Sex and Time Effects.Biological research for nursing · 2020Article
- MUSCLE MITOCHONDRIAL CAPACITY AND ENDURANCE IN ADULTS WITH TYPE 1 DIABETES.Medical research archives · 2020Article
- Impact of Diabetes on the Symptoms of Breast Cancer Survivors.Oncology nursing forum · 2019Article
- Both pre-frailty and frailty increase healthcare utilization and adverse health outcomes in patients with type 2 diabetes mellitus.Cardiovascular diabetology · 2018Article
- The association of diabetes-related self-care activities with perceived stress, anxiety, and fatigue: a cross-sectional study.Patient preference and adherence · 2018Article
- Depression in people with type 2 diabetes: current perspectives.Diabetes, metabolic syndrome and obesity : targets and therapy · 2018Review
- Article
- Symptom Experience of Older Adults With Type 2 Diabetes and Diabetes-Related Distress.Nursing researchArticle
- Importance of Glycemic Control in Cancer Patients with Diabetes: Treatment through End of Life.Asia-Pacific journal of oncology nursingReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
aimThe purpose of this study was to examine the mediating influence of diabetes health characteristics (diabetes distress, depression symptoms and diabetes symptoms) on the relationship between glucose control and fatigue in adults with type 2 diabetes.
backgroundIn patients with type 2 diabetes, fatigue is common and can affect diabetes self-management behaviours. Although long thought to result from hyperglycaemia, little evidence supports a relationship between fatigue and glucose control.
designA cross-sectional, descriptive study design was used.
methodData were combined from two studies conducted at a large urban university in the Midwestern United States, resulting in a total sample of 155 urban-dwelling adults with type 2 diabetes. Data were collected over the course of 6 days from 2013-March 2014. Fatigue and related biological and psychological phenomena were measured to perform path analyses using structural equation modelling methods. The STATA software was used to analyse the data.
findingsIn patients with A1C less than or equal to 7%, fatigue was related to diabetes distress and diabetes symptoms, but not to A1C directly or indirectly. In the group with A1C greater than 7%, fatigue was indirectly related to A1C; this relationship was mediated through diabetes symptoms, depression and diabetes distress.
conclusionOur findings suggest that fatigue is indirectly related to glucose control, but only in patients who have elevated A1C levels. In those with adequate glucose control, fatigue is mainly influenced by the presence of diabetes symptoms and distress. In both groups, the number and severity of diabetes symptoms were the strongest predictors of fatigue, regardless of blood glucose control.
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