Diabetes

6th October 20196th October 2019Immo Weichert

CBT based counselling significantly reduces their uptake of primary and secondary care services in patients with chronic medical conditions

A study that was published in 2005. [1] Frequent attenders and patients with diabetes, hypertension and asthma were invited to take part in the study and received eight 90-minute small-group counselling sessions, conducted by trained counsellors. The counselling followed a cognitive behavioural therapy (CBT) approach, with the aim of developing personal responsibility. Psychological outcomes were…

1st October 20191st October 2019Immo Weichert

Suicide risk in patients with diabetes

This is a systematic review from 2017. [1] 54 studies were included. Meta-analysis showed that diabetes significantly increases the risk of suicide (RR = 1.56; 95%CI 1.29-1.89; P < 0.001). Subgroup analysis showed that the RR of suicide associated with type 1 diabetes was 2.25 (95%CI 1.50-3.38; P < 0.001). The pooled incidence rate of…

1st October 20191st October 2019Immo Weichert

Poor metabolic control in children and adolescents with type 1 Diabetes mellitus and psychiatric comorbidity

This is a Danish study based on registry results. [1] Among 4,725 children and adolescents with type 1 diabetes identified, 1,035 were diagnosed with at least one psychiatric disorder. High average HbA1c levels during the first 2 years after diagnosis predicted higher risk of psychiatric diagnoses. Patients with psychiatric comorbidity had higher HbA1c levels (0.22%…

1st October 20191st October 2019Immo Weichert

Prevalence of depression in patients with Diabetes mellitus

This is a meta-analysis that was published in 2001. [1] A total of 42 eligible studies were identified; 20 (48%) included a nondiabetic comparison group. In the controlled studies, the odds of depression in the diabetic group were twice that of the nondiabetic comparison group (OR 5 2.0, 95% CI 1.8 –2.2) and did not…