Background: Patients with diabetes mellitus (DM) and their families may respond to the diagnosis, treatment, or complications of the disease with a variety of feelings, such as guilt anxiety depression or stress. The presence of diabetes changes ones life and creates demand of treatment. Not only emotions directly affect glycemia; emotional stress may disrupt the individuals eating habits, exercise programs, and daily routine, thereby altering daily diabetes management and impairing glycemic control. Existing literature suggests that depression may be more strongly related with glycemic control. Frustration to achieve good glycemic control could lead to depression. In addition, diabetes often serves as a focus for other problems and conflicts in life; in turn, diabetes may be influenced by these life stresses.
Objectives: To assess long-term glycemic control (past three months) by glycosylated hemoglobin (HbA1c) in type 2 DM patients in an urban community setting. To study association between psychological variables (anxiety, depression, and stress) and HbA1c.
Materials and Methods: It is a community-based cross-sectional study. 183 study subjects selected from urban community who were already diagnosed of type 2 DM with active treatment for more than 6 months. Stress, depression, and anxiety were the psychological factors evaluated individually in each study subjects using standard questionnaire. HbA1c was done by standardized high pressure liquid chromatography technique.
Results: Out of 183 study subjects, 140 (i.e., 76.5%) subjects have fair glycemic control and 40 (23.5%) have poor glycemic control. 140 subjects (76.5%) have an anxiety scale reading of
Key words: Type 2 Diabetes Mellitus; Anxiety; Depression; Stress
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