0
Summaries for Patients |

Depression Care Management for Older Adults with both Depression and Diabetes FREE

[+] Article and Author Information

The summary below is from the full report titled “The Effectiveness of Depression Care Management on Diabetes-Related Outcomes in Older Patients.” It is in the 15 June 2004 issue of Annals of Internal Medicine (volume 140, pages 1015-1024). The authors are J.W. Williams Jr., W. Katon, E.H.B. Lin, P.H. Nöel, J. Worchel, J. Cornell, L. Harpole, B.A. Fultz, E. Hunkeler, V.S. Mika, and J. Unützer.


Ann Intern Med. 2004;140(12):I-48. doi:10.7326/0003-4819-140-12-200406150-00005
Text Size: A A A

What is the problem and what is known about it so far?

Many older people have both depression and diabetes. Depression is a medical condition causing sadness that interferes with daily life. About 1 of every 5 people has depression at some time in their life, and depression is very common among older people. Sometimes, depression goes away on its own, but many depressed people need treatment with counseling or medication to speed recovery. Diabetes mellitus is a common disease that interferes with the body's ability to store energy from food. Diabetes leads to high levels of blood sugar that, over time, can cause complications that include blindness, kidney failure, nerve damage, and cardiovascular disease (heart attacks and strokes). Fortunately, keeping blood sugar, blood pressure, and cholesterol levels under control can reduce the chances of these complications. Diabetes care requires that a person follows a careful diet, exercises regularly, checks blood sugar levels, and takes diabetes medicines as prescribed. Some worry that when a person has both depression and diabetes, depression can interfere with diabetes care.

Why did the researchers do this particular study?

To determine whether treating depression in people who had both depression and diabetes improves diabetes care and outcomes.

Who was studied?

417 patients who were 60 years of age or older and who had both diabetes and depression.

How was the study done?

The researchers assigned patients to usual care or to a depression care management program. Patients in the depression care management program were assigned a care manager—a person who offered patient education, helped with depression medications and treatment, and helped coordinate primary and specialty care. The care manager focused on depression care and did not intervene specifically with diabetes care. The researchers collected information about depression and diabetes outcomes at the start of the study and after 3, 6, and 12 months. For 293 study patients, the researchers also collected blood samples to test for hemoglobin A1c levels. Hemoglobin A1c levels reveal how well a person's diabetes is controlled over recent months.

What did the researchers find?

Depression care management for depressed patients with diabetes improved depression-related outcomes and the frequency of exercise. However, depression care management did not affect how well patients followed their diabetes diet, whether patients took their diabetes medications as prescribed, or how often patients tested their blood sugar level. In addition, it did not affect hemoglobin A1c levels.

What were the limitations of the study?

Study patients had reasonably good diabetes control at the start of the study. The study cannot rule out an effect of depression care on diabetes outcomes for patients with poorly controlled diabetes.

What are the implications of the study?

Among older patients with both depression and diabetes, depression care management improves depression and increases the frequency of exercise but has no effect on diabetes-related outcomes.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections
PubMed Articles

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)