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Association between depression and glycemic control among type 2 diabetes patients in L ima, P eru
Author(s) -
CrispínTrebejo Brenda,
RoblesCuadros María Cristina,
BernabéOrtiz Antonio
Publication year - 2015
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/appy.12190
Subject(s) - glycemic , medicine , depression (economics) , confounding , glycated hemoglobin , diabetes mellitus , confidence interval , type 2 diabetes , endocrinology , economics , macroeconomics
There is limited and controversial information regarding the potential impact of depression on glycemic control. This study aims to evaluate the association between depression and poor glycemic control. In addition, the prevalence of depression and rates of poor glycemic control were determined. Methods Cross‐sectional study performed in the endocrinology unit of two hospitals of ESSALUD in P eru. The outcome of interest was poor glycemic control, evaluated by glycated hemoglobin ( HbA 1c: < 7% versus ≥ 7%), whereas the exposure of interest was depression defined as 15 or more points in the Patient Health Questionnaire‐9 tool. The association of interest was evaluated using P oisson regression models with robust standard errors reporting prevalence ratios ( PR ) and 95% confidence intervals (95% CI ) adjusting for potential confounders. Results A total of 277 participants, 184 (66.4%) males, mean age 59.0 ( SD : 4.8), and 7.1 ( SD : 6.8) years of disease were analyzed. Only 31 participants (11.2%; 95% CI : 7.5%–14.9%) had moderately severe or severe depression, whereas 70 (25.3%; 95% CI 20.3%–30.8%) had good glycemic control. Depression increased the probability of having poor glycemic control ( PR = 1.32; 95% CI 1.15–1.51) after adjusting for several potential confounders. Conclusions There is an association between depression and poor glycemic control among type 2 diabetes patients. Our results suggest that early detection of depression might be important to facilitate appropriate glycemic control and avoid further metabolic complications.