Diabetes complications and comorbidities: Mental health

Diabetes distress is more common than depression in adolescents with diabetes and is significantly associated with less frequent blood glucose monitoring and higher glycated hemoglobin levels, study findings indicate.

Shared medical appointments may help adolescents with type 1 diabetes to reduce family conflict and improve their depressive symptoms, show data presented at the 79th ADA Scientific Sessions in San Francisco, California, USA.

People with type 1 diabetes who have depressive symptoms may have an increased risk for diabetic ketoacidosis as well as deteriorating glycemic control, research suggests.

A patient-specific cognitive behavioral therapy and lifestyle counseling intervention can significantly improve psychological outcomes in type 2 diabetes patients with depression and/or regimen-related distress, say researchers.

Findings from the Cog-ID study suggest that undiagnosed cognitive impairment is associated with depressive symptoms and poor quality of life among older patients with type 2 diabetes.

Over a third of time spent in hospital before the age of 40 years by patients who develop type 2 diabetes by this age is due to mental illness, report researchers.

Peer support substantially reduces the number of hospitalizations and acute care visits in patients with type 2 diabetes and comorbid depression, shows a randomized trial published in Diabetes Care.

Insulin manipulation, the practice of deliberately under- or overdosing insulin, is strongly associated with psychiatric comorbidity in children and young adults with type 1 diabetes, Austrian research shows.

An increase in depressive symptoms around the time of a new diabetes diagnosis in older adults is associated with increasing difficulty in performing daily activities such as shopping, walking, and dressing, US researchers report.

Both emotion-focused and educational–behavioral interventions substantially reduce diabetes distress in patients with type 1 diabetes, results of the T1-REDEEM study show.

Low socioeconomic status and mental health visits during adolescence are associated with an increased risk for diabetes-related complications and death in early adulthood, Canadian researchers report.

Results of a cluster randomized trial suggest that supplementing diabetes education programs with peer support could lessen disease-associated distress for patients with type 2 diabetes.

Research shows that intervening to improve the diet quality of adolescents with type 1 diabetes does not exacerbate disordered eating behavior.

Screening for anxiety and depression does not improve the ability of existing tools to predict diabetes risk, despite being predictive in isolation, report researchers.

Obese patients who undergo bariatric surgery are more likely to self-harm or die by suicide than those who undergo nonsurgical management, but the absolute risk is low, suggests an analysis of two Scandinavian cohorts.

A bidirectional relationship between depression and severe dysglycemia exists among older people with type 1 diabetes, indicating a need for increased vigilance in this population.

Results of a population-based study suggests that children may be vulnerable to developing psychiatric disorders in the years following a diagnosis of type 1 diabetes.

Emerging adults with type 1 diabetes are particularly prone to developing diabetes distress, despite reporting a relatively good quality of life, research suggests.

Peer and parental support are important factors influencing diabetes-related distress among adolescents and young adults with type 1 diabetes, researchers report.

Psychological interventions might have a small positive effect on improving self-care and glucose control in patients with type 2 diabetes, but not for relieving diabetes-related distress, suggest findings from The Cochrane Library.