State University of New York Upstate Medical University, USA.
J Health Psychol. 2021 May;26(6):786-794. doi: 10.1177/1359105319845134.
Glycemic outcomes of adults with type 1 diabetes may be affected by depression. Our aim was to compare outcomes of "depressed" (Patient Health Questionnaire-9 ⩾ 10, = 83) to "not-depressed" matched control (Patient Health Questionnaire-2 < 3, = 166) adults with type 1 diabetes with objective measures. The depressed group had poorer blood glucose control and, for those with glucose meter downloads, fewer glucose tests/day. The groups did not differ on glucose variability or episodes of hypoglycemia. Depression in adults with type 1 diabetes is associated with poorer glycemic control and less blood glucose monitoring. Future research should examine whether treatment of depression results in better self-care and glycemic outcomes.
1 型糖尿病患者的血糖控制结果可能会受到抑郁的影响。我们的目的是比较“抑郁”（患者健康问卷-9 ⩾ 10，n = 83）和“非抑郁”（患者健康问卷-2 < 3，n = 166）1 型糖尿病患者的结局，并进行客观测量。抑郁组的血糖控制较差，且对于有血糖仪下载数据的患者，每日血糖检测次数较少。两组间血糖变异性或低血糖发作无差异。1 型糖尿病患者的抑郁与较差的血糖控制和较少的血糖监测有关。未来的研究应探讨治疗抑郁是否能改善自我护理和血糖结局。
