Diabetes and depression occur together at approximately twice the rate or frequency as would be predicted by chance alone.1 In fact, the combination of diabetes and depression has shown to be a worse combination than the presence of other common medical co-morbidities including heart disease, arthritis, or asthma.2
The presence of depression in patients with diabetes has been found to lead to a lower quality of life, poorer diabetes self-care, worsened blood sugars, and an increased diabetes complication rate.3 Due to the documented worsening medical condition of these patients it is recommended that every patient with diabetes undergo screening for depression.
The diagnosis of diabetes, as shown in a meta-analysis of 11 studies involving 172,521 participants, increases the incidence of a depression diagnosis by 24% compared with people without diabetes.4
Studies have shown a relationship between diabetes and depression. Some have found that having depression increases the risk of developing diabetes while others have found that being diagnosed with diabetes first often leads to the diagnosis of diabetes. Regardless of which medical condition occurs first their simultaneous presence poses a significant danger to the patient.
The exact mechanism by which these two conditions manage to propagate each other is unknown, however there are several relating factors that appear to contribute. The diagnosis of diabetes is stressful. Patients are forced to view themselves in a different light and their day to day routines are often complicated by the requirements of diabetes management. Diabetes causes additional health complications. The presence of each additional complication may cause or worsen the symptoms of depression. Depression itself often leads to poor lifestyle choices that increase the risk of developing insulin resistance. Depression itself can also lead to improper management of diabetes. As you can see there are many hypotheses that exist surrounding the two medical conditions.
The Metabolism Clinic focuses on addressing the cause of type 2 diabetes in an effort to treat this disease process but to also limit or reduce the risk of developing other medical conditions or complications related to diabetes.
The Metabolism Clinic is established as the destination for weight loss and reversal of diabetes. Based in Charlotte, North Carolina. www.themetabolismclinic.com