In a nutshell
This study determined whether eating disorders and depression are associated with control of blood glucose levels in young adults with type 1 diabetes.
Some background
Patients with type 1 diabetes (T1D) are four times more likely to have depression compared to those who do not have T1D. Eating disorders are also common among T1D patients. It is thought that both depression and eating disorders may result in poorer control of blood glucose (sugar) levels. Determining whether depression and eating disorders have a negative impact on HbA1c (average blood gluocse level over 3 months) may allow patients to be screened and treated for these conditions in order to improve control of blood glucose levels.
Methods & findings
This study aimed to determine whether eating disorders and depression are associated with T1D. This study also aimed to determine the impact of eating disorders and depression on blood glucose control.
This study involved 211 T1D patients between 18 and 21 years. Participants completed questionnaires in order to determine whether they had an eating disorder or depression. The most recent HbA1c was recorded for each participant.
More women (30.2%) had an eating disorder compared to men (9.5%). Women had more depressive symptoms compared to men.
Women who had an eating disorder were more likely to have more severe depressive symptoms. However, women who had symptoms of an eating disorder or symptoms of depression did not have poorer control of blood glucose levels. The HbA1c was higher in men who had more severe depressive symptoms.
The bottom line
This study concluded that eating disorders and depression are associated with T1D and are associated with control of blood glucose levels in men.
The fine print
Findings can only conclude that T1D men with depression tend to have worse control of blood glucose levels. It is not known whether depression causes poor control or whether poor control can result in depression. In addition, results may be influenced by the patient questionnaires used to diagnose depression.
What’s next?
Consult with your physician regarding the options available to treat depression.
Published By :
PLOS ONE
Date :
Jun 29, 2015
