Diabetes Mellitus

Considerations of the Influence of Stress
  • Virginia L. Goetsch
  • Deborah J. Wiebe
Part of the Springer Series in Rehabilitation and Health book series (SSRH)


Diabetes mellitus is a heterogeneous disorder of carbohydrate metabolism characterized by defects in insulin secretion or action. Insulin acts by allowing glucose to enter cells, where cellular actions metabolize glucose as an energy source. Insulin also promotes glucose storage and inhibits release of glucose from storage sites. Abnormally low insulin production or action thus contributes to chronic elevations of blood glucose (BG), the primary manifestation of diabetes. If prolonged, hyperglycemia leads to costly and life-threatening complications. Recent estimates indicate that 6.6% of the U.S. population currently has diabetes and prevalence of diabetes will increase as this population ages (Helms, 1992; Kovar, Harris, & Hadden, 1987).


Glycemic Control Autonomic Neuropathy Mental Arithmetic Psychosomatic Medicine Relaxation Training 
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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Virginia L. Goetsch
    • 1
  • Deborah J. Wiebe
    • 2
  1. 1.Department of Behavioral Medicine and PsychiatryWest Virginia University Health Sciences CenterMorgantownUSA
  2. 2.Department of PsychologyUniversity of UtahSalt Lake CityUSA

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