DOI: 10.36347/sjams.2020.v08i07.019

Pages: 1741-1745

Background: Co-occurrence of Diabetes Mellitus and Depressive Disorder has become a major health concern in today’s world. Several studies have looked into correlation of Diabetes Distress and Depression with the glycemic control but there are very few longitudinal studies and findings are also inconsistent. Aim: To assess Diabetic Distress and Glycemic control in patients with Diabetes Mellitus. Material and methods: The clinical study was conducted on 100 patients. 50 patients with Diabetes Mellitus and Depression in case group and 50 patients with Diabetes Mellitus in control group were included. Diabetes Distress was assessed by 17-item Diabetes Distress Scale. Glycemic control was assessed by routine HbA1C investigations. Depressive Disorder was assessed by 21- item Hamilton rating scale for Depressive symptoms and severity. Patients were assessed at baseline and 6 months. Results: Poor glycemic control was associated with higher Diabetes Distress (especially emotional burden and regimen related Distress) among both the groups at baseline and 6 months (p-value<0.005). Improvement in the glycemic control in both the groups was associated with the reduction in Diabetes Distress (p-value=0.000). There was no significant difference between the Diabetes Distress score among the two groups. There was no significant relationship between the glycemic control with HAM-D score at baseline but there was improvement in HAM-D score with improvement in the glycemic control (p-value=0.016). Conclusions: Better glycemic control improves the Diabetes Distress as well as HAM-D score.