Prevalence of depression in type 2 diabetic patients and its impact on glycemic control

othman Rym Ben; Syrine Trabelsi; Yasmine Jallouli; Ramla Mizouri; Hmida Yosra Ben; Olfa Berrich; Henda Jammousi

doi:10.1530/endoabs.99.EP798

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Endocrine Abstracts (2024) 99 EP798 | DOI: 10.1530/endoabs.99.EP798

ECE2024 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (383 abstracts)

Prevalence of depression in type 2 diabetic patients and its impact on glycemic control

Rym Ben othman ¹ , Syrine Trabelsi ² , Yasmine Jallouli ³ , Ramla Mizouri ¹ , Yosra Ben Hmida ² , Olfa Berrich ¹ & Henda Jammousi ¹

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¹National Institute of Nutrition and Food Technology, Department A; ²National Institute of Nutrition and Food Technology, C, Tunis; ³National Institute of Nutrition and Food Technology

Introduction: Depression and type 2 diabetes are often associated, but until now their exact relationship has remained unclear. The aim of our work was to evaluate the prevalence of depression in type 2 diabetic subjects and to determine its impact on glycemic control.

Methods: This was a descriptive cross-sectional study conducted in the National Institute of Nutrition. We included 400 type 2 diabetic patients. To assess depression, we used the Hospital Anxiety And Depression Scale (HADS). A score of 11 or above was considered positive.

Results: The mean age of our patients was 59.19±8.81 years. Female predominance was noted (67.5%). The mean age of diabetes was 13.31±7.9 years, with a mean HbA1c of 10.03±2.03% and fasting plasma glucose of 11.26±4.81 mmol/l. The majority of patients had good medication compliance (82.3%), with 13.75% not accepting their diabetes. Obesity was present in 44.5% of subjects. The prevalence of depression was 36.8%. The presence of this psychological disorder was positively associated with female gender (P<0.001), obesity (P=0.004), diabetes duration (P=0.012), diabetes acceptance (P=0.02), diabetic retinopathy (P=0.02), peripheral neuropathy (P=0.001) and vegetative neuropathy (P=0.03).

Conclusion: The large number of diabetic patients with definite depression calls for systematic screening of all diabetics for this psychiatric disorder, for better management and quality of life.