Stress

Stress in normal life is difficult to quantify or study, but the usual experience is that diabetic control deteriorates under stress. This makes sense, considering the hyperglycemic effects of 'fight or flight' hormones such as adrenaline (epinephrine) and cortisol. However, it is likely that the main problem for people under unusual stress is less hormonal than behavioral—simply neglecting their diet or eating as a stress reliever. Therapists may be most effective by reminding patients to maintain their normal diet even when experiencing emotional stress.

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