Depression Symptoms Treatment

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Recent studies indicate that depression precedes Type II diabetes in 90 percent of people with both illnesses. What does that really mean to you?

Researchers from the University of Oregon Health Sciences Center conducted a study of 10,000 people, 5,000 with Type II diabetes and 5,000 without it. The two groups were similar in other ways such as age and gender. The team hoped to answer three questions:

· Are diabetics more likely to be depressed than those who don’t have diabetes?
· What types of medications are depressed diabetic people likely to be taking?
· What are the costs of treating a person with diabetes, depression, or both?

They found that 62 percent of diabetics are more likely to be depressed than people without the disease. Among diabetics, those who are depressed are more likely to be taking insulin than managing their diabetes through diet and oral medications.

Diabetics are less likely to be taking antidepressant drugs. Of those who are being treated, most are on the same medications as any depressed patient—serotonin re-uptake inhibitors, such as Prozac, Zoloft, or Paxil. They also were taking more tricyclic antidepressants, such as Elavil. However, the researchers were uncertain if they were taking the antidepressants at the higher doses needed to treat depression or at the lower doses used to treat peripheral neuropathy, a common complication of diabetes.

As for costs, depressed people use more services and spend more money than average, whether or not they also have diabetes. In fact, it costs about the same amount to treat a diabetic without depression as it does to treat a depressed person without diabetes. Having both diseases increases costs considerably.

Treating the depression was shown to increase an individual’s adherence to his or her treatment plan, improve blood glucose control, as well as improve the individual’s psychological outlook.

From any perspective, untreated depression in Type II diabetes carries a high cost, financially, physically, and mentally.