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BackgroundTechnology is rapidly advancing our understanding of how people with diabetes mellitus experience stress. ObjectiveThe aim of this study was to explore the relationship between stress and sequelae of diabetes mellitus within a unique data set composed of adults enrolled in a digital diabetes management program, Livongo, in order to inform intervention and product development. MethodsParticipants included 3263 adults under age 65 who were diagnosed with diabetes mellitus and had access to Livongo through their employer between June 2015 and August 2018. Data were collected at time of enrollment and 12 months thereafter, which included demographic information, glycemic control, presence of stress, diabetes distress, diabetes empowerment, behavioral health diagnosis, and utilization of behavioral health-related medication and services. Analysis of variance and chi-square tests compared variables across groups that were based on presence of stress and behavioral health diagnosis or utilization. ResultsFifty-five percent of participants (1808/3263) reported stress at the time of at least 1 blood glucose reading. Fifty-two percent of participants (940/1808) also received at least 1 behavioral health diagnosis or intervention. Compared to their peers, participants with stress reported greater diabetes distress, lower diabetes empowerment, greater insulin use, and poorer glycemic control. Participants with stress and a behavioral health diagnosis/utilization additionally had higher body mass index and duration of illness. ConclusionsStress among people with diabetes mellitus is associated with reduced emotional and physical health. Digital products that focus on the whole person by offering both diabetes mellitus self-management tools and behavioral health skills and support can help improve disease-specific and psychosocial outcomes.

This paper takes an ethnographic journey into Italian-Australian cultural production through an examination of the Italian term for both the flavour and taste of herbs, aroma. Here, I explore the ways in which staple foods and their commensalities engender staple cultural production without necessarily overdetermining the culture produced. Taking the material indeterminacy of culture as a theoretical starting point, I argue that this is the reliable beauty of aroma as well as is its capacity to capture the realities of culture as lived experience. When culture is approached from this direction, stature is returned to ethnographic subjects as people living lives rather than as automatons of cultural form. From this vantage, a theoretical preoccupation with order and structure may be seen to hinder rather than enhance an apprehension of ethnographic fact., The generic experiences of everyday life transmuted into the aroma and taste of coffee are sipped along with it. (Seremetakis 1994a: 14) During lunch one day, Gina, (2) a Sicilian-Australian [...]

This article introduces a collection of seven papers that offer anthropological examinations of contemporary food-related practices in the Australasian-Pacific region. The collection is based on those presented in the panel 'Eat me! An anthropological examination of food' at the Australian Anthropological Society Annual Conference, La Trobe University, Melbourne, 2001. I set out the ethnographic terrain of food in processes of contemporary Australian cultural production, introduce the articles and then briefly discuss the three key themes of the collection. These are the trajectory of grand processes, such as colonialism, in the intimate movements of daily life; the reproduction of social forms via socialities relating to food and commensality; and the (sensory) manifestation and embodiment of epistemes (such as gender) in food- and consumption-related values and practices., In reality, 'the people' are too busy living. (Ghassan Hage, White Nation) From this interdependence of people arises an order sui generis, an order more compelling and stronger than the [...]

Regular physical activity (PA) has been shown to improve glycemic control in persons with type 2 diabetes. This study aimed to investigate the impact of PA on blood glucose after controlling for medication use, demographics, and week of activation using a real-world population of individuals with type 2 diabetes. A longitudinal, retrospective study was performed evaluating weekly PA of Livongo members (N = 9,509), which analyzed fasting blood glucose (FBG), step counts, and daily active minutes. Linear mixed-effect modeling technique was used to investigate within member and between member effects of input variables on average weekly FBG. Of members enrolled, 6,336 (32%) had self-reported body mass index, qualified week with diabetes medications, and FBG measures. Members' baseline average age was 49.4 (SD 10.1) years old, 43% female, and 45,496 member weeks with an average of 7.2 qualified weeks (PA observable in ≥4 days) per member. Average weekly FBG was 140.5 mg/dL (SD 39.8), and average daily step counts were 4,833 (SD 3,266). Moving from sedentary (<5,000 steps per day) to active (≥5,000 steps per day) resulted in mean weekly FBG reduction of 13 mg/dL (95% CI: −22.6 to −3.14). One additional day of ≥8,000 steps reduced mean weekly FBG by 0.47 mg/dL (95% CI: −0.77 to −0.16). Members who completed 30 min of moderate to vigorous PA above the population average reduced mean weekly FBG by 7.7 mg/dL (95% CI: −13.4 to −2.0). PA is associated with a mean weekly FBG reduction of 13 mg/dL when changing from a sedentary to active lifestyle while participating in a remote diabetes monitoring program. [ABSTRACT FROM AUTHOR]

The politics of ambiguity is about multiplicities and is inherent in the politics of representation. Political satire has always been a weapon of critique levelled at those in positions of power, unmasking the disjunctures between the current slogans or discursive strategies of political pretenders and the stark social realities of the people whose interests they apparently protect. Political satire necessarily obscures complexities, precisely those complexities which are disavowed in the dominant discourses., THE PERSISTENCE OF MEMORY AND THE RHETORIC OF IMAGES In 1753 the Academy of Dijon invited entries for an essay competition on the question 'What is the origin of inequality [...]