Managed Care

 

Depression, Diabetes Linked to Dementia

MANAGED CARE January 2012. © MediMedia USA
News & Commentary

Depression, Diabetes Linked to Dementia

MANAGED CARE January 2012. ©MediMedia USA

Treating patients who have diabetes and depression for both conditions can reduce the incidences of dementia in this comorbid population, according to a study by the University of Washington and Kaiser Permanente.

In fact, researchers say that for patients with type 2 diabetes, “comorbid depression was associated with an approximately two-fold increased risk of dementia compared to patients with diabetes alone,” according to “Diabetes & Aging,” a study funded by the National Institutes of Health that was released in December.

“Since depression affects up to 20 percent of diabetic patients, it is critical to understand this relationship and further evaluate whether depression interventions have an impact on dementia in patients with diabetes,” says Andrew J. Karter, PhD, of the Kaiser Division of Research. He is one of the authors.

Those interventions could include use of antidepressants. “Among patients with diabetes, depression is associated with poorer adherence to diet and exercise programs, increased smoking and poorer blood sugar control and psychobiologic changes such as increases in cortisol and increased sympathetic nervous system tone, which could worsen the course of diabetes and increase the risk of dementia associated with depression,” the authors say.

The data were collected by studying about 20,000 Kaiser Permanente members. The baseline survey was done in 2005 and 2006. “Diabetes & Aging” is a three- to five-year follow-up from that baseline.

Meetings

4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014
HealthIMPACT Southeast Tampa, FL January 23, 2015