Press release

Survey: Holidays Place Extra Stress on People Managing Type 2 Diabetes

December 14, 2021 | Arlington, Virginia

American Heart Association® and American Diabetes Association® reveal results of Know Diabetes by Heart survey and share practical tips for staying on track with health goals through the holiday season

Nearly half (49%) of people living with type 2 diabetes said managing their condition during a typical fall and winter holiday season is more difficult than other times of the year, according to a new survey for the American Heart Association and American Diabetes Association. 

The online survey of  more than 1,000 U.S. adults 45 and older completed by real-time market research platform Thrivable for the associations’ joint Know Diabetes by Heart™ initiative found staying on track with health goals was the top holiday season concern among respondents (28%), followed by finances (15%) and safe gathering due to COVID-19 (14%).

Managing diabetes year-round is critical for preventing serious complications like heart disease, stroke and chronic kidney disease, which are leading—and largely preventable—causes of disability and death for people living with diabetes.

Regarding nutrition, nearly three-quarters (73%) of respondents reported having a lot or complete control over their dietary choices during a normal week, compared to just over half (52%) during a holiday week, such as Christmas.

“The holidays provide challenges to staying heart healthy for many people, but especially for those managing conditions closely tied to daily nutrition, like type 2 diabetes,” said Robert Eckel, M.D., FAHA, immediate past president of medicine and science for the American Diabetes Association, past president of the American Heart Association and an endocrinologist at the University of Colorado School of Medicine. “Even if you don’t have diabetes yourself, it’s important to create healthy environments for our friends and family members who do.”

Know Diabetes by Heart Ambassadors, who share their experiences living with type 2 diabetes to help others, offer their tried-and-true tips for keeping health goals on track through the holidays. 

Take control of the kitchen
“I do some of the cooking for holiday meals so I know there will be something good for me to eat,” said Lupe Barraza of Plano, Texas.

Prepare before your next holiday event
“If I go to a party, I bring something I know I can eat or make sure the host knows my needs and has something for me,” said Jane DeMeis of Fairport, New York. “If I go somewhere where I have not shared my health concerns and don’t want to for some reason, I simply say I am on a diet.” 

Sarah Bryant of Elgin, South Carolina, said her strategy is to eat before she goes to a party. “If I’m full, it lessens my chances of eating things that are bad for me.”

Travel smart
“To reduce stress and stay on track when traveling, I bring along snacks and food that will keep my body happy and my health goals in check,” said Annette Lartigue of Trenton, New Jersey. “Otherwise, I will over or under eat what is available and inevitably lose my ability to manage my type 2 diabetes.”

Bryant recommends preparing yourself ahead of time for things you can’t control while traveling and looking for a silver lining. “When I’m in a long line at the airport I’ll put on my noise cancelling headphones and listen to music or podcasts I enjoy.” 

Create new healthy traditions
“Our family has adopted a rule that we only prepare individual portions of dessert,” Lartigue said. “It helps everyone eat less and feel better.”

Anthony Wilson of Virginia Beach, Virginia, said exercise is on his family’s menu. “We always make time to exercise after dinner. Even if it’s a short walk, anything is better than nothing.” 

Make your home a safe zone
“If it's not supposed to go in my mouth, it's not coming in my house,” Lartigue said. “My will power does not need to be challenged at home.”

Find additional tips, recipes and information about managing the link between type 2 diabetes, heart disease and stroke at

Survey Methodology
The Know Diabetes by Heart national survey was conducted by Thrivable among 1,079 U.S. adults ages 45+ living with type 2 diabetes between Oct. 21 and Nov. 1, 2021, using an online survey of Thrivable’s proprietary Health Panel Database. All contiguous U.S. States were represented. Know Diabetes by Heart used the Thrivable research platform to glean insights from people living with diabetes for use as comparative data and to pose additional questions related to managing health, especially during the holidays. For detailed survey results, contact

Versión en español: Encuesta: Las festividades estresan más a las personas que controlan la diabetes tipo 2

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About the American Diabetes Association
The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to bend the curve on the diabetes epidemic and help people living with diabetes thrive. For 81 years the ADA has driven discovery and research to treat, manage, and prevent diabetes while working relentlessly for a cure. Through advocacy, program development, and education we aim to improve the quality of life for the nearly 122 million Americans living with diabetes or prediabetes. Diabetes has brought us together. What we do next will make us Connected for Life. To learn more or to get involved, visit us at or call 1-800-DIABETES (1-800-342-2383). Join the fight with us on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), Twitter (@AmDiabetesAssn) and Instagram (@AmDiabetesAssn). 

About Know Diabetes by Heart
The American Heart Association and the American Diabetes Association launched the collaborative landmark initiative called Know Diabetes by Heart™ to comprehensively combat the national public health impact of type 2 diabetes and cardiovascular disease. Through Know Diabetes by Heart™, the leading nonprofit associations, with founding sponsor Novo Nordisk and national sponsors Sanofi and AstraZeneca, are focused on positively empowering people living with type 2 diabetes to better manage their risk for cardiovascular disease such as, heart attacks, strokes and heart failure, and supporting health care providers in educating and treating people living with type 2 diabetes to reduce their cardiovascular risk. Visit for resources.

About the American Heart Association®
The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for nearly a century. Connect with us on, Facebook, Twitter or by calling 1-800-AHA-USA1.

For Media Inquiries:
American Heart Association – Jayme Sandberg: 214-706-2169;
American Diabetes Association – Daisy Diaz: 703-253-4807;

For Public Inquiries:
1-800-AHA-USA1 (242-8721) and
1-800-DIABETES (1-800-342-2383) or (emails to: