title: Insulin mediated improvement in glycemic control in elderly with type 2 diabetes mellitus can improve depressive symptoms and does not seem to impair health-related quality of life.
abstract: OBJECTIVE
  Type 2 diabetes (T2D) is very prevalent among the elderly. Insulin therapy is often required for glycemic control. The association of starting this therapy with depressive symptoms as well the health-related quality of life (HRQoL) is unknown among the elderly patients.
  
  
  OBJECTIVE
  Evaluate the association of starting insulin therapy depressive symptoms as well with HRQoL of elderly people with T2D.
  
  
  METHODS
  36 T2D participants (67.9 % females, age 66.5 years ± 5.1) were recruited, 26 of whom completed the follow-up. Generic (Short-Form 36 Health Survey - SF-36) and specific (Problem Areas in Diabetes - PAID) HRQoL questionnaires, Beck Depression Inventory (BDI), clinical, laboratorial and socio-demographic data were recorded on baseline and 6 months after the beginning of insulin treatment.
  
  
  RESULTS
  There was a reduction in the BDI score after the use of insulin, which means an improvement in depressive symptoms (Before/After: median - 10.5 / 7; p = 0008). There were no statistically significant differences in HRQoL scores between the two time periods There was also a reduction in HbA1c (Before/After: median - 8.7/7.9). Otherwise, there were no statistically significant differences in: BMI (28.1/28.3); Abdominal circumference:(100.5/99.5) and chronic complications status.
  
  
  CONCLUSIONS
  Insulin therapy in elderly people with type 2 diabetes can lead to an improvement of depressive symptoms and does not seem to affect negatively HRQoL of the participants.
authors.affiliation: Nutrology and Diabetes Section, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: R A
authors.initials: RA
authors.lastname: Oliveira
authors.affiliation: Nutrology and Diabetes Section, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Tostes
authors.affiliation: Nutrology and Diabetes Section, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: V A
authors.initials: VA
authors.lastname: Queiroz
authors.affiliation: Nutrology and Diabetes Section, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: M
authors.initials: M
authors.lastname: Rodacki
authors.affiliation: Nutrology and Diabetes Section, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: L
authors.initials: L
authors.lastname: Zajdenverg
keywords: Depression; Diabetes mellitus; Elderly; Health- related quality of life; Insulin