Depression in Type 1 and Type 2 Diabetes
Diabetes, like many other chronic diseases may present with comorbid depression, including anxiety, anhedonia, and sleep disorders. Depression in Type 1 and Type 2 diabetes is the focus of this video presentation.
Is depression different in diabetics?
Patients with Type 1 or Type 2 diabetes are twice as likely to develop depression—they are a high-risk group. Although the mechanism is not well elucidated, the thinking is something in the neuroendocrine system puts the patient with diabetes at risk for depression. A study revealed:
- Patients with depression are at risk to develop diabetes.
- Likewise, diabetics—possibly because of the stress reaction, and through a different pathway, are more likely to develop depression.
Key Messages about Depression Screening
- Granted, primary care physicians have a limited amount of time to spend with a patient during a visit. However, screening for depression in patients with diabetes is necessary.
- Depression can have a pervasive effect on patients living with diabetes. Depression can adversely affect motivation to exercise, glucose monitoring frequency, adherence to medications, and proper diet.
- PCPs should have a depression screening process in place (PHQ9, PHQ2) with a mechanism to offer treatment.
- Educate patients with diabetes about depression.
- Being depressed does not mean the patient is weak, crazy, or has done anything wrong. Rather, depression is a chemical imbalance in the brain.
- Medication can treat the imbalance and help patients feel better.