title: [The diabetic--a difficult patient difficult to treat?].
abstract: After the diagnosis of Diabetes mellitus one third of the children suffer from a transient psychological disorder. Diabetic adults have rates of depression between 9% and 27% with macrovascular disease and retinopathy as main risk factors. Causes of apparent insulin resistance are discussed, particularly the omission of insulin to control weight in young women, and the obesity and sedentary lifestyle in type 2 diabetics.
authors.affiliation: Endokrinologie-Diabetologie, Departement Medizin, Kantonsspital Luzern. Christoph.Henzen@ksl.ch
authors.forename: C
authors.initials: C
authors.lastname: Henzen
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D015897:Comorbidity; D003866:Depressive Disorder / Q000150:complications / Q000175:diagnosis / Q000523:psychology; D048909:Diabetes Complications / Q000517:prevention & control / Q000523:psychology; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology / Q000628:therapy*; D003927:Diet, Diabetic / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods*; D010817:Physician-Patient Relations; D012803:Sick Role; D016312:Treatment Refusal / Q000523:psychology*
chemical_list: D006442:Glycated Hemoglobin; D007328:Insulin