ArticleJournal of Korean gerontological nursing2026
Associations of psychological insulin resistance, diabetes-related stress, and intention to use complementary and alternative diets with self-management among older adults with type 2 diabetes: A cross-sectional study.
Article in Journal of Korean gerontological nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study investigated the associations of psychological insulin resistance (PIR), diabetes- related stress, and intention to use complementary and alternative diets (CAD) with self-management in older adults with type 2 diabetes.
methodsA cross-sectional study was conducted with 180 adults aged ≥65 with type 2 diabetes at a primary clinic in Korea. Data were collected using structured questionnaires between March and June, 2024. SPSS was used for descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation, and multiple regression analysis.
resultsThe average age of participants was 73.79±5.59 years. PIR (mean, 57.54±8.81), diabetes-related stress (mean, 41.62±7.65), intention to use CAD (mean, 3.56±1.32), and self-management (mean, 38.11±5.98) were measured. The PIR was positively correlated with self-management (r=.31, p<.001), whereas diabetes-related stress was negatively correlated with self-management (r=-.24, p<.001). PIR (β=.47, p<.001) and diabetes-related stress (β=-.41, p<.001) were significant predictors of self-management (R2=24.6%).
conclusionPIR positively correlated with self-management and was the most influential factor, suggesting that resistance to insulin treatment may paradoxically motivate individuals to engage in better self-management behaviors. Intention to use CAD was weakly positively correlated with PIR, indicating that individuals with higher insulin resistance may explore alternative dietary options. Diabetes-related stress negatively affects self-management, highlighting the importance of stress management for improving diabetes self-management. These findings highlight the significance of psychological factors in the development of tailored self-management education programs for older adults with type 2 diabetes.
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