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Diabetes Patients with Depression More Likely to Have Poor Self-Care Behaviors

Posted by: House on 3/10/2008 at 05:37 PM

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By Disaboom Health Team

A new study reveals that diabetes patients with depression are 2.3 times less likely to perform self-care tasks that are necessary to stabilize their blood-sugar levels.  According to the study, individuals with major depression are less committed to their recommended diets, spend less time exercising, and pay less attention to their glucose self-monitoring regimens than those not suffering from depression.

A correlation was also found between moderate and minor depression and poor self-care.  A depression severity of 6 out of 10 was associated with a half-day less of weekly exercise than an a score of 1.  Those who experienced a 1 point increase in the depression symptom severity score were 10% more likely to miss one dose of prescribed medication over the prior week. 

By showing a consistent relationship between the stages of depression and non-adherence to diabetes self-care, the findings challenge prior conclusions that only major depression causes non-adherence to diabetes self-care.  In total, the study found that approximately 20% of those with type 2 diabetes suffered from major depression.  Additionally, another two-thirds of those with diabetes suffered from minor depression.

For more information see: "Depression, self-care, and medication adherence in type 2 diabetes," by Jeffrey S. Gonzalez, Ph.D., Steven A. Safren, Ph.D., Enrico Cagliero, M.D., et al, Diabetes Care, vol 30, no 9, September 2007.

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  • cherylberyl wrote on Mar 11, 2008 at 11:15 PM
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    I'm sorry, but I just have to say DUH. I'm not sure there is anyone who would disagree with me that a huge red flag as far as diagnosing depression in anyone is a decrease in self care. If you're sleeping all day and don't really go out, why shower? I've been there. If you're depressed and diabetic you're less likely to attend to it. Can someone please explain to me how that would be new news.


  • Snakedriver9 wrote on Jul 2, 2008 at 9:34 PM
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    So what about the duodenum tube? That cures Type II and depression in one big swallow.


  • freedomschild wrote on Aug 7, 2008 at 11:58 PM
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    I would be interested to know just how the DEPRESSION STAGES were arrived at. Insofar as personal care (this to include eating heathfully, personal hygiene, keeping up with self-medications, etc.), whether one is ILL with any kind of dis-ease, in-ability to pursue past pleasurable activities, academic development or just turning on the television becomes a weighty task when one's body and mind (can't separate the two) are under daily overwhelming attention dividers. The edge of Depression is always there for anyone of the human species (haven't seen any studies on our close, runner-up earlier ancestors). That word is so casually tossed around - kind of like the word, friend or love, in society's mediums. This whole country is anxious/depressed/angry/paralyzed with fear as too many watch what they have worked their lives to build, simply disappear into some cold statistic. Personally, I would like to see some really "newsworthy" information, as opposed to the easily plugged in narrative found in almost any magazine or medical journal. What is going on "inside" these laboratories and research facilities? Those struggling to survive mounting family problems, financial debts while striving to 'kick-start' their physical bodies are much further down the chain of human need that someone who is at least HEALTHY. And, frankly, I don't even know anymore how that definition is arrived at. Our hospitals/universities/churches/synagogues/meeting halls,rooms/living rooms -- on national tv or not, are flooded with the symptoms of a nation of people arriving at some loading dock---not knowing if they are leaving or arriving and what if anthing is going to be there for them. Whether you are fortunate enough to have any family or friends left after your life has been stolen, hour by hour, minute by minute, by some unknown destructive force...that may or may not be recognizable by any so-called qualified professional medical doctor, psychiatrist, social worker, psychologist, Intervention program (12 Step programs abound in every tiny populated town to the more obvious horrendous cattle-caged teeming with infectious disease prone masses of humanity-in-need). We don't have to see blood to know that there is some insidious alien drifting, by the billions, uncountable microscopic-only-knowns filtering through the air we breathe, the hands we shake, the carts we push. It can't be that bad, can it? Not in AMERICA! In more rational moments I think of the Polio outbreak and the scare it was at the time of my elementary youth. Then came the breakthrough and the Polio vaccine -- what a rush of air came streaming with relief! But what IF you had been just the week before given the diagnosis that you were struck by this unseen hostile force, and you would be paralyzed -- in part or in whole -- and you were trying to hold your self together to reconfigure your LIFE. Find some way to thread in the person you would have been, immersed in the WAY you had planned --to rise with enthusiasm everyday of your life; and, now you had taken an almost fatal hit -- but WAIT, they say they have a vaccine now! To PREVENT this shredder of life and dreams, what was, may not be again? Is everything going to be OK? No. This new miracle would STOP the advance of this malady of the human body/mind/emotional hit. YOU were already hit and there was not one thing anyone could do with IT. This was some distorted, deranged, unhinged Twilight Zone. And, so I think of those whose injury morphing into a life-drilling consumption (there's another, TB -- and it is on the rise again in America, first noted in the Boston area among those living on the street and now spreads invisibly to the weakened immune systems gradually being given to annihilation, driven by a maddening desperation: I WANT TO LIVE! Living for l8 years of absolute HELL, with no one knowing about "my wicked witch's spell", I've worked diligently through pain driven slavish disquiets -- all the while, believing I was sane (despite what the medical establishment had to say) and there was a reason for my pain. About l5 years into this blighted sight, I got the first of "nearer the target" but still not quite. Now my time has come and gone -- a LIFE of Pain all along; and held to the shame of only wanting drugs for some other prize, than just begging and pleading, STOP THE PAIN, FOR AWHILE! And I know that I am not alone -- that others have had to bear a more sinister fate. Why can't we find the answers before the clock strikes "too late?" FOCUSED ATTENTION SUPERCEDES ALL ELSE'S DETENTION. For answers I have stopped looking. The reasons are obvious and really no one is to blame -- except me, of course, always and right down the line. I mean, somebody has to bear the brunt of the fault! Somebody has to pay! Why is that somebody already paying and has been paying from the first day? For all my overwrought text, I feel that I am lucky. So many other stories had not the scraping by that mine has. Accidents happen and we move on. Towards some distant, unsteady flame that we known in our Soul, is calling our name. Where will this lead, who will be helped? Will we ignite the Earth with all our unholy ways? Just thoughts and behavior really, and both can be changed. (I mean we watch such tv channels wherein we are awakening to the existence of our persistence ----- Thank All Goodness!! ) In fact, it is there (in our mind/body connection) that this must first begin. We watch the Earth, through BILLIONS of years, cycles that struck down Life, time after time, and will likely do so again. WE are not exempt from all the "other people over there who are wrong/believe wrongly in some wrong Faith that leads them to want to more and more annihilate". This is not a WAR to be won by guns, no PEACE has ever been won by WAR...IT just doesn't work. How long will the same old tired hacks throw OUR BODIES on the tracks, then rush to save themselves and their limited deals. And since I am not the winner of this year's SPIN, not the recipient of some miraclous merciful relief that no one has yet to complete, nor even heard about, I will live one day at a time, operating with as much as my nature can now be inclined. So, too, must you and you and you. This destiny of LIFE is not over yet and I yearn not to miss anymore than what has gone before. My Heart bears little flutters while my mind gets stuck in shutters and emotional need has been dropped over the bow. Sometimes the ALONENESS of it all, can be the worst of assembled confusion of the day/night twilight. Reasoned aright, sticking to the Solitary Trail seems by far the better dimension of my tale. It is to ourselves we must be true and if that is not what we are about, then there will be what follows, the hollow cry: "Let me out!"
  • freedomschild wrote on Aug 8, 2008 at 12:11 AM
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    I sincerely hope I did not offend anyone with my comments. I am now 64 years old and more than half of that time, I've had to struggle to raise a family, work, go to school, hassel with the Medical Establishment plus assorted agencies. It was not intended to rebuff...just some steam blowing off -- not directed at anyone person(s). We are after all, spinning on this gracious blue/green sea, atoms unfreed. Be Well and Good to yourselves and those with whom your LIFE touches. We really don't need a multitude of Religions to divide our intentions. We just need to sit and listen; with all to be, those that are and those that are not, yet, FREE.
  • freedomschild wrote on Aug 8, 2008 at 12:11 AM
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    I sincerely hope I did not offend anyone with my comments. I am now 64 years old and more than half of that time, I've had to struggle to raise a family, work, go to school, hassel with the Medical Establishment plus assorted agencies. It was not intended to rebuff...just some steam blowing off -- not directed at anyone person(s). We are after all, spinning on this gracious blue/green sea, atoms unfreed. Be Well and Good to yourselves and those with whom your LIFE touches. We really don't need a multitude of Religions to divide our intentions. We just need to sit and listen; with all to be, those that are and those that are not, yet, FREE.
  • freedomschild wrote on Aug 8, 2008 at 12:11 AM
    • view profile
    • send private message
    I sincerely hope I did not offend anyone with my comments. I am now 64 years old and more than half of that time, I've had to struggle to raise a family, work, go to school, hassel with the Medical Establishment plus assorted agencies. It was not intended to rebuff...just some steam blowing off -- not directed at anyone person(s). We are after all, spinning on this gracious blue/green sea, atoms unfreed. Be Well and Good to yourselves and those with whom your LIFE touches. We really don't need a multitude of Religions to divide our intentions. We just need to sit and listen; with all to be, those that are and those that are not, yet, FREE.

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