Magdalena Romanowicz, MD Dr. Romanowicz is a Third-Year Psychiatry Resident Christopher L. Sola, DO Dr. Sola is Assistant Professor of Psychiatry John H. Davidson, MD Dr. Davidson is Instructor in General Internal Medicine, Mayo Clinic, Rochester, MN.
One study showed that for every 1-unit increase of HbA1c the odds of depressive symptoms increase by 22%
Mr. N’s case is further evidence that the relationship between diabetes and depression is bidirectional and diagnosis and treatment of each illness impacts the other. Although this case does not confirm causality, it highlights the importance of aggressive approaches to screening and treatment of depression in patients with diabetes, and vice versa.
Related Resources
Katon W, Russo J, Lin EH, et al. Depression and diabetes: factors associated with major depression at five-year follow-up. Psychosomatics. 2009; 50(6): 570-579.
Biessels GJ, Luchsinger JA. Diabetes and the brain. New York, NY: Humana Press; 2009.
Drug Brand Names
Fluoxetine • Prozac
Furosemide • Lasix
Insulin aspart • NovoLog
Insulin glargine • Lantus
Methyldopa • Aldomet
Propranolol • Inderal
Reserpine • Serpasil
Spironolactone • Aldactone
Disclosure
The authors report no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.
