Fasting Blood Glucose and Depressive Mood among Patients with Mental Illness in a Medicaid Managed Care Program
2011

Fasting Blood Glucose and Depression in Diabetes Patients

Sample size: 249 publication Evidence: moderate

Author Information

Author(s): Linda S. Kahn, Roger S. McIntyre, Lisa Rafalson, Diane E. Berdine, Chester H. Fox

Primary Institution: University at Buffalo, The State University of New York

Hypothesis

This study explores the relationship between depressive symptoms and blood glucose levels among patients with diabetes.

Conclusion

A statistically significant association was found between fasting blood glucose and depression scores.

Supporting Evidence

  • Over half of the participants screened positive for moderate depression.
  • The correlation between fasting blood glucose and depression scores was modest but statistically significant.
  • Hispanic patients scored higher in depression severity compared to other ethnic groups.

Takeaway

The study found that higher blood sugar levels are linked to more severe depression in people with diabetes.

Methodology

The PHQ-9 depression screen was mailed to 454 members, and blood glucose levels were obtained from their physicians.

Potential Biases

The study may have bias due to reliance on primary care encounter data for psychiatric diagnoses.

Limitations

The study had a relatively small sample size and relied on self-reported depression assessments.

Participant Demographics

Participants were primarily individuals with diabetes enrolled in a Medicaid managed care program, with a notable representation of Hispanic patients.

Statistical Information

P-Value

0.015

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1155/2011/862708

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