For people with T1D, depression significantly increases dementia risk. Given the pervasiveness of depression in T1D, this has major implications for successful aging in this population recently living to old age (Aging & Mental Health)
Diabetes News
Category: Psychological
Excess Burden of Mental Illness and Hospitalization in Young-Onset Type 2 Diabetes: A Population-Based Cohort Study
Adults with YOD have excess hospitalizations across their lifespan compared with persons with usual-onset T2D, including an unexpectedly large burden of mental illness in young adulthood. Efforts to prevent YOD and intensify cardiometabolic risk factor control while focusing on mental health are urgently needed (Annals of Internal Medicine)
Excess mortality in Finnish diabetic subjects due to alcohol, accidents and suicide: a nationwide study
The findings from this large nationwide cohort indicate higher mortality attributable to suicide, alcohol-related causes and accidents among diabetic patients than among the non-diabetic population. The results emphasize the importance of effective psychosocial interventions among high-risk diabetic patients (EJE)
Psychosocial benefits of insulin pump therapy in children with diabetes type 1 and their families: The pumpkin multicenter randomized controlled trial
CSII has substantial psychosocial benefits. PROs demonstrate these benefits (Pediatric Diabetes)
Expectations and fear of diabetes-related long-term complications in people with type 2 diabetes at primary care level
Prevalence of diabetes-related long-term complications was overestimated in people with diabetes type 2. Approximately one third of the participants showed even great fear. Patient expectation and fear about diabetes-associated complications did not correspondent with data on clinical reality (Acta Diabetologica)
Diabetes Fatigue Syndrome
The authors share clinical pearls which can help the diabetes healthcare provider diagnose DFS, identify its etiologic factors and manage the syndrome (Diabetes Therapy)
Handling Insulin-Related Emotions
This article discusses a simplified, yet comprehensive approach to handle complex varieties of emotions related to insulin injections prescribed to patients with diabetes (Diabetes Therapy)
Sex differences in the association of psychological status with measures of physical activity and sedentary behaviour in adults with type 2 diabetes
Lower self-efficacy and higher symptoms of depression were closely associated with increased sedentary time in women, but not in men, with T2D. It is possible that individualized behavioural interventions designed to reduce depressive symptoms and to improve diabetes self-efficacy would ultimately reduce sedentary behaviours, particularly in women with T2D (Acta Diabetologica)
Diabetes-Related Distress Assessment among Type 2 Diabetes Patients
Despite observing a low prevalence of DRD compared to other studies, we found significant correlations between DRD scores and HabA1c, triglyceride levels, BMI, T2D duration, and interval between visits (Journal of Diabetes Research)
Depressive symptoms and glycemic control in youth with type 2 diabetes participating in the TODAY clinical trial
Clinically significant depressive symptoms emerged in 8% of the TODAY cohort who did not report clinically significant symptoms of depression upon entry into the study. These findings lend support to ADA recommendations to assess for depressive symptoms at regular intervals throughout the course of treatment and to refer for management of these symptoms as appropriate (Diabetes Research and Clinical Practice)
Reduction of depressive symptoms predicts improved glycaemic control: Secondary results from the DIAMOS study
The findings suggest that reduction of depressive symptoms can explain improved glycaemic control. Behavioural treatments might aim to improve both affective and glycaemic outcomes (Journal of Diabetes and Its Complications)
Self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes
The present findings suggest that self-compassion may be a parsimonious and suitable intervention target. Future interventions and consultations with medical professionals may benefit from fostering self-compassion in adults with diabetes mellitus (Diabetic Medicine)
Impact of A National Collaborative Care Initiative for Patients With Depression and Diabetes or Cardiovascular Disease
COMPASS was successfully spread across diverse care systems and demonstrated improved outcomes for complex patients with previously uncontrolled chronic disease. Future large-scale implementation projects should create robust processes to identify and reduce expected variation in implementation to consistently provide improved care (Journal of Lifelong Learning in Psychiatry)
Assessing Psychological Insulin Resistance in Type 2 Diabetes: a Critical Comparison of Measures
This paper provides guidance on the selection of questionnaires for clinical or research purpose and the development of new, or improvement of existing, questionnaires (Current Diabetes Reports)
Psychological and behavioural patterns of stigma among patients with type 2 diabetes: a cross-sectional study
The psychological and behavioural pattern of group D was found to be associated with higher levels of self-stigma and poorer patient activation for self-care (BMJ Open)
Psychosocial Care for People With Diabetes
A Position Statement of the American Diabetes Association
Diabetes Distress in Males and Females with Type 1 Diabetes in Adolescence and Emerging Adulthood
Our findings show that patients with T1D have greater burden of diabetes distress in emerging adulthood than in adolescence and add to evidence suggesting the importance of addressing diabetes distress in clinical care and the necessity of wider picture beyond the physical manifestation of diabetes to be taken into consideration (Journal of Diabetes and Its Complications)
The Influence of Health Literacy and Depression on Diabetes Self-Management: A Cross-Sectional Study
The finding that depressed mood predicted both low health literacy and low diabetes self-management stresses the importance of screening for depression. Increasing people’s understanding of diabetes self-management and supporting those with depression are crucial to enhance participation in diabetes self-management (Journal of Diabetes Research)
HbA1c levels as a function of emotional regulation and emotional intelligence in patients with type 2 diabetes
These data suggest that aspects of emotional regulation and emotional intelligence play a role in glycemic control in adult patients with T2 diabetes and do so even in the context of several variables relevant to diabetes (Primary Care Diabetes)
Type 2 Diabetes: Model of Factors Associated with Glycemic Control
Diabetes-related distress was found to be associated with glycemic control in people with type 2 diabetes, whereas age, depression, anxiety, self-management and family and social support may affect glycemic control indirectly through diabetes-related distress. Thus, it is important to assess and, if appropriate, treat people with diabetes for diabetes-related distress in order to identify and help them overcome barriers to optimal glycemic control (Canadian Journal of Diabetes)
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