Saturday, January 21, 2012

Diabetes and Depression

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Treating Diabetes, Depression Together May Make Sense

If you have diabetes, you have an increased risk of developing depression. And if you have depression, you have a greater chance of developing type 2 diabetes.

Depression contributes to poor adherence to diabetes medication regimens, which can lead to poorer diabetes management.

The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive outcome on the other.

A recent 12-week study of 180 patients found that nearly 61 percent of those who received integrated care combined with a brief program to help them adhere to their medication regimens achieved improved blood sugar test results, and almost 59 percent had a reduction in depression symptoms.

Among patients who received usual primary care for the two conditions, nearly 36 percent had improved blood sugar test results and about 31 percent had a reduction in depression symptoms, said the researchers at the Perelman School of Medicine at the University of Pennsylvania.

In the integrated treatment group, care managers worked with participants to increase their adherence to both diabetes and depression medications, addressing barriers such as medicine costs and lack of social support.

"Our results demonstrate that integrated treatment for both conditions, combined with a brief program focused on adherence for primary care patients with type 2 diabetes and depression can result in a significant improvement in clinical outcomes. We hope the findings will encourage the adoption of adherence programs aimed at improving outcomes," study lead author Dr. Hillary Bogner, an assistant professor of Family Medicine and Community Health in the Perelman School of Medicine, said in a university news release.

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The above story is reprinted from the January 9, 2012 news release by the University of Pennsylvania.

The article appears in the January/February issue of the journal Annals of Family Medicine: Bogner HR, et al "Integrated management of type 2 diabetes mellitus and depression treatment to improve medication adherence: A randomized controlled trial" Ann Fam Med 2012; 10: 15-22.

Read the complete paper HERE.

Click HERE for the Power Point Presentation

See earlier posts from The Zestzfulness Team on the importance of Exercise and Omega-3 in both diabetes and depression.

Regular Exercise Keeps Diabetes, Depression and Other Diseases at Bay In addition, a growing body of evidence suggests that increasing physical activity can also reduce risk of certain types of cancers, osteoporosis, type 2 diabetes, depression, obesity and hypertension (5,9,13). Rhodes et al. (14) note that regular physical exercise is presently ... (19) found that walking or cycling for at least an hour a day was associated with a 16% reduction in overall cancer incidence. For specific cancer sites the evidence is mixed. For colon cancer in ...

Omega-3 may Reduce Depression Earlier research suggested that the compounds might play a role in reducing the level of cytokines in the body, compounds that promote inflammation, and perhaps even reduce depression. Psychological stress has ...

How Exercise Makes Everything Better "Exercise can delay or prevent stroke, memory loss, depression, coronary artery disease, type 2 diabetes, arthritis, osteoporosis and vascular disease and can help with balance," Deoskar said. “It supports what the body needs and takes ... Zestfulness says: If you can't find time to get to the gym or are too afraid of snatch thieves and stray dogs to take the morning walk, get an elliptical trainer (also known as a cross-trainer). The benefits of using an elliptical trainer are ...

CLICK HERE for an audio presentation on diabetes and depression by the American Diabetes Association

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