Depression and Its Relation to Diabetes Control and Complications in Type 2 Diabetic Patients in Police Authority Hospital | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 1, Volume 81, Issue 3, October 2020, Pages 1538-1545 PDF (658.29 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2020.115618 | ||
| Authors | ||
| Mohannad Mahmoud Mohamed* 1; Mohab Fawzy2; Fayrouz Selim1; Mohamed Sakr1 | ||
| 1Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt. | ||
| 2Department of Psychiatry, Faculty of Medicine, Zagazig University, Egypt. | ||
| Abstract | ||
| Background: Type II diabetes mellitus (DM) is a progressive chronic disease with high prevalence all over the world. Psychological complications, such as depression are common in older people with diabetes. Unlike in other chronic conditions, good diabetes management relies heavily on a patient’s self-care abilities. Although depression is common in older people with diabetes, it remains underdiagnosed and therefore often untreated Objective: To assess presence and severity of depression and its relation to diabetic control and complications in type 2 diabetic patients at police authority hospital, Cairo, Egypt. Patients and methods: The study included 322 patients recruited from the Outpatient Clinics of Police Authority Hospital-Nasr city. The studied patients were screened for the presence of depression with Hamilton depression rating scale, and then they were further classified into two groups: Group A diabetic patient without depression which included 172 patients and group B diabetic patients with depression which included 150 patients. All patients were subjected to clinical examination including Michigan Neuropathy Screening Instrument (MNSI), fundus examination and laboratory evaluation to assess diabetic control and the presence of macro and micro-vascular complications of diabetes. Results: The percentage of depression among the studied patients was 46.6%. No statistically significant difference between the patients with and without depression in the laboratory data except for levels of fasting and postprandial glucose. High statistically significant difference was detected by the MNSI regarding the severity of depression. Conclusion: depression is a common finding in patients with type II DM and the severity of the depressive symptoms were correlated to self-monitoring, diet regimen, type of anti-diabetic medications and adherence to medications. | ||
| Keywords | ||
| Depression; Diabetes mellitus; Hamilton; Michigan | ||
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