A prospective study of Type 2 diabetes and depressive symptoms in the elderly: The Rancho Bernardo Study

2004 ◽  
Vol 21 (11) ◽  
pp. 1185-1191 ◽  
Author(s):  
L. A. Palinkas ◽  
P. P. Lee ◽  
E. Barrett-Connor
Diabetes ◽  
2001 ◽  
Vol 50 (10) ◽  
pp. 2390-2395 ◽  
Author(s):  
K. M. Conigrave ◽  
B. F. Hu ◽  
C. A. Camargo ◽  
M. J. Stampfer ◽  
W. C. Willett ◽  
...  

2019 ◽  
Vol 12 ◽  
pp. 117955141983493
Author(s):  
Ayman A Al Hayek ◽  
Asirvatham A Robert ◽  
Mohamed A Al Dawish

Background: Evaluation of patient-reported results, treatment satisfaction, in particular, is popularly gaining recognition as crucial to the assessment of the efficiency of new therapies. The aim of this study is to examine the clinical features and treatment satisfaction with liraglutide in insulin-dependent obese patients having uncontrolled diabetes. Methods: A prospective study was performed for 12 weeks using 64 type 2 diabetes (T2D) patients, 30 to 70 years of age, who came in for treatment to the Diabetes Treatment Center in Prince Sultan Military Medical City, Riyadh, Saudi Arabia, from November 2017 to July 2018. All the patients enrolled in this study were given liraglutide in addition to their existing treatment. For the first week, they were subcutaneously administered 0.6 mg once per day, which was gradually raised to 1.2 mg after 1 week, and the final given dose went up to 1.8 mg per day until the study period was completed. Purposive and suitable selection of the respondents was performed at their convenience. They were interviewed adopting the Diabetes Treatment Satisfaction Questionnaire (Arabic version) at baseline and after 12 weeks. Besides, the clinical variables like hemoglobin A1c (HbA1c), fasting blood sugar (FBS), total daily insulin dose (TDD), number of injections, and hypoglycemia/weeks were also recorded at baseline and at the end of the study. Results: In comparison with the baseline values, notable positive differences were identified in the domains of treatment satisfaction, namely, satisfied with current treatment ( P = .0001), frequency of perceived hyperglycemia ( P = .0001), frequency of perceived hypoglycemia ( P = .0001), convenience of current treatment ( P = .0001), understanding diabetes ( P = .0001), recommend the current treatment ( P = .018), and continue the present treatment ( P = .0001) when the study is completed. After 12 weeks, the addition of liraglutide to the existing treatment showed significant positive changes on FBS ( P = .0001), HbA1c ( P = .001), TDD ( P = .0001), number of injections ( P = .0001), documented hypoglycemia/weeks ( P = .0005), and body weight ( P = .0001) in comparison with the baseline values. Conclusions: The addition of liraglutide to the existing treatment raised the level of treatment satisfaction and minimized the frequency of hypoglycemic/hyperglycemic events apart from the other clinical variables.


Diabetes Care ◽  
2006 ◽  
Vol 29 (7) ◽  
pp. 1579-1584 ◽  
Author(s):  
S. Liu ◽  
H. K. Choi ◽  
E. Ford ◽  
Y. Song ◽  
A. Klevak ◽  
...  

Author(s):  
Beata Dziedzic ◽  
Zofia Sienkiewicz ◽  
Anna Leńczuk-Gruba ◽  
Ewa Kobos ◽  
Wiesław Fidecki ◽  
...  

Introduction: A sharp rise in the population of elderly people, who are more prone to somatic and mental diseases, combined with the high prevalence of type 2 diabetes mellitus and diabetes-associated complications in this age group, have an impact on the prevalence of depressive symptoms. Aim of the work: The work of the study was the evaluation of the prevalence of depressive symptoms in the elderly population diagnosed with type 2 diabetes mellitus. Materials and methods: The pilot study was conducted in 2019 among 200 people diagnosed with type 2 diabetes mellitus, aged 65 years and above, receiving treatment in a specialist diabetes outpatient clinic. The study was based on a questionnaire aimed at collecting basic sociodemographic and clinical data and the complete geriatric depression scale (GDS, by Yesavage) consisting of 30 questions. Results: The study involved 200 patients receiving treatment in a diabetes outpatient clinic. The mean age of the study subjects was 71.4 ± 5.0 years. The vast majority of the subjects (122; 61%) were women, with men accounting for 39% of the study population (78 subjects). A statistically significant difference in the GDS (p < 0.01) was shown for marital status, body mass index (BMI), duration of diabetes, and the number of comorbidities. Patients with results indicative of symptoms of mild and severe depression were found to have higher BMI, longer disease duration, and a greater number of comorbidities. There were no statistically significant differences in the level of HbA1c. Conclusions: In order to verify the presence of depressive symptoms in the group of geriatric patients with diabetes mellitus, an appropriate screening programme must be introduced to identify those at risk and refer them to specialists, so that treatment can be promptly initiated. Screening tests conducted by nurses might help with patient identification.


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