Treating Depression to Prevent Diabetes and Its Complications: Understanding Depression as a Medical Risk Factor
Current diabetes practice guidelines emphasize the need to augment conventional diabetes therapy with other evidence-based treatments that support improved diabetes outcomes. Clinical depression, much like obesity, is a significant independent risk factor for developing type 2 diabetes and for progression and mortality from type 1 or type 2 diabetes. Effective treatments for depression are available, may enhance glycemic control and insulin sensitivity, and thereby may preserve the physical health and independence of people living with diabetes.
Monique M. Williams, MD, is an instructor, and Ray E. Clouse, MD, is a professor in the Departments of Psychiatry and Medicine at Washington University School of Medicine in St. Louis, Mo. Patrick J. Lustman, PhD, is a professor in the Department of Psychiatry at Washington University School of Medicine and a counseling psychologist at the Department of Veterans Affairs Medical Center in St. Louis, Mo.
Note of disclosure: Dr. Clouse and Dr. Lustman have received research funding from GlaxoSmithKline to study the use of its bupropion hydrochloride extended-release tablet product for the treatment of depression in patients with diabetes.
- American Diabetes Association