Skip to main content

The Behavioral Management of Type II Diabetes Mellitus

  • Conference paper
Book cover Behavioral Epidemiology and Disease Prevention

Part of the book series: NATO ASI Series ((NSSA,volume 84))

Abstract

Diabetes mellitus is a major medical, personal, and public health problem. The United States National Commission on Diabetes estimates that five percent of Americans (more than ten million people) are affected by the condition. In the United States today, diabetes and its complications are the sixth most common cause of death. In 1974, 38,000 U.S. deaths were attributed directly to diabetes mellitus. As will be discussed later, diabetes is also a major cause of significant morbidity.

Supported by Grants R01 AM 27901 and K04 00809 from the National Institutes of Health.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abraham, S. and Johnson, C. L. Overweight adults in the United States. Vital and Health Statistics of the National Center for Health Statistics, No. 51 (1979) 11.

    Google Scholar 

  • ADA, American Diabetes Association. Policy Statement. Diabetes Care 2 (1979) 1–3.

    Google Scholar 

  • Anderson, J. W. High carbohydrate, high fiber diet for patients with diabetes. In R. A. Camerini-Davalos and B. Hanover (eds.) Treatment of early diabetes. New York: Plenum Press, 1979.

    Google Scholar 

  • Andrew, G. M. and Parker, J. O. Factors related to dropout of post myocardial infarction patients from exercise programs. Medicine and Science in Sports 11 (1979) 376–378.

    PubMed  CAS  Google Scholar 

  • Archer, J. A., Gorden, P., and Roth, J. Defect in insulin binding to receptors in obese man: Amelioration with calorie restriction. Journal of Clinical Investigation 55 (1975) 166–174.

    Article  PubMed  CAS  Google Scholar 

  • Atkins, C. J. et al. Behavioral programs for exercise compliance in chronic obstructive pulmonary disease, 1983. (Unpublished paper).

    Google Scholar 

  • Atkins, C. J., Kaplan, R. M., Timms, R. M., Reinsch, S., and Lofback, K. Behavioral exercise programs in the management of chronic obstructive pulmonary disease. Journal of Consulting and Clinical Psychology 52 (1984) 591–603.

    Article  PubMed  CAS  Google Scholar 

  • Bagdade, J. D., Bierman, E. L., and Porte, D. Diabetic lipemia—A form of acquired fat-induced limpemia. New England Journal of Medicine 276 (1967) 427–433.

    Article  PubMed  CAS  Google Scholar 

  • Ball, M. F., El-Khodary, A. Z., and Canary, J. J. Growth hormone response in the thinned obese. Journal of Clinical Endocrinology and Metabolism 34 (1972) 498–511.

    Article  PubMed  CAS  Google Scholar 

  • Barrett-Conner, E. The prevalence of diabetes mellitus in an adult community as determined by history or fasting hyperglycemia. American Journal of Epidemiology 111 (1980) 705–712.

    Google Scholar 

  • Barrett-Conner, E., Criqui, M. H., Klauber, M. R., and Holdbrook, M. Diabetes hypertension in a community of older adults. American Journal of Epidemiology 113 (1981) 276–284.

    Google Scholar 

  • Barrett-Conner, E., Witzum, J., Thompson, J. K., Jarvie, G. J., Lahey, B. B., and Cureton, K. J. Exercise and obesity: Etiology, physiology, and intervention. Psychological Bulletin 91 (1981) 1, 55–79.

    Google Scholar 

  • Bennett, P. H. The epidemiology of diabetes mellitus. In B. N. Brodoff and S. J. Bleicher (eds.) Diabetes mellitus and obesity. Baltimore: Williams and Wil-kins, 1982. Pp. 387–399.

    Google Scholar 

  • Bogardus, C., Ravussin, E., Robbins, D. C., Wolfe, R. R., Horton, E. S., and Sims, E. Effects of training and diet therapy on carbohydrate metabolism in patients with glucose intolerance and non-insulin-dependent diabetes mellitus. Diabetes 33 (1984) 311–318.

    Article  PubMed  CAS  Google Scholar 

  • Bonar, J. R. Diabetes: A clinical guide. Flushing, NY: Medical Examination Publishing Company, Inc., 1977.

    Google Scholar 

  • Brownell, K. D. Obesity: Understanding and treating a serious, prevalent, and refractory disorder. Journal of Consulting and Clinical Psychology 50 (1982) 820–840.

    Article  PubMed  CAS  Google Scholar 

  • Brunzell, J. D. and Bierman, E. L. Improved glucose tolerance with high carbohydrate feeding in mild diabetics. New England Journal of Medicine 284 (1971) 521–524.

    Article  PubMed  CAS  Google Scholar 

  • Cahill, G. F. The physiology of insulin in man. Diabetes 20 (1971) 785–799.

    PubMed  CAS  Google Scholar 

  • Campbell, D. R., Bender, C., Bennett, M., and Donnelly, J. Obesity. In J. L. Shelton and R. L. Levy (eds.) Behavioral Assignment and Treatment Compliance. Champaign, II.: Research Press, 1971.

    Google Scholar 

  • Charney, E. et al. Childhood antecedents of adult obesity: Do chubby infants become obese adults? New England Journal of Medicine 295 (1976) 6–10.

    Article  PubMed  CAS  Google Scholar 

  • Chazan, B. I., Balodimos, M. C., Ruan, J. R., and Marble, A. 20–5 to 40–5 years of diabetes with and without vascular complications. Diabetologia 6 (1970) 565–569.

    Article  PubMed  CAS  Google Scholar 

  • Christiansen, J. S. Cigarette smoking and prevelance of microangiopathy in juvenile-onset insulin-dependent diabetes mellitus. Diabetes Care 1 (1978) 146–149.

    Article  PubMed  CAS  Google Scholar 

  • Cornfield, J. The University Group Diabetes Program. A further statistical analysis of the mortality findings. Journal of the American Medical Association 217 (1971) 1677–1687.

    Article  Google Scholar 

  • Cox, D. J., Taylor, A. G., Nowacek, G., Holley-Wilcox, P. et al. The relationship between psychological stress and insulin dependent diabetic blood glucose control: Health Psychology 3 (1984) 63–75.

    Article  PubMed  CAS  Google Scholar 

  • Crapo, P. A. Dietary modifications in the management of diabetes. In M. Brownlee (ed.) Handbook of Diabetes Mellitus, Vol. 5. New York: Garland Press, 1981.

    Google Scholar 

  • Crapo, P. A., Reaven, G., and Olefsky, J. Plasma, glucose, and insulin response to orally administered simple and complex carbohydrates. Diabetes 25 (1976) 741–747.

    Article  PubMed  CAS  Google Scholar 

  • Dahlkoetter, J., Callahan, E. J. and Linton, J. Obesity and the unbalanced energy equation: Exercise versus eating habit change. Journal of Consulting and Clinical Psychology 47, (1979) 5, 898–905.

    Article  PubMed  CAS  Google Scholar 

  • Danowski, T. S. Emotional stress as a cause of diabetes mellitus. Diabetes 12 (1963) 183–184.

    PubMed  CAS  Google Scholar 

  • Dash, A. L. and Becker, D. Diabetes mellitus in the child. In H. M. Ketzen and R. J. Mahler (eds.) Diabetes, Obesity, and Vascular Disease, Vol. 2. New York: Wiley, 1978.

    Google Scholar 

  • Davidson, M. B. Diabetes mellitus diagnosis and treatment, Vol. 1. New York: Wiley, 1981.

    Google Scholar 

  • Davidson, M. B. The case for control and diabetes mellitus. Western Journal of Medicine 129 (1978) 193–200.

    PubMed  CAS  Google Scholar 

  • Davidson, J. K., Vander Zwagg, R., Cox, C. L. et al. The Memphis and Atlanta continuing care programs for diabetes. II Comparative analysis of demographic characteristics, treatment methods, and outcomes over a 9–10-year follow-up period. Diabetes Care 7 (1984) 25–31.

    Article  PubMed  CAS  Google Scholar 

  • Deckert, T. and Larsen, M. The prognosis of insulin dependent diabetes mellitus and the importance of supervision. In R. A. Camerini-Davalos and B. Hanover (eds.) Treatment of Early Diabetes: Advances in Experimental Medicine and Biology, Vol. 119. New York: Plenum Press, 1979.

    Google Scholar 

  • Dubbert, P. M., Martin, J. E., Raczynski, J. and Smith, P. O. The effects of cognitive-behavioral strategies in the maintenance of exercise. Presented at the Third Annual Meeting of the Society of Behavioral Medicine, Chicago, 1982.

    Google Scholar 

  • Dupree, E. A. and Meyer, M. B. Role of risk factors and complications of diabetes mellitus. American Journal of Epidemiology 112 (1980) 100–112.

    PubMed  CAS  Google Scholar 

  • Eaton, R. P. Lipids and diabetes: The case for macrovascular disease. Diabetes Care 2 (1979) 46–50.

    PubMed  CAS  Google Scholar 

  • Engerbreston, D. L. The effects of exercise upon diabetic control. Journal of the Association of Physicians in Mental Rehabilitation 19 (1965) 74–78.

    Google Scholar 

  • Engerman, R., Bloodworth, J. W. B., and Nelson, S. Relationship of microvascular disease in diabetes to metabolic control. Diabetes 26 (1977) 760–769.

    Article  PubMed  CAS  Google Scholar 

  • Falko, J. M., O’Dorisio, D. M., and Cataland, S. Improvement of high-density lipoprotein-cholesterol levels: Ambulatory Type I diabetics treated with the subcutaneous insulin pump. Journal of the American Medical Association 247 (1982) 37–39.

    Article  PubMed  CAS  Google Scholar 

  • Farrant, P. C., Neville, R. W. J., and Stewart, G. A. Insulin release in response to oral glucose in obesity: The effect of reduction of body weight. Diabetologia 5 (1969) 198–200.

    Article  PubMed  CAS  Google Scholar 

  • Feinstein, A. R. Clinical Biostatistics, VIII: An analytical appraisal of the University Group Diabetes Program (UGDP) study. Clinical Pharmacology 12 (1971) 167–191.

    CAS  Google Scholar 

  • Feldman, R., Crawford, D., Elashoff, R., and Glass, A. Oral hypoglycemia during the prophylaxis in asymptomatic diabetes. In proceedings of the Ninth Congress of the International Diabetes Federation. Exerpta Medica (1974) 574–587.

    Google Scholar 

  • Ferguson, J. Learning to eat: Behavior modification for weight control. Palo Alto, Calif.: Bull Publishing Co., 1975.

    Google Scholar 

  • Ferguson, J. M. and Birchler, G. Therapeutic packages: Tools for change. In W. S. Agras (ed.) Behavior Modification: Principles and Clinical Applications, 2nd Ed. Boston: Little Brown, 1978.

    Google Scholar 

  • Ferster, C. B., Nurenberger, J. I., and Levitt, E. D. The control of eating. Journal of Methetics 1 (1962) 87–109.

    Google Scholar 

  • Fisher, E. B., Delamater, A. M., Bertelson, A. D., and Kirkley, B. G. Psychological factors in diabetes and its treatment. Journal of Consulting and Clinical Psychology 50 (1982) 993–1003.

    Article  PubMed  Google Scholar 

  • Foreyt, J. P., Goodrick, G. K., and Gotto, A. M. Limitations of behavioral treatment of obesity: Review and analysis. Journal of Behavioral Medicine 4 (1981) 159–174.

    Article  PubMed  CAS  Google Scholar 

  • Foster, D. W. Editorial statement. Diabetes 31 (1982) (supplement 5) ii.

    Google Scholar 

  • Ganda, O. P. Pathogenesis of macrovascular disease in the human diabetic. Diabetes 29 (1980) 931–942.

    PubMed  CAS  Google Scholar 

  • Gardner, L. I., Stern, M. P., Haffner, S. M. et al. Prevalence of diabetes in Mexican Americans. Relationship to percent of gene pool derived from native American sources. Diabetes 33 (1984) 86–92.

    Article  PubMed  Google Scholar 

  • Genuth, S. Plasma insulin and glucose profiles in normal, obese, and diabetic persons. Annals of Internal Medicine 79 (1973) 812–822.

    PubMed  CAS  Google Scholar 

  • Glasgow, R. E. and McCaul, K. D. Psychological issues in diabetes: A different approach. Diabetes Care 5 (1982) 645–646.

    PubMed  CAS  Google Scholar 

  • Gorsuch, A. et al. Can future Type I diabetes be predicted? A study in families of affected children. Diabetes 31 (1982) 862–866.

    Article  PubMed  CAS  Google Scholar 

  • Grant, I., Kyle, G. C., Teichman, A., and Mendels, J. Recent life of and diabetes in adults. Psychosomatic Medicine 36 (1974) 121–128.

    PubMed  CAS  Google Scholar 

  • Gray, R. S., Duncan, L. J. P., and Clarke, B. F. Seasonal onset of insulin dependent diabetes in relation to sex and age at onset. Diabetologia 17 (1979) 29–32.

    Article  PubMed  CAS  Google Scholar 

  • Holland, D. M. The diabetes supplement of the national health survey. Journal of the American Dietetic Association 52 (1968) 387–390.

    PubMed  CAS  Google Scholar 

  • Ireland, J. T., Thomson, W. S. T., and Williamson, J. Diabetes today: A handbook for the clinical team. New York: Springer, 1980.

    Google Scholar 

  • Jenkins, D. J. Dietary fiber, diabetes, and hyperlipidemia. Lancet 2 (1979) 1287–1289.

    Article  PubMed  CAS  Google Scholar 

  • Jenkins, D. J. A. Lent carbohydrate: A newer approach to the dietary management of diabetes. Diabetes Care 5 (1982) 634–641.

    Article  PubMed  CAS  Google Scholar 

  • Kannel, W. B. and McGee, D. L. Diabetes and glucose tolerance as risk factors for cardiovascular disease: Framingham study. Diabetes Care 2 (1979) 120–126.

    Article  PubMed  CAS  Google Scholar 

  • Keen, H., Jarrett, R. J., and Fuller, J. H. Tolbutamide and arterial disease in borderline diabetics. In proceedings of the Ninth Congress of the International Diabetes Federation. Exerpta Medica (1974) 588–602.

    Google Scholar 

  • Kilo, C., Miller, J., and Williamson, J. R. The crux of the UGDP: Spurious results and biologically inappropriate data analysis. Diabetologia 18 (1980) 179–185.

    Article  PubMed  CAS  Google Scholar 

  • Kimball, C. P. Emotional and psychosocial aspects of diabetes mellitus. Medical Clinics North America 55 (1971) 1007–1081.

    CAS  Google Scholar 

  • Kolterman, O. G., Revers, R. R., and Fink, R. I. Assessment of receptor and pos-treceptor defects in target tissue insulin action. In R. De Pirro and R. Lauro (eds.) Handbook of Receptor Research. Field Educational Italia Acta Medica, 1985.

    Google Scholar 

  • Krall, L. P. J osiin Diabetes Manual, 11th ed. Philadelphia: Lea and Febiger, 1975.

    Google Scholar 

  • Kriesberg, R. A., Boshell, B. R., Di Placido, J., and Roddam, R. F. Insulin secretion in obesity. New England Journal of Medicine 276 (1967) 314–319.

    Article  Google Scholar 

  • Lipman, R. L. et al. Glucose intolerance during decreased physical activity in man. Diabetes 21 (1972) 101–107.

    PubMed  CAS  Google Scholar 

  • Madsbad, S. et al. Influence of smoking on insulin requirement and metabolic status in diabetes mellitus. Diabetes Care 3 (1980) 250–252.

    Article  Google Scholar 

  • Mahoney, M. and Mahoney, K. Permanent weight control. New York: W. W. Norton, 1976.

    Google Scholar 

  • Martin, J. E. Exercise management: Saving and maintaining physical fitness. Behavioral Medicine Advances 4 (1981).

    Google Scholar 

  • Martin, J. E. The behavioral management of exercise and fitness. Presented at the meeting of the Society of Behavioral Medicine, Chicago, 1982.

    Google Scholar 

  • Martin, J. E. and Dubbert, P. M. Exercise applications and promotion in behavioral medicine: Current status and future directions. Journal of Consulting and Clinical Psychology 50 (1982) 1004–1017.

    Article  PubMed  CAS  Google Scholar 

  • Martin, J. E. et al. The effects of feedback, reinforcement, and goal selection on exercise adherence. Presented at the 15th Annual Convention of the Association for the Advancement of Behavior Therapy, Toronto, 1981.

    Google Scholar 

  • McNair, P. et al. Bone loss in patients with diabetes mellitus: Effects of smoking. Mineral and Electrolyte Metabolism 3 (1980) 94–97.

    Google Scholar 

  • Meinert, C. L. et al. A study of the effects of hypoglycemia agents on vascular complications in patients with adult-onset diabetes. Diabetes 19 (1970) (supplement), 789–830.

    PubMed  Google Scholar 

  • Most, R. S. and Sinnock, P. The epidemiology of lower extremity amputations in diabetic individuals. Diabetes Care 6 (1983) 87–91.

    Article  PubMed  CAS  Google Scholar 

  • National Academy of Sciences. Toward healthful diets. Food and Nutrition Board, Division of Biological Sciences, Assembly of Life Sciences, National Research Council of the National Academy of Sciences. Washington, D.C., 1980.

    Google Scholar 

  • National Diabetes Data Group. Classification and diagnosis of diabetes mellitus and other categories of glucose intolerance. Diabetes 28 (1979) 1039–1057.

    Google Scholar 

  • Newburgh, L. H. and Conn, J. W. A new interpretation of hyperglycemia in obese, middle-aged persons. Journal of the American Medical Association 112 (1979) 7–11.

    Article  Google Scholar 

  • Oldridge, N. B. Compliance of post myocardial infarction patients to exercise programs. Medicine and Science in Sports 11 (1979) 373–375.

    PubMed  CAS  Google Scholar 

  • Olefsky, J. M. The insulin receptor: Its role in insulin resistance of obesity and diabetes. Diabetes 25 (1976) 1154–1164.

    PubMed  CAS  Google Scholar 

  • Owerbach, D. and Nerup, J. Restriction fragment length polymorphism of the insulin gene in diabetes mellitus. Diabetes 31 (1982) 275–277.

    Article  PubMed  CAS  Google Scholar 

  • Paasikivi, J. and Wahlberg, F. Preventive tolbutamide treatment and arterial disease in mild hyperglycaemia. Diabetologia 7 (1971) 323–327.

    Article  PubMed  CAS  Google Scholar 

  • Pfeiffer, E. F. Obesity, islet function and diabetes mellitus. Norm., Metab. Research Supplement 4 (1974) 143–152.

    Google Scholar 

  • Pirart, J. Diabetes mellitus and its degenerative complications: A prospective study of 4,400 patients observed between 1947 and 1973. Diabetes Care 1 (1978) 168–188.

    Google Scholar 

  • Platt, W. G. and Sudovar, S. G. The social and economic costs of diabetes: An estimate of 1979. Ames Division, Miles Laboratories, 1979.

    Google Scholar 

  • Pollack, M. L. et al. Effects of frequency and duration of training on attrition and incidence of injury. Medicine and Science in Sports, 1 (1977) 31–36.

    Google Scholar 

  • Rainwater, N., Ayllon, T., Frederiksen, L. W., Moore, E. J., and Bonar, J. R. Teaching self-management skills to increase diet compliance in diabetics. In R. B. Stuart (ed.) Adherence Compliance and Generalization in Behavioral Medicine. New York: Brunner/Mazel, 1983.

    Google Scholar 

  • Raskin, S. W., Boyko, E., Wilson, A., and Streja, D. A. A randomized clinical trial comparing behavior modification and individual counseling in nutritional therapy of non-insulin-dependent diabetes mellitus: Comparison of the effect on blood sugar, body weight, and serum lipids. Diabetes Care 6 (1983) 50–56.

    Article  Google Scholar 

  • Ravelli, G., Stein, Z. A., and Susser, M. W. Obesity in young men after famine exposure in utero and early infancy. New England Journal of Medicine (1976) 295–349.

    Google Scholar 

  • Report of the National Committee on Diabetes to the Congress of the United States, Vol. 3. Department of Health, Education, and Welfare, Washington, D.C., 1975.

    Google Scholar 

  • Rodin, J. Somatopsychics and Attribution. Personality and Social Psychology Bulletin 4 (1978) 4, 531–540.

    Article  Google Scholar 

  • Ross, H., Bernstein, G. and Rifkin, H. Relationship of diabetes mellitus to long-term complications. In M. Ellenberg and H. Rifkin (eds.) Diabetes Mellitus Theory and Practice (3rd ed.) New Hyde Park: Medical Examination Publishing Co., 1983. Pp. 907–926.

    Google Scholar 

  • Rotwein, P. et al. Insulin gene polymorphism and diabetes. Diabetes 31 (1982) 185a.

    Article  Google Scholar 

  • Ruderman, N. B., Ganda, O. P., and Johansen, K. The effect of physical training on glucose tolerance and plasma lipids in maturity onset diabetes. Diabetes 28 (1979) (supplement 1) 89–92.

    PubMed  Google Scholar 

  • Sacket, D. L. and Haynes, R. B. Compliance with therapeutic regimens. Baltimore: Johns Hopkins University Press, 1976.

    Google Scholar 

  • Saltin, B. et al. Physical training and glucose tolerance in middle-aged men with chemical diabetes. Diabetes 28 (1979) (supplement 1) 30–32.

    PubMed  Google Scholar 

  • Saltin, B. et al. Physical training and glucose tolerance in middle-aged men with chemical diabetes. Diabetes 23 (1979) 30.

    Google Scholar 

  • Sarason, I. G. and Sarason, B. R. Abnormal Psychology, 3rd Ed. Englewood Cliffs, N.J.: Prentice Hall, 1980.

    Google Scholar 

  • Sartor, G. et al. Ten-year follow-up of subjects with impaired glucose tolerance. Prevention of diabetes by tolbutamide and diet regulation. Diabetes 29 (1980) 41–49.

    Article  PubMed  CAS  Google Scholar 

  • Schor, S. The University Group Diabetes Program. A statistician looks at the mortality rate. Journal of the American Medical Association 217 (1971) 1671–1675.

    Article  PubMed  CAS  Google Scholar 

  • Sherwin, R. S. and Koivisto, V. Keeping in step: Does exercise benefit the diabetic? Diabetologia 20 (1981) 84–86.

    Article  PubMed  CAS  Google Scholar 

  • Skyler, J. S. Psychological issues in diabetes. Diabetes Care 4 (1982) 656–657.

    Google Scholar 

  • Skyler, J. S. Diabetes and exercise: Clinical implications. Diabetes Care 2 (1979) 307–311.

    PubMed  CAS  Google Scholar 

  • Skyler, J. S. Nutritional management of diabetes mellitus. In H. M. Katzen and R. J. Mahler (eds.) Diabetes, Obesity, and Vascular Disease, Vol. 2. New York: Wiley, 1978.

    Google Scholar 

  • Smoking and Health: A Report of the Surgeon General. Washington, D.C.: U.S. Department of Health, Education, and Welfare, 1979.

    Google Scholar 

  • Stamler, R. and Stamler, J. A symtomatic hyperglycemia and coronary heart disease. Journal of Chronic Disease 32 (1979) 683–691.

    Article  Google Scholar 

  • Steno Study Group. Effect of six months of strict metabolic control and eye and kidney function in insulin-dependent diabetics with background retinopathy. Lancet (1982) 121–123.

    Google Scholar 

  • Stiller, C. R., Dupré, J., Gent, M. et al. Effects of cyclosporine immunosuppression in insulin-dependent diabetes of recent onset. Science 223 (1984) 1362–1366.

    Article  PubMed  CAS  Google Scholar 

  • Stuart, R. B. A three dimensional program for treatment of obesity. Behavior Research and Therapy 9 (1971) 177–186.

    Article  CAS  Google Scholar 

  • Stunkard, A. J. Behavioral medicine and beyond: The example of obesity. In O. F. Pomerleau and J. P. Brady (eds.) Behavioral Medicine: Theory and Practice. Baltimore: Williams and Wilkins, 1979.

    Google Scholar 

  • Surwit, R. S. and Feinglos, M. N. Relaxation-induced improvement in glucose tolerance is associated with decreased plasma Cortisol. Diabetes Care 7 (1984) 203.

    PubMed  CAS  Google Scholar 

  • Surwit, R. S. and Feinglos, M. N. The effects of relaxation on glucose tolerance in non-insulin-dependent diabetes. Diabetes Care 6 (1983a) 176–179.

    Article  PubMed  CAS  Google Scholar 

  • Surwit, R. S. and Feinglos, M. N. Diabetes and behavior a paradigm for health psychology. American Psychologist 38 (1983) 255–262.

    Article  PubMed  CAS  Google Scholar 

  • Takazakura, E. et al. Onset and progression of diabetic glomerulosclerosis. A perspective study based on serial renal biopsies. Diabetes 124 (1975) 1–9.

    Article  Google Scholar 

  • Tchobroutsky, G. Metabolic control and diabetic complications. In M. Brownlee (ed.) Handbook of Diabetes Mellitus, Vol. 5. New York: Garland Press, 1981.

    Google Scholar 

  • Teraslinna, P., Partanen, T., Koskela, A., and Oja, P. Characteristics effecting willingness of executives to participate in an activity program aimed at coronary heart disease prevention. Journal of Sports Medicine and Physical Fitness 9 (1969) 224–229.

    PubMed  CAS  Google Scholar 

  • Thorn, G. W. Alterations in body weight. In E. Wintrobe (ed.) Harrison’s Principles of Internal Medicine. New York: McGraw-Hill, 1970.

    Google Scholar 

  • Treuting, T. F. The role of emotional factors in the etiology and course of diabetes mellitus: A review of the recent literature. American Journal of Medical Science 244 (1962) 93–109.

    Article  CAS  Google Scholar 

  • University Group Diabetes Program: Affects of hypoglycemic agents on vascular complications in patients with adult-onset diabetes. VIII: Evaluation of insulin therapy: Final report, Diabetes 31 (1982) (supplement 5).

    Google Scholar 

  • University Group Diabetes Program: A study of the effects of hypoglycemic agents on vascular complications in patients with adult-onset diabetes. Diabetes 19 (1970) (supplement 2) 747–830.

    Google Scholar 

  • Vranic, M. and Berger, M. Exercise and diabetes mellitus. Diabetes 28 (1979) 147–167.

    PubMed  CAS  Google Scholar 

  • Vranic, M., Horvath, S., and Wahren, J. (eds.) Proceedings on a conference on diabetes and exercise. Diabetes (1979) (supplement 1) 1–113.

    Google Scholar 

  • Weltman, A., Matter, S., and Stanford, B. Caloric restriction and/or mild exercise: Effects on serum lipids and body composition. The American Journal of Clinical Nutrition 10 (1980) 1002–1009.

    Google Scholar 

  • West, K. M. Epidemiology of diabetes and its vascular lesions. New York: Elsevier, 1978.

    Google Scholar 

  • West, K. M. Diabetes in American Indians and other native populations in the new world. Diabetes 23 (1974) 841–847.

    PubMed  CAS  Google Scholar 

  • West, K. M., Erdreich, L. S., and Stober, K. A. Absence of a relationship between smoking and diabetic microangiopathy. Diabetes Care 3 (1980) 250–252.

    Article  PubMed  CAS  Google Scholar 

  • Wolpe, J. Behavior therapy versus psychoanalysis. American Psychologist 36 (1981) 159–164.

    Article  PubMed  CAS  Google Scholar 

  • Yalow, R. S. and Berson, S. A. Assay of plasma insulin in human subjects by immunological methods. Nature. London. 184 (1959) 1648–1649.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1985 Plenum Press, New York

About this paper

Cite this paper

Kaplan, R.M., Atkins, C.J. (1985). The Behavioral Management of Type II Diabetes Mellitus. In: Kaplan, R.M., Criqui, M.H. (eds) Behavioral Epidemiology and Disease Prevention. NATO ASI Series, vol 84. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-7929-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-7929-4_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-7931-7

  • Online ISBN: 978-1-4684-7929-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics