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115618

Depression and Its Relation to Diabetes Control and Complications in Type 2 Diabetic Patients in Police Authority Hospital

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Last updated: 03 Jan 2025

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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.

DOI

10.21608/ejhm.2020.115618

Keywords

depression, Diabetes mellitus, Hamilton, Michigan

Authors

First Name

Mohannad Mahmoud

Last Name

Mohamed

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.

Email

drmohaned@hotmail.com

City

-

Orcid

-

First Name

Mohab

Last Name

Fawzy

MiddleName

-

Affiliation

Department of Psychiatry, Faculty of Medicine, Zagazig University, Egypt.

Email

-

City

-

Orcid

-

First Name

Fayrouz

Last Name

Selim

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Sakr

MiddleName

-

Affiliation

Department of Internal Medicine, Faculty of Medicine, Zagazig University, Egypt.

Email

-

City

-

Orcid

-

Volume

81

Article Issue

3

Related Issue

17515

Issue Date

2020-10-01

Receive Date

2020-09-27

Publish Date

2020-10-01

Page Start

1,538

Page End

1,545

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 3_Pages 1538-1545.pdf

PDF . 674.1kB

Link

https://ejhm.journals.ekb.eg/article_115618.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=115618

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Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Depression and Its Relation to Diabetes Control and Complications in Type 2 Diabetic Patients in Police Authority Hospital

Details

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Article

Created At

22 Jan 2023