Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

VA Health Systems Research

Go to the VA ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Diabetes Distress and Glycemic Control: The Buffering Effect of Autonomy Support From Important Family Members and Friends.

Lee AA, Piette JD, Heisler M, Rosland AM. Diabetes Distress and Glycemic Control: The Buffering Effect of Autonomy Support From Important Family Members and Friends. Diabetes Care. 2018 Jun 1; 41(6):1157-1163.

Related HSR&D Project(s)

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions


OBJECTIVE: To examine whether autonomy support (defined as social support for an individual''s personal agency) for diabetes management from informal health supporters (family/friends) reduces the detrimental effects of diabetes distress on glycemic control. RESEARCH DESIGN AND METHODS: Three hundred eight veterans with type 2 diabetes and one or more risk factors for diabetes complications completed a survey that included measures of diabetes distress and perceived autonomy support from their main informal health supporter. Hemoglobin A (HbA) data from 12 months before and after the survey were extracted from electronic medical records. Linear mixed modeling examined the main effects and interaction of autonomy support and diabetes distress on repeated measures of HbA over the 12 months after the survey, controlling for mean prior 12-month HbA, time, insulin use, age, and race/ethnicity. RESULTS: Diabetes distress ( = 0.12 [SE 0.05]; = 0.023) was associated with higher and autonomy support ( = -0.16 [SE 0.07]; = 0.032) with lower subsequent HbA levels. Autonomy support moderated the relationship between diabetes distress and HbA ( = -0.13 [SE 0.06]; = 0.027). Greater diabetes distress was associated with higher HbA at low ( = 0.21 [SE 07]; = 0.002) but not high ( = 0.01 [SE 0.07]; = 0.890) levels of autonomy support. CONCLUSIONS: Autonomy support from main health supporters may contribute to better glycemic control by ameliorating the effects of diabetes distress. Interventions that reduce diabetes distress and enhance the autonomy supportiveness of informal supporters may be effective approaches to improving glycemic control.

Questions about the HSR website? Email the Web Team

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.