title: Depression, glycemic control and type 2 diabetes.
abstract: BACKGROUND
  Comorbid depression in diabetes has been suggested as one of the possible causes of an inadequate glycemic control. The purpose of this study was to investigate the association between major depression and the glycemic control of type 2 diabetes mellitus (T2DM).
  
  
  METHODS
  Seventy T2DM patients were evaluated. They underwent a psychiatric examination using the following instruments: Structured Clinical Interview for DSM-IV and Beck Depression Inventory. The diabetes status was assessed in the short-term (glycemia, glycated hemoglobin) clinical control.
  
  
  RESULTS
  The presence of current depression was observed in 18.6% (13/70). In addition, type 2 diabetes patients who displayed depression evidenced higher levels of glycated hemoglobin (8.6 ± 2.0 vs. 7.5 ± 1.8; p = 0.05) when compared to those who did not exhibit a mood disorder.
  
  
  CONCLUSIONS
  In our sample, the presence of depression seems to impact on the short-term control of T2DM. The authors discuss the clinical utility of these findings in the usual treatment of diabetes.
authors: Obesity and Eating Disorders Group, Psychiatry Institute of the Federal University of Rio de Janeiro, Rio de Janeiro, 22290-140, Brazil. marcelo@papelbaum.com.
authors: Marcelo
authors: M
authors: Papelbaum
authors: Rodrigo O
authors: RO
authors: Moreira
authors: Walmir
authors: W
authors: Coutinho
authors: Rosane
authors: R
authors: Kupfer
authors: Leão
authors: L
authors: Zagury
authors: Silvia
authors: S
authors: Freitas
authors: José C
authors: JC
authors: Appolinário