Why the study?
Is diabetes distress or major depressive disorder associated with glycemic control (A1C) in type 2 diabetic patients?
Is diabetes distress or major depressive disorder associated with glycemic control (A1C) in type 2 diabetic patients?
Diabetes distress, but not major depressive disorder, is significantly associated with glycemic control (A1C) in patients with type 2 diabetes.
Diabetes distress may merit targeted assessment in T2D; leaves open whether interventions improve A1C beyond MDD-focused approaches.
We found no concurrent or longitudinal association between MDD or depressive symptoms with A1C, whereas both concurrent and time-concordant relationships were found between diabetes distress and A1C. What has been called "depression" among type 2 diabetic patients may really be two conditions, MDD and diabetes distress, with only the latter displaying significant associations with A1C. Ongoing evaluation of both diabetes distress and MDD may be helpful in clinical settings.
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Fisher et al. (2009) studied this question.
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