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

Health Tip: Strengthen Your Muscles

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And help avoid muscle loss as you age

Maintaining strong and healthy muscles is particularly important for seniors, who tend to lose muscle as they age.

The U.S. Centers for Disease Control and Prevention offers these muscle-strengthening suggestions:

• Engage in vigorous gardening, such as by shoveling or digging.
• Lift weights, or work out with a resistance band.
• Practice yoga.
• Opt for exercises that naturally use your body weight for resistance, such as by performing sit ups and push ups.

We Are Lost For Words!

Picture credit: The New Straits Times, January 7, 2012

HOW COME THE BOSS NEVER EAT SHARK'S FINS? 生化強國之黑心魚翅（足本）

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Chinese New Year is just a few days away. When you are roped into the inevitable restaurant crawl think about what you have just seen! :-)

Aktiviti Fizikal, Pencapaian Sekolah Mungkin Berkaitan

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Penyertaan dalam aktiviti fizikal secara positif berkaitan dengan prestasi akademik di kalangan kanak-kanak.

Suatu kajian sistematik sebelum ini mencadangkan bahawa mungkin terdapat hubungan yang positif antara aktiviti fizikal dan prestasi akademik kanak-kanak, menurut laporan dalam isu Januari Archives of Pediatrics & Adolescent Medicine, salah satu daripada jurnal JAMA / Arkib.

Amika Singh, Ph.D., Pusat Perubatan Universiti Vrije Universiteit, Institut Kesihatan dan Penyelidikan Penjagaan EMGO, Amsterdam, Belanda, dan rakan-rakan sekerja mengkaji bukti mengenai hubungan di antara aktiviti fizikal dan prestasi akademik kerana kebimbangan bahawa tekanan untuk meningkatkan skor ujian seringkali menyebabkan lebih banyak masa digunakan dalam pengajaran bagi mata pelajaran di dalam kelas berbanding masa yang kurang untuk aktiviti fizikal.

Penulis mengenal pasti 10 pemerhatian dan empat kajian intervensi untuk kajian semula. Dua belas kajian telah dijalankan di Amerika Syarikat, termasuk salah satu di Kanada dan satu di Afrika Selatan. Saiz sampel adalah dari 53 hingga kira-kira 12,000 peserta yang berumur di antara 6 tahun dan 18 tahun. Tindakan susulan yang berbeza-beza dari lapan minggu kepada lebih daripada lima tahun.

"Menurut bukti sintesis terbaik, kami mendapati bukti yang kukuh tentang hubungan yang signifikan yang positif antara aktiviti fizikal dan prestasi akademik. Penemuan salah satu kajian intervensi berkualiti tinggi dan satu kajian pemerhatian yang berkualiti tinggi mencadangkan bahawa lebih aktif secara fizikal adalah secara positif berkaitan kepada peningkatan prestasi akademik di kalangan kanak-kanak, "komen penulis.

Latar belakang maklumat dalam artikel mencadangkan bahawa senaman boleh membantu kognisi dengan meningkatkan aliran darah dan oksigen ke otak, meningkatkan tahap norepinephrine dan endorfin untuk mengurangkan tekanan dan meningkatkan mood, dan meningkatkan faktor-faktor pertumbuhan yang membantu mewujudkan sel-sel saraf baru dan menyokong keanjalan sinaptik.

Namun, "secara relatifnya sedikit kajian metodologi berkualiti tinggi yang menerokai hubungan di antara aktiviti fizikal dan pencapaian akademik," penulis membuat kesimpulan. Tiada kajian dalam sistemetik penilaian semula menggunakan ukuran yang objektif dalam aktiviti fizikal.

"Lebih banyak kajian berkualiti tinggi diperlukan ke atas dos-tindak balas hubungan antara aktiviti fizikal dan prestasi akademik dan mekanisme penerangan, dengan menggunakan alat ukuran yang boleh dipercayai dan sah untuk menilai hubungan ini dengan tepat," penulis membuat kesimpulan.

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Kisah di atas diterjemah dari Archives of Pediatrics & Adolescent Medicine keluaran 2 Januari 2012.

Artikel ini telah disiarkan dalam isu Januari Archives of Pediatrics & Adolescent Medicine: Singh A, Uijtdewilligen L, Twisk JWR, van Mechelen W, Chinapaw MJM. Physical Activity and Performance at School - A Systematic Review of the Literature Including a Methodological Quality Assessment. Arch Pediatr Adolesc Med. 2012;166(1):49-55. doi:10.1001/archpediatrics.2011.716

Super Model Photography Trick

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