FRIDAY, April 22 (HealthDay News) -- Treating diabetes patients'
depression boosts their overall health, according to a new
study.
It included 145 people with type 2 diabetes and depression who
received a year-long depression intervention that included 12 weeks
of cognitive behavioral therapy over the phone, followed by nine
monthly booster sessions. They also took part in a walking
program.
They were compared to a control group of 146 diabetes patients
with depression who received usual diabetes care.
At the end of the year, depression symptoms were in remission
for 58 percent of the patients in the intervention group and 39
percent of those in the control group, said the researchers at the
VA Ann Arbor Healthcare System and the University of Michigan
Health System.
The intervention program also led to lower blood pressure, an
increase in walking of about four miles a week and improvement in
general quality of life.
However, most patients already had good blood sugar control at
the outset of the intervention, so A1C levels, a measure of blood
sugar control, did not drop.
The study appears online ahead of print in the journal
Medical Care.
Depression and diabetes often go hand in hand, and depression
can be a major problem for people with diabetes because it makes
them less likely to follow their medicine schedule or exercise
program, the researchers explained.
"Depression is a common, treatable issue for many people who have diabetes," said study lead author John Piette, a senior research scientist at the VA and professor of internal medicine at the University of Michigan Medical School, in a university news release.
"Unfortunately, most busy clinics cannot provide the level of intensive care these patients need. This study shows that telephone-delivered counseling can improve patients' access to effective depression care, improve their cardiovascular health and get them moving again," he added.
More information
The American Diabetes Association has more about
diabetes and depression.