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The Effects of Mental Stress on Non-insulin-dependent Diabetes: Determining the Relationship Between Catecholamine and Adrenergic Signals from Stress Anxiety and Depression on the Physiological Changes in the Pancreatic Hormone Secretion

机译:心理应激对非胰岛素依赖型糖尿病的影响:确定儿茶酚胺与肾上腺素能信号之间的关系该信号来自应激焦虑和抑郁对胰腺激素分泌的生理变化的影响

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摘要

Non-insulin-dependent diabetes or type II diabetes is prevalent around the world. A high-fat diet and chronic inactivity are often responsible for this chronic ailment. However, it is suspected that a high level of stress can also exacerbate diabetes. High anxiety can result in the release of sympathetic hormones that can elevate both cortisol and glucose levels, decrease insulin release, or affect the sensitivity and resistant of the insulin hormone. We have analyzed three research articles to see how stress and anxiety can affect non-insulin-dependent diabetes. In the first article, we selected participants with type II diabetes and injected them with saline or norepinephrine. The results indicated that participants with norepinephrine had experienced a decrease in glucose disposal and reduction in insulin secretion rate. Our second article utilizes African-American adults with type II diabetes. We provide them with a survey to determine how stress, anxiety, and depression can affect adherence to lifestyle modifications such as exercise and eating a proper diet. We find that subjects with higher stress levels tend to have lower compliance with their lifestyle regimes. Our third article focuses on female participants and divides them into two categories which are high chronic stress (HCS) and low chronic stress (LCS). We use an MRI to observe their brain activity while they stare at a picture of high-caloric type food. Our results indicate that there are different responses in various brain structure activities between subjects with HCS and LCS group. With these analyses, it can improve on the way healthcare providers can consult with their patients who have exacerbated type II diabetes despite proper medication and lifestyle modification.
机译:非胰岛素依赖型糖尿病或II型糖尿病在世界范围内很普遍。高脂饮食和长期缺乏运动通常是造成这种慢性疾病的原因。但是,怀疑高水平的压力也会加剧糖尿病。高度焦虑会导致交感神经激素释放,这会同时升高皮质醇和葡萄糖水平,降低胰岛素释放或影响胰岛素激素的敏感性和耐药性。我们分析了三篇研究文章,以了解压力和焦虑如何影响非胰岛素依赖型糖尿病。在第一篇文章中,我们选择了II型糖尿病参与者,并向他们注射生理盐水或去甲肾上腺素。结果表明去甲肾上腺素的参与者经历了葡萄糖处置的减少和胰岛素分泌率的减少。我们的第二篇文章使用了患有II型糖尿病的非洲裔美国人。我们向他们提供了一项调查,以确定压力,焦虑和抑郁如何影响坚持生活方式的改变,例如运动和饮食合理。我们发现,压力水平较高的受试者往往对其生活方式的依从性较低。我们的第三篇文章关注女性参与者,并将其分为高慢性压力(HCS)和低慢性压力(LCS)两类。当他们盯着高热量类型食物的照片时,我们使用MRI观察他们的大脑活动。我们的结果表明,HCS和LCS组的受试者在各种大脑结构活动中的反应不同。通过这些分析,可以改善医疗保健提供者与经过适当药物治疗和生活方式改变而加重了II型糖尿病的患者进行咨询的方式。

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