Abstract
In behavioral models of health care, subjectively experienced symptoms play a critical role in medical help-seeking and self-treatment efforts (Pennebaker, 1982). Put most simply, this means that people tend to seek medical advice only when unpleasant or unusual symptoms occur, and typically follow medical recommendations only until their discomfort is alleviated. On a more complex level, symptoms help form the “common sense” mental representation of an illness that guides the process of health care decision making (Leventhal, Meyer, & Nerenz 1980; Nerenz & Leventhal, 1983). Although important in any illness model, symptoms play an even more significant role in the management of Type I, or insulin-dependent diabetes mellitus (IDDM). As discussed in previous chapters, the self-regulation of glucose metabolism involves a complex regimen that demands an enormous amount of decision making on the part of the patient. One of the factors that influences these self-treatment decisions is feedback concerning glucose levels, including subjectively perceived symptoms.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ameil, S.A., Tamborlane, W.V., Simonson, D.C., & Sherwin, R.S. (1987). Defective glucose counterregulation after strict glycemic control of insulin-dependent diabetes melliltus. The New England Journal of Medicine, 316, 1376–1383.
Boulton, A., Drury, L., Clarke, B., & Ward, J. (1982). Continuous subcutaenous insulin infusion in the management of painful diabetic neuropathy. Diabetes Care, 5, 386–390.
Bulpitt, C.J., Shaw, K.M., Clifton, P., & Bloom, A. (1981). The reduction in symptoms of diabetic patients after treatment in diabetic clinics. Diabetes Care, 42, 476–479.
Clarke, W.L., Carter, W.R., Moll, M., Cox, D.J., Gonder-Frederick, L.A., & Cryer, P.E. (1988). Metabolic and cutaneous events associated with hypoglycemia detected by Sleep Sentry. Diabetes Care, 11, 630–635.
Clarke, W.L., Cox, D.J., Gonder-Frederick, L.A., Carter, W., & Pohl, S.L. (1987). Evaluating the clinical accuracy of self-blood glucose monitoring systems. Diabetes Care, 10, 622–628.
Clarke, W.L., Cox, D.J., Gonder-Frederick, L.A., Carter, W., & Pohl, S.L. (1987). Evaluating the clinical accuracy of self-blood glucose monitoring systems. Diabetes Care, 10, 622–628.
Cox, D.J., Carter, W.R., Gonder-Frederick, L.A., Clarke, W., & Pohl, S. (1988). Blood glucose awareness training in IDDM patients. Biofeedback and Self- Regulation, 13, 201–217.
Cox, D.J., Clarke, W.L., Gonder-Frederick, L.A., Pohl, S., Hoover, C., Snyder, A., Zimbleman, L., Carter, W.R., Bobbitt, S., & Pennebaker, J.W. (1985). Accuracy of perceiving blood glucose in IDDM. Diabetes Care, 8, 529–536.
Cox, D.J., Gonder-Frederick, L.A., Lee, J.H., Julian, D.M., Carter, W.R., & Clarke, W.L. (1989). Blood glucose awareness training among patients with IDDM: Effects and correlates. Diabetes Care, 12, 313–318.
Cox, D.J., Gonder-Frederick, L.A., Pohl, S., & Pennebaker, J.W. (1983). Reliability of symptom-blood glucose relationships among insulin-dependent adult diabetes. Psychosomatic Medicine, 45, 357–360.
Cox, D., Herrman, J., Snyder, A., Gonder-Frederick, L., Reschke, J., & Clarke, W. (1988). Stability of reacted Chemstrip bG. Diabetes Care, 11, 288–291.
Cox, D.J., Moll, M.E., Gonder-Frederick, L.A., Savory, J., & Jones-Garrison, S. (1988). Accuracy of time-delayed Filter-paper blood glucose determination. Diabetes Care, 11, 517–518.
Freund, A., Bennett-Johnson, S., Rosenbloom, A., Alexander, B., & Hansen, C. (1986). Subjective symptoms, blood glucose estimation, and blood glucose concentrations in adolescents with diabetes. Diabetes Care, 9, 236–243.
Gonder-Frederick, L.A. & Cox, D.J. (1986). Behavioral responses to perceived hypoglycemic symptoms: A report and some suggestions. The Diabetes Educator, 12, 105–109.
Gonder-Frederick, L.A., Cox, D.J., Bobbitt, S.A., & Pennebaker, J.W. (1989). Changes in mood state associated with blood glucose fluctuations in insulin- dependent diabetes mellitus. Health Psychology, 8, 45–59.
Gonder-Frederick, L.A., Cox, D.J., Pennebaker, J.W., & Bobbitt, S.A. (1986). Blood glucose symptom beliefs in Type I diabetic adults: Accuracy and implications. Health Psychology, 3, 327–341.
Gonder-Frederick, L.A., Cox, D.J., Pohl, S.L., & Carter, W. (1984) Patient blood glucose monitoring: Use, accuracy, adherence, and impact. Behavioral Medicine Update, 6, 12–16.
Gonder-Frederick, L.A., Julian, D.M., Cox, D.J., Clarke, W.L., & Carter, W.R. (1988). Self-measurement of blood glucose: Accuracy of self-reported data and adherence to recommended regimen. Diabetes Care, 11, 579–585.
Gonder-Frederick, L.A., Julian, D.M., Cox, D.J., Clarke, W.L., & Carter, W.R. (1988). Self-measurement of blood glucose: Accuracy of self-reported data and adherence to recommended regimen. Diabetes Care, 11, 579–585.
Hoeldtke, R.D., Boden, G., Shuman, C.R., & Owen, O.R. (1982). Reduced epinephrine secretion and hypoglycemia unawareness in diabetic autonomic neuropathy. Annals of Internal Medicine, 96, 459–462.
Koschinsky, T., Dannehl, K., & Gries, F.A. (1988). New approach to technical and clinical evaluation of devices for self-monitoring of blood glucose. Diabetes Care, 11, 619–629.
Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman (Ed.). Medical Psychology Vol 2 New York: Pergamon Press.
Moses, J.L., & Bradley, C. (1985). Accuracy of subjective blood glucose estimation by patients with insulin-dependent diabetes. Biofeedback and Self-Regulation, 10, 301–314.
Nerenz, D.R., & Leventhal, H. (1983). Self-regulation theory in chronic illness. In T.G. Burish & L.A. Bradley (Eds.), Coping with chronic disease: Research and applications New York: Academic Press, pp. 13–37.
O′Connell, K.A., Hamera, E.K., Knapp, T.M., Cassmeyer, V.L., Eaks, G.A., & Fox, M.A. (1984). Symptom use and self-regulation in Type II diabetes. Advances in Nursing Science, 6, 19–28.
O′ Connell, K.A., Hamera, E.K., Schorfheide, A., & Guthrie, D. (1989). Symptom beliefs and actual blood glucose in Type II diabetes. Unpublished manuscript.
Pennebaker, J.W. (1982). The Psychology of physical symptoms New York: Springer-Verlag
Pennebaker, J.W., Cox, D.J., Gonder-Frederick, L., Wunsch, M.G., Evans, W.S., & Pohl, S. (1981). Physical symptoms related to blood glucose in insulin-dependent diabetics. Psychosomatic Medicine, 43, 489–500.
Pohl, S., Gonder-Frederick, L., Cox, D., & Evans, W. (1985) Self-measurement of blood glucose concentration: Clinical significance of patient-generated measurements. Diabetes Care, 8, 617–619.
Ryan, C.M. (1988). Neurobehavioral complications of Type I diabetes: Examination of possible risk factors. Diabetes Care, 11, 86–93.
Schiffrin, A., & Belmonte, M. (1982). Multiple daily self-glucose monitoring: Its essential role in longterm glucose control in insulin-dependent diabetic patients treated with pumps and multiple subcutaneous injections. Diabetes Care, 5, 479–484.
Swets, J.A. (1973). The relative operating characteristic in psychology. Science, 82, 990–1000.
Taylor, S.E., & Fiske, S.T. (1978) Salience, attention, and attribution: Top of the head phenomena. In L. Berkowitz (ed), Advances in experimental social psychology (Vol. II ), pp. 249–288. New York: Academic Press.
White, N., Waltman, S., Krupin, T., & Santiago, J. (1981). Reversal of neuropathic and gastrointestinal complications related to diabetes mellitus in adolescents with improved metabolic control. Journal of Pediatrics, 99, 41–45.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag New York Inc.
About this chapter
Cite this chapter
Gonder-Frederick, L.A., Cox, D.J. (1990). Symptom Perception and Blood Glucose Feedback in the Self-Treatment of IDDM. In: Holmes, C.S. (eds) Neuropsychological and Behavioral Aspects of Diabetes. Contributions to Psychology and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-3290-2_8
Download citation
DOI: https://doi.org/10.1007/978-1-4612-3290-2_8
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-97075-2
Online ISBN: 978-1-4612-3290-2
eBook Packages: Springer Book Archive