Type A behavior pattern and blood glucose control in diabetic children.


Journal Article

We studied the relationship between presence of Type A behavior pattern and glycemic response to stress in children with insulin dependent diabetes mellitus (IDDM). Twelve male (six Type A and six Type B) and nine female (four Type A and five Type B) insulin-dependent diabetic patients between the ages of 8 and 16 years received a standard meal and blood glucose values were assessed two hours later. All subjects then played a competitive videogame for 10 minutes following which blood glucose was assessed again. Preprandial and postprandial blood glucose values did not differ between the groups. However, only Type A subjects showed a hyperglycemic response to the videogame stress. Type A subjects also demonstrated significantly higher glycohemoglobin values. In order to assure that this effect was due to a differential response to stress and not simply a difference in metabolic response to a meal, a second study was conducted in which blood glucose values were assessed at one, two and three hours following a standard meal. No significant differences in postprandial blood glucose values were observed between Type A and Type B subjects. These data support previous research which has suggested that some but not all patients with IDDM show a hyperglycemic response to stress.

Full Text

Duke Authors

Cited Authors

  • Stabler, B; Surwit, RS; Lane, JD; Morris, MA; Litton, J; Feinglos, MN

Published Date

  • May 1987

Published In

Volume / Issue

  • 49 / 3

Start / End Page

  • 313 - 316

PubMed ID

  • 3602301

Pubmed Central ID

  • 3602301

International Standard Serial Number (ISSN)

  • 0033-3174

Digital Object Identifier (DOI)

  • 10.1097/00006842-198705000-00010


  • eng

Conference Location

  • United States