Sunday, March 23, 2008

Antidepressant Drug May Prevent Recurrence Of Depression In Patients With Diabetes




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"That's significant not solely because associations with diabetes
will be aware of a cut above if we can command their depression.
It's also knob to helping conduct operation blood sugar," read aloud
Patrick J. Lustman, Ph.D., principal investigator and professor
of psychiatry. "As depression boost,
glucose even also tend to improve." Although depression
affect gruffly speaking 5 percent of the common population, the
rate be about 25 percent in support of patients with diabetes.
Lustman's team in earlier times demonstrated that physiotherapy
with antidepressant drugs and psychotherapy is an important
bearing to gratification depression in patients with diabetes,
but customarily depression would rapidly redevelop.



"As we better twig depression, it's clean off that for tons
patients, it is a incurable and incurable illness," Lustman says.
"That appear to be even more true for patients with diabetes
compare to those otherwise uncommitted of medical illness"
Although they know that short-term treatment with antidepressants
be helpful with goal and with control of blood glucose, Lustman's
team didn't know whether the pills could obviate the comeback of
depression in patients with diabetes. He also didn't know what
would arise to glucose levels in the months subsequent to
conquering depression psychiatric therapy.



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After their depression was down control, to every range of the
den patients unceasing to bear sertraline while the partner take
an desk placebo. Patients be follow for fit of a year or until
their depression recur. During that time, investigators
frequently measured blood glucose levels by keeping track of
hemoglobin A1C, which reflect an individual's control of blood
glucose over two to three months.



At one year, high than 65 percent of those inert taking
sertraline lie in wait in remission from their depression. Only
about 48 percent of those taking placebo were still in remission.
On mediocre, those who continued to take sertraline stay free of
depression four times longer than those who do not propagate to
take medication. Blood glucose levels remained demean in both
group of patients, by means of extensive as depression remained
controlled.



"That's astoundingly important," Lustman says. "We straight away
know that controlling depression, by doesn`t matter what recipe
-- whether with pe, hobby, cognitive therapy or medication --
improves the chance that blood glucose will be better controlled.
That's the key to prevent the complications of diabetes, such as
eye disease, neuropathy and kidney disease."
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