Health
An integrated approach to diabetes and depression improves both: a study
Diabetes and depression are often closely related. However, diabetes clinic’s “collaborative” care model can provide low-cost solutions for controlling diabetes as well as reducing depressive symptoms, says studies conducted in India and the United States.
Previous studies found that depression in the general population of India was about 15% and about 20% in people with diabetes, said Viswanathan Mohan, director of the Madras Diabetes Research Foundation (MDRF). BusinessLine.. In a “collaborative” study, more than 70% of the groups who underwent an integrated approach showed improvement in diabetes and depression, said Dr Mohan, senior author of the study and principal investigator of the Indian project. ..
An “integration of treatment of depression and diabetes” or an independent study originated in a US team care program addressing the coexistence of these two illnesses, and an Indian study was the first to study this outside the United States. I added that there is. This study was funded by the National Institute of Mental Health, which is part of the National Institutes of Health (NIH). The results of the study will be published in the American Medical Association Journal (JAMA) on Tuesday.
This study compared an integrated coordinated care model to the usual care of 404 patients with diabetes and moderate to severe depressive symptoms. These patients have been treated for more than two years in four different diabetes clinics in India (one government and three private).
Dr. Mohan said he gave a simple set of tools to caregivers and counselors in diabetes clinics to identify people with depression and interventions. Over the course of a year, their mild and moderate depressive symptoms improved, and other indicators of blood sugar and cholesterol also improved, he said.
Due to the lack of psychiatrists in the country, an integrated approach can also help. During the Covid-19 Lockdown, counseling in a diabetes clinic helps to capture patients who may otherwise fall into the fragmentation of a fragmented approach to healthcare and requires psychiatrist intervention Potential individuals added that it was mentioned.
Researchers at MDRF in Chennai, Emory University in Atlanta, University of Washington (Seattle), Institute of All Indian Medical Sciences (AIIMS) in Delhi, Diacon Hospital in Bangalore, and Endocrine and Diabetes Center in Visakhapatnam collaborated with the study. ..
“Too often, mental health is overlooked because of fragmented care, prejudices of mental illness, and lack of mental health profession,” said the first author, Mohammed Ali. Dr. Ali is Vice Chair of Family and Preventive Medicine at Emory University. Depression worsens the likelihood of patients successfully managing diabetes and increases the risk of heart attacks and other complications and deaths from diabetes, he added.
Other researchers in this study included AIIMS co-principal investigators Nikhil Tandon, Dr. SR Aravind, Diacon Hospital, GR Sridhar, Endocrine and Diabetes Center. Dr S Poongothai of MDRF was the national coordinator of the survey.
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