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.
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Meal Planning in Type 1 and Type 2 Diabetes
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