Status:

COMPLETED

Mindfulness: a Novel Approach for the Management of Diabetes-related Distress

Lead Sponsor:

University of North Carolina, Chapel Hill

Conditions:

Emotional Distress

Type 2 Diabetes

Eligibility:

All Genders

30+ years

Phase:

NA

Brief Summary

The purpose of this study is to evaluate the impact of stress reduction on physiological and psychological variables in adults with Type 2 diabetes (T2DM) who have moderate to severe levels of diabete...

Eligibility Criteria

Inclusion

  • Age \> 30 years
  • Male or female
  • Duration of diabetes 1-15 years from time of initial diagnosis
  • Diagnosis of T2DM made/confirmed by physician
  • Completed diabetes education in the past
  • Most recent HgA1c \>7%; measurement must be within the past 6 months either in physicians office or at the Thriving with Diabetes Boot Camp Class
  • Treatment for diabetes must include any or all of the following modalities:
  • diet, exercise, oral medications, insulin or other injectable diabetic medication
  • Score \> 30 on the Problem Area in Diabetes (PAID) Questionnaire
  • Able to use a glucometer for self-monitoring of blood glucose values
  • Most recent clinic blood pressure less than 180/95

Exclusion

  • History of ketoacidosis
  • Age at diagnosis of T2DM \< 30 years
  • Score \>15 on the PHQ-9
  • Previous training in relaxation or meditation techniques
  • Current practice of yoga, tai chi or any other mind-body movement for \> 60 minutes per week
  • Current use of a psychoactive drug for less than 3 months or not yet on a stable dose
  • Inability to participate fully or behave appropriately in the group treatment setting, as observed by baseline acknowledgement of substance abuse, psychotic episode(s), psychiatric hospitalization or history of self- harm within the past 2 years, or current suicidal or homicidal ideation
  • Inability to complete standardized instruments because of a cognitive deficit or language barrier
  • Current use or use within the past 3 months of oral glucocorticoids, excluding intraocular, topical or inhaled preparations
  • History of inflammatory diseases including rheumatoid arthritis and inflammatory bowel disease
  • Use of immune modulating agents
  • Night shift work or other type of schedule in which sleep wake cycle is disrupted
  • Women who consume \> 7 alcoholic drinks per week and men who consume \> 14 drinks per week
  • Current use or history of daily tobacco use within the past 1 year
  • End stage renal failure on dialysis
  • Pregnancy or post partum \<3 months
  • Subjects with known secondary causes of hypertension including renal artery stenosis, pheochromocytoma, coarctation of aorta, hyperaldosteronemia
  • Non-dominant arm circumference \> 46cm
  • Unwilling to accept randomization

Key Trial Info

Start Date :

January 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2015

Estimated Enrollment :

78 Patients enrolled

Trial Details

Trial ID

NCT01805245

Start Date

January 1 2012

End Date

December 1 2015

Last Update

April 19 2017

Active Locations (1)

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1

University of North Carolina

Chapel Hill, North Carolina, United States, 27599