Overcoming Depression: The Role of Patient Counseling among Depressed Diabetic Patients

Author(s)

Gloria, K.S., Swetha, W., Raja, D., Sushilkumar, P.L., Muneerudeen, J.

Author's Affiliation

Abstract

A prospective open label study was performed for 6 months which included the follow up period of 2 months. Its demonstrated that patient counseling in diabetes depressed patients have shown to be significantly beneficial similar to a placebo effect. The use of the Hamilton Depression Rating Scale has also been investigated. In the District Government Head Quarters Hospital, Udhagamandalam, 125 patients with diabetes completed a questionnaire (Hamilton Depression Rating Scale) assessing diabetes monitoring, and depression. The levels of depression were measured in those who had evidence of poor disease control. (LDL >130 mg/dL, systolic blood pressure >140 mm Hg). The Body Mass Index, Fasting Blood Sugar, Post Prandial Blood Glucose, Low Density Lipoproteins, High Density Lipoproteins, Total Cholesterol were recorded at every visit. The results for the group I shown that the mean fasting blood glucose levels and post prandial glucose levels significantly reduced (p<0.0001) from baseline in Visit 4 (Mean difference: 11.63, SE of difference: 1.32),(mean difference: 13.80, SE of difference: 1.389) and Visit 8 (Mean: 24.86, SE of Difference 2.577),(mean difference: 31. 24, SE of difference: 3.09)  whereas the group II showed that the mean fasting blood glucose levels and post prandial blood glucose levels increased significantly. It was observed that the group which underwent patient counseling showed good outcome when compared to the group which didn’t undergo patient counseling. Counseling enhances a better understanding of the disease, prescriptional medications as well as other factors thus bringing out a positive outcome in an individual’s disease affected life.

Keywords

Depression, Patient Counseling, Diabetes

Cite This Article

Gloria, K.S., Swetha, W., Raja, D., Sushilkumar, P.L., Muneerudeen, J. (2015). Overcoming Depression: The Role of Patient Counseling among Depressed Diabetic Patients, International Journal for Pharmaceutical Research Scholars (IJPRS), 4(2), 142-150.