Bodily Pain, Poor Physical Functioning, and Poor Glycemic Control in Adults With Diabetes

  1. Cathy Sinnott, RN, MA1,
  2. Mary A.M. Rogers, PHD1,
  3. David Lehmann, MD, PHARMD1 and
  4. Ruth S. Weinstock, MD, PHD12
  1. 1Department of Medicine, SUNY Upstate Medical University, Syracuse, New York
  2. 2Department of Veterans Affairs Medical Center, Syracuse, New York
  1. Address correspondence to Ruth S. Weinstock, MD, PhD, SUNY Upstate Medical University, 750 East Adams St. (CWB 353), Syracuse, NY 13210. E-mail: weinstor{at}upstate.edu

In the January issue of Diabetes Care, Krein et al. (1) reported that the presence of chronic pain was associated with poor diabetes self-management. Their study was performed in a primarily male veteran population, and glycemic control was not addressed. We examined psychosocial factors associated with poor glycemic control in a largely female population followed in an urban, underserved, primary care medical clinic and found that the presence of pain and poor physical functioning were associated with poor glycemic control.

Medical records of adults with diabetes (n = 236, 76% female, mean age 62 years) were reviewed. Mean HbA1c was 8.1%, and 52.5% had HbA1c …

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