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    Type 1 Diabetes Puts Strain on Marriage

    By Miriam E. Tucker
    Medscape Medical News

    March 15, 2013 -- Fears about low blood sugar and future complications are major issues for married couples in which one partner has type 1 diabetes, a small study shows.

    The study, published in Diabetes Care, was done in four focus group sessions, two with 16 adults with type 1 diabetes and two with 14 of their spouses.

    The intent was to gather preliminary information to guide future research in an under-studied field, says researcher Paula M. Trief, PhD, professor of medicine at the State University of New York Upstate Medical University in Syracuse.

    "There is literature on the importance of relationships for patients with type 2 diabetes, but very little research on psychological and psychosocial issues of adult type 1 patients at all. They get a lot of attention when they’re kids, then it just drops off completely," she says.

    The findings of the study suggest that a patient’s personal relationships can affect their diabetes and that doctors should ask patients how things are going at home.

    In some cases, having the patient bring the partner to an office visit could allow the doctor to explain concepts to the partner as well, Trief says.

    Two Questions

    In the focus groups, both patients and partners were asked two broad questions, followed by free-flowing discussion:

    1. “What are the emotional and interpersonal challenges you have experienced because you have (your partner has) type 1 diabetes?”
    2. “How does the fact that you have (your partner has) type 1 diabetes affect your relationship with your partner, positively and/or negatively?”

    Partner involvement ranged from very involved and supportive to “help when asked,” in which the partner is helpful when called upon but otherwise not involved.

    Emotionally, most patients expressed positive feelings toward the level of support they received from their spouse and a sense that the condition had brought them closer together.

    However, a smaller group mentioned a negative impact from the diabetes, including problems such as increased emotional distance, sexual intimacy issues, and concerns about caring for young children in the face of the constant threat of low blood sugar, called hypoglycemia.

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