Sintomatologia depresiva y control metabólico en pacientes ambulatorios portadores de diabetes mellitus tipo 2

Abstract

Sintomatología depresiva y control metabólico en pacientes ambulatorios portadores de diabetes mellitus tipo 2 MARÍA JOSÉ VALENZUELA 1 , BÁRBARA MÜNZENMAYER 2 , TOMÁS OSORIO 2 , MARCELO ARANCIBIA 3,4,5 , EVA MADRID 3,4,5,a Association between depressive symptoms and metabolic control in patients with type 2 diabetes mellitus: a cross-sectional study Background: Patients with diabetes mellitus show a higher risk of developing depressive symptoms when compared to healthy people, hampering the management and prognosis of both diseases. However, national studies on the topic are scarce. Aim: To study the frequency and severity of depressive symptoms in patients with type 2 diabetes. Material and Methods: Beck Depression Inventory-IA and Morisky Green Levine scale were administered to diabetic patients under control at a primary care center. Pharmacological compliance was evaluated using glycosylated hemoglobin levels obtained from their clinical records. Results: We included 323 patients aged 64 ± 12 years (49% women). The frequency of depressive symptoms was 34.7%. Compared with their counterparts without depressive symptoms, patients with depression showed higher glycosylated hemoglobin levels (7.2 ± 1.7 and 6.7 ± 1.3% respectively), a higher frequency of non-compliance with treatment (63 and 43% respectively) and a higher frequency of metabolic decompensation (38 and 23% respectively). Depressive symptomatology was more common among women. Conclusions: Patients with type 2 diabetes mellitus and depressive symptoms exhibit a poorer treatment compliance and worse metabolic control as compared to their non-depressive counterparts.

Changes in Cognitive Function and in the Levels of Glycosylated Haemoglobin (HbA1c) in Older Women with Type 2 Diabetes Mellitus Subjected to a Cardiorespiratory Exercise Programme

“…DM2 has been shown to increase the risk of cognitive impairment [9] and depression [10]; it has also been proven to reduce pharmacological adherence and increase metabolic decompensation [11]. Likewise, DM2 patients present greater cognitive impairment, with prevalence of psychiatric disorders [12].…”

Fatores Relacionados Aos Sintomas Depressivos Em Pessoas Idosas Com Diabetes Mellitus

“…Em face deste contexto, os idosos frequentemente vivenciam processos de adoecimento psíquico, sendo observada a presença de sintomas depressivos, que além de estarem associados à fragilidade, devem ser um alerta para o surgimento da depressão [7][8] . A depressão se refere a um transtorno mental incapacitante que modifica o cotidiano do indivíduo e tem seus efeitos potencializados pela existência de outra doença base, no caso, o diabetes [7][8] .…”

“…A depressão pode ocasionar um grande sofrimento, afetando a qualidade de vida e a independência da pessoa, sobretudo, entre os idosos, em virtude da frequente percepção insatisfatória da saúde, do alto risco de quedas e da fragilidade, o que aumenta o risco de hospitalizações e morte [7][8][9] .…”

Factors Related to Depressive Symptoms in Older Adults With Diabetes Mellitus

“…In view of this context, older adults often experience mental illness processes with presence of depressive symptoms, which, in addition to being associated with frailty, should be an alert for the emergence of depression [7][8] . Depression refers to a disabling mental disorder that alters a person's everyday life and has its effects potentiated by the presence of another underlying disease, diabetes in this case [7][8] .…”

“…It can cause significant distress, affecting the person's quality of life and independence, especially among older adults, due to a frequent unsatisfactory health perception and to the high risk of falls and frailty, which increases the hospitalizations and death risks [7][8][9] .…”