Self-Stigma Linked to HbA1c in Adults With Type 1 Diabetes – Consumer Health News


WEDNESDAY Jan 25 2023 (HealthDay News) — For adults with type 1 diabetes, there is a significant association between self-stigma and hemoglobin A1c (HbA1c), according to a study published online Jan. 25 in the Journal of Diabetes Research.

Shoko Hamano, of the Asahi Life Foundation in Tokyo, and colleagues examined the correlation between self-stigma and HbA1c in Japanese people with type 1 diabetes in a cross-sectional study. Outpatients with type 1 diabetes aged 18 years and older completed questionnaires containing nine items from the Japanese version of the Self-Stigma Scale.

The final analysis excluding participants with incomplete answers and laboratory data included 109 participants. The researchers found a significant positive association between self-stigma and HbA1c after adjusting for age, gender, employment status, body mass index, duration of diabetes and insulin secretion (β = 0.05).

“We focused on this issue through clinical experience with people with type 1 diabetes, whose glycemic management was significantly improved by social support in eliminating diabetes-related stigma. While the finding of an association between self-stigma and HbA1c is significant, it is further longitudinal research is needed to determine whether self-stigma leads to suboptimal HbA1c,” a co-author said in a statement. “This study supports and emphasizes the importance of eliminating self-stigma in the management of people with type 1 diabetes. “

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