DOI: 10.36347/sajb.2016.v04i02.016

Pages: 165-170

Diabetes is chronic illness in nature and patients are having difficulties in achieving optimal diabetes control. As there is no cure for diabetes the main aim of diabetes treatment is to optimise glycaemic control. People with diabetes are at higher risk of psychological problems such as depression and anxiety than the general population. This study was cross sectional study. We included person diagnosed with diabetes mellitus having uncontrolled diabetes status measured by one previous HbA1c between 8.2% and 15.0%. Existence of depression and anxiety disorder was evaluated by using PHQ-9 and GAD-7 questionnaire respectively. Socio-demographic data and duration of diabetes was obtained from semi structured questionnaires. We included total 200 patients in this study. Results suggest 36% had no depression, 37% had mild level of depression, 22 % moderate depression and severe depression was found in 5% of diabetic patients. The prevalence of anxiety disorder was 43% had no anxiety disorder, 53% had mild, 2% moderate and 2% severe anxiety disorder. There was positive correlation exist (p values <0.005) between Hb1Ac and PHQ-9 (0.241, P value 0.016), GAD-7 and diabetes mellitus duration (0.252, P value 0.011), Hb1Ac and height (0.197, P value 0.049). Very strong positive correlation exist between (P value <0.001) PHQ-9 and GAD-7 (0.702 P values 0.011), PHQ-9 and duration of diabetes mellitus (0.351 P value <0.001). We found higher levels depression and anxiety disorder among uncontrolled diabetes mellitus. Strong positive correlation exists between diabetes, depression and anxiety disorder.