Publications

Authors: Trief PM, Fisher L, Sandberg J, Cibula DA, Dimmock J, Hessler DM, Forken P, Weinstock RS. Abstract Objective: To compare glycemic control and secondary outcomes of a 4-month telephonic couples behavioral intervention to individual intervention, and to education, for adults with type 2 diabetes. Research design and methods: A randomized trial with the following three arms: couples calls (CC) (n

Authors: Polonsky, WH., Hessler, D.,  Layne, JE.,  Zisser, H. Abstract Background: Few recent studies have examined the impact of continuous subcutaneous insulin infusion systems on patient-reported quality of life (QOL). We explored QOL changes resulting from treatment with the Omnipod® Insulin Management System (Insulet Corp., Billerica, MA). Methods: One thousand two hundred forty-five adults (>18 years) with type 1 diabetes and

Authors: Polonsky, WH., Henry, RR. Abstract At least 45% of patients with type 2 diabetes (T2D) fail to achieve adequate glycemic control (HbA1c <7%). One of the major contributing factors is poor medication adherence. Poor medication adherence in T2D is well documented to be very common and is associated with inadequate glycemic control; increased morbidity and mortality; and increased costs of

Authors: Polonsky, WH., Peters, AL., Hessler, D. Abstract Background: Older adults with type 1 diabetes (T1D) or insulin-using type 2 diabetes (iT2D) are at high risk for severe hypoglycemic episodes. Real-time continuous glucose monitoring (RT-CGM) in this population may reduce this risk, but when patients switch to Medicare at age 65, RT-CGM is no longer a covered benefit. We developed a

Authors: Lind M, Polonsky W, Hirsch IB, Heise T, Bolinder J, Dahlqvist S, Pehrsson NG, Moström P. Abstract Background: The majority of individuals with type 1 diabetes today have glucose levels exceeding guidelines. The primary aim of this study was to evaluate whether continuous glucose monitoring (CGM), using the Dexcom G4 stand-alone system, improves glycemic control in adults with type 1

Authors: Fisher, L., Hessler, D., Polonsky, W., Strycker, L., Masharani, U., Peters, A. Abstract Aims: To document the prevalence and 9-month incidence of elevated diabetes distress (DD) and the stability of DD over time using both single threshold and minimal clinically important differences (MCID) approaches. Methods: Adults with type 1 diabetes (T1D) (N=224) completed the 28-item T1-Diabetes Distress Scale (T1-DDS) at

Authors: Weissberg-Benchell, J., Hessler, D., Polonsky, WH., Fisher, L. Abstract Background: The psychosocial impact of the bionic pancreas (BP) was assessed among children attending diabetes camp. Methods: Nineteen children were randomly assigned for 5 days to the BP condition and 5 days to the control condition in a crossover design. Results: Significant reductions in hypoglycemic fear and regimen burden were found.

Authors: Hessler, D., Fisher, L., Polonsky, W., Johnson, N. Abstract Objective: To identify the unique areas of diabetes-related distress (DD) for parents of teens with type 1 diabetes and parent and teen characteristics associated with DD. Methods: Areas of DD were developed from structured interviews and translated into 46 survey items. Items were analyzed with exploratory factor analysis (EFA). Results: An

Authors:   Polonsky, WH., Fisher, L., Hessler, D., Johnson, N. Abstract Background: Although the widespread prevalence of diabetes-related distress (DD) in adults with type 1 diabetes (T1D) has been well established, there has been little inquiry into the experiences of their spouse/partners. Therefore the goal of this study was to investigate the prevalence and sources of DD in the spouses

Authors: Fisher, L., Hessler, DM., Polonsky, WH., Masharani, U., Peters, AL., Blumer, I., Strycher, LA. Abstract Aims: To determine the prevalence of depression and diabetes distress in adults with Type 1 diabetes and the rate of false-positives when compared with rates of major depressive disorder. Methods: The sample consisted of 368 individuals with Type 1 diabetes, aged > 19 years. Individuals