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Ohio State study links cortisol and higher blood sugar for Type 2 diabetics - Akron Beacon Journal

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A newly published study shows a connection between the stress hormone cortisol and higher blood-sugar levels in people with Type 2 diabetes.

The six-year study by Ohio State University’s Wexner Medical Center and College of Medicine was published online Monday in the journal Psychoneuroendocrinology, a monthly peer-reviewed scientific journal.

"The big takeaway here is cortisol over time really does increase glucose, and individuals with diabetes really need to integrate helpful behaviors," said Dr. Joshua Joseph, an endocrinologist and researcher at OSU Wexner’s Diabetes and Metabolism Research Center who led the study.

Type 2 diabetes is a long-term medical condition in which a person’s body doesn’t use insulin correctly, resulting in unusual blood sugar levels. Cortisol, the primary stress hormone, increases sugars in the bloodstream. Formerly called adult-onset diabetes, it is the most common diabetes.

About 26.9 million people in the U.S. have diabetes, and 90% to 95% of them have Type 2 diabetes, according to the 2020 National Diabetes Statistics Report. Unlike people with Type 1 diabetes, Type 2 diabetics often can reduce their dependence on insulin through diet and exercise.

Exercise, eating healthfully, getting plenty of sleep and managing stress are key to managing Type 2 diabetes, said Chuck Gehring, president and CEO of Lifecare Alliance.

"(Stress is) probably the hardest one to control," he said. "Stress messes up your immune system."

The study looked at the cortisol levels of more than 500 people — 337 without diabetes, 101 with prediabetes and 74 with diabetes — and it shows how important it is for type 2 diabetics to manage their stress.

"Some of the implications of this are that stress management is critical and we all have to recognize our stress signals," Joseph said.

It’s important to identify sources of stress, such as work or big events, and find out ways to manage stress.

Physical activity, maintaining healthy relationships, deep breathing exercises, reading a book, a yoga class and listening to music are all ways to reduce stress, Joseph said.

"These really are helpful habits that we all can work on building into our own lives," he said.

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