SOBC (Epstein/Bickel): Mindd 1 - Prediabetes, Delay Discounting and Executive Function  /

Expected Association with Behavior - Mindd 1: Prediabetes, Delay Discounting and Executive Function (Epstein/Bickel)

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Description: The prevention of Type 2 diabetes (T2D) for someone with prediabetes requires making behavior changes to prevent future disease progression. The rational approach for someone with prediabetes would be to eat healthier, be more active, lose weight, and manage comorbidities (e.g., hypertension and dyslipidemia). The Diabetes Prevention Program and other lifestyle change programs have shown that diabetes can be prevented with sustained behavior change (Group, 2003). Many individuals with Type 2 diabetes discount the future, and make choices that maximize current pleasure and short-term gain. Not surprisingly, the majority of patients with chronic disease do not adhere to their medication regimens. Discounting of the future may cause an individual with prediabetes not to make choices needed to improve their future health. Delay discounting (DD) describes the choice of smaller immediate versus larger delayed rewards, a behavioral process related to a wide variety of health behaviors. Study researchers believe that DD also functions as a proximal marker related to self-regulation for those with prediabetes, and modifying DD may contribute to prevention of T2D.

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