60% of patients with depression can develop type 2 diabetes

The relationship between chronic diseases and psychiatric disorders is closer than you think: several research realizes that physical and mental health are intimately connected, so addressing one without considering the other can be insufficient.Within the framework of the 19th edition of the International Congress of Internal Medicine, this issue was addressed and special emphasis was given to what happens with patients with diabetes.

During the day developed on Friday 23, this problem was addressed and it was explained that the most common conditions that occur from long -term or permanent paintings are depression and anxiety, appearing mostly in women and young people.But these disorders themselves, in turn, can also lead to chronic diseases, such as cancer, diabetes or heart disease.

Depression and diabetes

A no less data is that comorbid psychiatric disorders are a potentially modifiable risk factor of premature death in people with one or multiple noncommunicable diseases.The prevalence of depressive states is even greater among patients with chronic noncommunicable diseases, such as diabetes mellitus (DM), arterial hypertension (HT), cardiovascular diseases (ECV), cancer, among others.

The 19th International Congress of Internal Medicine was developed.

In the results of world health surveys of 2007, carried out to 245,000 people from 60 countries, depression as a comorbid disease presented a prevalence of around 18% in patients with asthma, 15% with angina pestle, 9.8%With diabetes mellitus and 10.7% with arthritis, reaching up to 23% when comorbidity was with two or more chronic physical conditions.

The World Health Organization defines depression as a mental disorder, a consequence of the interaction of various biological, psychological and social factors.Stress increases, worsen the vital function of the individual and, therefore, the depressive state is reinforced.It is estimated that 3.8% of the population experiences depression, including 5% of adults (4% between men and 6% among women) and 5.7% of adults over 60 years.

There is evidence that this mood disorder predisposes to heart attack but, in addition, is twice more frequent in people with type 1 or type 2 diabetes than in the general population, and is associated with bad results.It is a bidirectionality relationship.One can lead to the other for having bad eating habits, not sleeping enough, not exercising too much and the use of medicines.

There is more and more evidence than depression and type 2 diabetes share biological origins, in particular the hyperactivation of innate immunity that leads to an inflammatory response mediated by cytokines, and potentially through the deregulation of the hypothalamus-hypophyseal-adrenal axis.Throughout life, these ways can lead to insulin resistance, cardiovascular disease, depression, a higher risk of type 2 diabetes and an increase in mortality.Pro -inflammatory cytokines could directly affect the brain, causing depressive symptoms.

Mental health disorders and chronic diseases are highly related to each other.
Family relationships and the burden of a living disorder with an early start in personality development could contribute to greater vulnerability to depression.In general, longitudinal research is needed to identify risk factors and depression mechanisms in patients with diabetes, particularly at the beginning of life.

The pre -existing history of clinical depression increases the risk of posterior type 2 diabetes by 60%, and the presence of diabetesType 2 increases the risk of developing subsequent depression by 15%.Both things are associated with a lower quality of life, high blood glucose, greater risk and severity of long -term diabetes complications, greater use of medical services, greater risk of functional disability, and greater risk of mortality due to all causes.

Anxiety and diabetes

But it is also directly associated with another mental health disorder.According to the centers for disease control and prevention (CDC), people with diabetes are likely 20 % greater than those without the disease of having anxiety.The management of a long -term pathology such as this is a significant source of anxiety for some people.

Diabetological education for the Automanejo (EDAM) promotes the active participation of the person with diabetes mellitus in the control and treatment of the disease.It is characterized by being a continuous process of acquiring knowledge, skills and attitude changes.The direction of the association between diabetes and anxiety disorders is not clear:

- It was found that the prevalence of anxiety disorders in diabetic patients is 28%.
- It has been found that the prevalence of diabetes between patients with anxiety disorders is 12%.
- People with anxiety are 19% more risk of having diabetes.
- Diabetes is associated with a 41% greater risk of suffering from anxiety disorders.

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