{
  "abstract": "Objective\n\nExamine the associations between demographic, behavioral, and psychosocial characteristics and fasting blood glucose among adults with type 2 diabetes (T2D) at a regional diabetes clinic in the Dominican Republic (DR).Methods\n\nThis cross-sectional study enrolled 65 adults with T2D who received care from a non-profit regional diabetes clinic in the DR. Participants completed interviewer-administered questionnaires to assess sleep quality, perceived stress, diet quality, health-related quality-of-life, and physical activity (PA). Fasting blood glucose was measured using capillary testing by a clinic nurse. A complete-case network analysis was conducted to examine conditional associations among study variables.Results\n\nOnly 15 participants (23%) had fasting blood glucose within the 80-130 mg•dL⁻¹ target range for people with T2D, with significantly higher levels among men (243 ± 93 vs. 170 ± 64 mg•dL⁻¹, p<0.001). Participants reported poor sleep quality (98%), moderate-to-high stress (97%), and low consumption of fruits and vegetables. Although 95% of participants met or exceeded recommended PA volume, activity was primarily from occupational and household tasks performed at light-to-moderate intensity. PA was the most connected variable within the network, and was inversely related to fasting blood glucose.Conclusions\n\nIn this resource-constrained DR clinic sample, poor fasting blood glucose coexisted with substantial sleep, stress, and diet deficiencies, despite substantial low-to-moderate-intensity PA. The network findings support diabetes self-management interventions to improve physical activity, sleep hygiene, stress reduction, and diet education, to improve glycemic control in low- and middle-income countries. Future prospective network analyses may identify context-specific behavioral targets for improving glycemic control in similar populations.",
  "abstract_shown": true,
  "affiliations": [
    "Interdisciplinary Health Sciences, New York Institute of Technology, Old Westbury, NY, United States.",
    "Health and Nutrition Sciences, Brooklyn College, New York, NY, United States.",
    "Centro Regional Contra la Diabetes, Nagua, Dominican Republic.",
    "Human Performance and Nutrition Research, Oklahoma State University, Stillwater, OK, United States."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Amerigo Rossi"
    },
    {
      "affs": [
        1
      ],
      "name": "Mónica O Rossi"
    },
    {
      "affs": [
        2
      ],
      "name": "Aurelina C Jiménez"
    },
    {
      "affs": [
        3
      ],
      "name": "Ali Boolani"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/ff75hxr22kfjc.bib",
  "cited_by": 0,
  "doi": "10.3389/fcdhc.2026.1978637",
  "fulltext_url": "https://europepmc.org/articles/PMC13683109",
  "id": "ff75hxr22kfjc",
  "issns": [
    "2673-6616"
  ],
  "landing_url": "https://europepmc.org/article/MED/42908733",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2712|Diabetes Management and Education"
    ]
  ],
  "openalex": "W7220841725",
  "pdf_url": "https://europepmc.org/articles/PMC13683109?pdf=render",
  "pmcid": "PMC13683109",
  "pmid": "42908733",
  "published": "2026-10-07",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/ff75hxr22kfjc.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:53Z",
      "native_id": "MED:42908733",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42908733"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Education",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Behavioral and psychosocial correlates of fasting blood glucose in a resource-constrained diabetes clinic in the Dominican Republic: an exploratory network analysis.",
  "title_text": "Behavioral and psychosocial correlates of fasting blood glucose in a resource-constrained diabetes clinic in the Dominican Republic: an exploratory network analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:53Z",
  "url": "https://research.draconitic.com/paper/ff75hxr22kfjc",
  "venue": "Frontiers in clinical diabetes and healthcare",
  "versions": []
}