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Depression derails diabetics' self-care


Depression derails diabetics' self-care -- Posted by Gumbo on 10-24-04 12:39


Depression derails diabetics' self-care
Sep 14 (Reuters Health) - People with diabetes who are depressed are less
likely to watch what they eat, to exercise, and to take their medications,
researchers report.


"Major depression is common among diabetes patients, affecting more than one
in eight diabetes patients," Dr. Elizabeth H. B. Lin from the Group Health
Cooperative, Seattle, Washington told Reuters Health.


"Depressed patients with diabetes are more likely to be obese, have poorly
controlled diabetes, suffer more complications such as heart disease, and
use more medical services than non-depressed patients," she said


Lin and her colleagues assessed diabetes self-care, adherence to medication,
and use of preventive services among 4463 people with type 2 diabetes
enrolled in a large health maintenance organization.


Twelve percent of the diabetic patients in this study had major depression,
the authors report in the medical journal Diabetes Care. Depression affected
more women (14 percent) than men (10 percent).


Compared with patients without depression, depressed patients ate less fruit
and vegetables and more fat, the report indicates, and depressed patients
were significantly less likely to exercise. They also showed less adherence
to their prescribed regimens, the researchers note.


In contrast, depressed and non-depressed patients did not differ in
frequency of blood glucose self-monitoring, foot checks for ulcers or
infections, or the use of diabetes monitoring and preventive services.


"Disease management of common chronic diseases, such as congestive heart
failure and diabetes, has had some success in improving clinical outcomes,"
Lin said. "But depression is a missing link in most disease management
programs."


Lin concluded that people with poor diabetes control might be helped "by
screening for major depression and treating it effectively, including
systematic follow-up."


SOURCE: Diabetes Care, September 2004.



Re: Depression derails diabetics' self-care -- Posted by MackŪ on 10-29-04 02:35


On Sun, 24 Oct 2004 15:39:18 -0400, "Gumbo" Screamed
something into the void that sounded like:

>Depression derails diabetics' self-care
>Sep 14 (Reuters Health) - People with diabetes who are depressed are less
>likely to watch what they eat, to exercise, and to take their medications,
>researchers report.
>
>


they had to research that?

any child with diabetes could have told them that.



Re: Depression derails diabetics' self-care -- Posted by daveosaurus on 10-29-04 13:49


So what's the answer? Force people to take mind altering drugs like
Prozac or go through psycho babble sessions to "improve" their
situation? That would make me depressed.



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