zdorПроблемы здоровья и экологииHealth and Ecology Issues2220-09672708-6011Gomel State Medical University10.51523/2708-6011.2012-9-1-12zdor-1224Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНАCLINICAL MEDICINEОЦЕНКА ГЛИКЕМИЧЕСКОГО КОНТРОЛЯ У ПАЦИЕНТОВ С САХАРНЫМ ДИАБЕТОМ 1 ТИПА И ДЕПРЕССИЕЙASSESSMENT OF GLYCEMIC CONTROL IN PATIENTS WITH DIABETES MELITUS TYPE I AND DEPRESSIONНавменоваЯ. Л.NavmenovaYa. L.noemail@neicon.ruГомельский государственный медицинский университетGomel State Medical University201228032012016871Copyright © Навменова Я.Л., 20122012Навменова Я.Л.Navmenova Y.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.gsmu.by/jour/article/view/1224

В данной статье проведена оценка частоты гипогликемических состояний у пациентов с депрессией. Выявлено, что у пациентов с депрессивными состояниями отмечался достоверно более высокий уровень тревоги по шкале HADS, более высокий уровень HbA1C, более низкий уровень минимальной гликемии и большая продолжительность периода гипогликемии. Кроме этого, у пациентов с депрессией достоверно чаще регистрировались гипогликемические состояния, причем скрытых гипогликемий было также достоверно больше среди пациентов с депрессией.

The article gives an assessment of the frequency rate of hypoglycemic states in patients with depression. The patients with depressive states revealed a significantly higher level of anxiety on the HADS scale, a higher HbA1C level, a lower level of minimum glycemia and a longer duration of hypoglycemia. Moreover, the patients with depression observed hypoglycemic states and latent hypoglycemia cases significantly oftener than those without depression.

сахарный диабетдепрессиягликемический контрольdiabetes mellitusdepressionglycemic controlReferencesDCCT Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus // N. Engle. J. Med. - 1993. - Vol. 329. - Р. 977-986.DCCT Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus // N. Engle. J. Med. - 1993. - Vol. 329. - Р. 977-986.William, A. Depression in Patients with Diabetes: Does It Impact Clinical Goals? / A. William, R. Robin, R. Monica // J Am Board Fam. Med. - 2008. - Vol. 10. - P. 5392-397.William, A. Depression in Patients with Diabetes: Does It Impact Clinical Goals? / A. William, R. Robin, R. Monica // J Am Board Fam. Med. - 2008. - Vol. 10. - P. 5392-397.Prevalence of psychiatric disorders in an onset cohort of adults with Type 1 diabetes / F. Petrak [et al.] // Diabetes Metab Res Rev. - 2003. - Vol. 19. - P. 216-222.Prevalence of psychiatric disorders in an onset cohort of adults with Type 1 diabetes / F. Petrak [et al.] // Diabetes Metab Res Rev. - 2003. - Vol. 19. - P. 216-222.Kanner, S. Depression in adolescents with diabetes / S. Kanner, V. Hamrin, M. Grey // Adolesc Psychiatr Nurs. - 2003. - Vol. 16(1). - P. 15-24.Kanner, S. Depression in adolescents with diabetes / S. Kanner, V. Hamrin, M. Grey // Adolesc Psychiatr Nurs. - 2003. - Vol. 16(1). - P. 15-24.Prevalenct of depressive disorders in children and adolescents attending primary care / F. Mathet [et al.] // Encephale. - 2003. - Vol. 29(5). - P. 391-400.Prevalenct of depressive disorders in children and adolescents attending primary care / F. Mathet [et al.] // Encephale. - 2003. - Vol. 29(5). - P. 391-400.Collins, M. M. Anxiety and depression symptoms in patients with diabetes / M. M. Collins, P. Corcoran, I. J. Perry // Diabet Med. - 2009. - Vol. 26(2). - P. 153-161.Collins, M. M. Anxiety and depression symptoms in patients with diabetes / M. M. Collins, P. Corcoran, I. J. Perry // Diabet Med. - 2009. - Vol. 26(2). - P. 153-161.Grey, M. Depression in type 1 diabetes in children: natural history and correlates / M. Grey, R. Whittemore, W. J. Tamborlane // Psychosom Res. - Vol. 53. - P. 907-911.Grey, M. Depression in type 1 diabetes in children: natural history and correlates / M. Grey, R. Whittemore, W. J. Tamborlane // Psychosom Res. - Vol. 53. - P. 907-911.Khamseh, M. E. Depression and diabetes in Iranian patients: a comparative study / M. E. Khamseh, H. R. Baradaran, H. Rajabali // Int J Psychiatry Med. - 2007. - Vol. 37(1). - P. 81-86.Khamseh, M. E. Depression and diabetes in Iranian patients: a comparative study / M. E. Khamseh, H. R. Baradaran, H. Rajabali // Int J Psychiatry Med. - 2007. - Vol. 37(1). - P. 81-86.Correlates of depressive symptoms in adolescents with type 1 diabetes / R. Whittemore [et al.] // Pediatr Diabetes. - 2002. - Vol. 3(3). - P. 135-143.Correlates of depressive symptoms in adolescents with type 1 diabetes / R. Whittemore [et al.] // Pediatr Diabetes. - 2002. - Vol. 3(3). - P. 135-143.Kozel, D. Individuals with diabetes mellitus with and without depressive symptoms: could social network explain the comorbidity? / D. Kozel, A. Marusić // Psychiatr Danub. - 2006. - Vol. 18(1-2). - P. 2-8.Kozel, D. Individuals with diabetes mellitus with and without depressive symptoms: could social network explain the comorbidity? / D. Kozel, A. Marusić // Psychiatr Danub. - 2006. - Vol. 18(1-2). - P. 2-8.Prevalence of diagnosed depression in South Asian and white European people with type 1 and type 2 diabetes mellitus in a UK secondary care population / S. Ali [et al.] // Postgrad Med. J. - 2009. - Vol. 85(1003). - P. 238-243.Prevalence of diagnosed depression in South Asian and white European people with type 1 and type 2 diabetes mellitus in a UK secondary care population / S. Ali [et al.] // Postgrad Med. J. - 2009. - Vol. 85(1003). - P. 238-243.Comparison of adoltscents with and without diabetes on indices of phychosocial functioning for three years / V. S. Helgeson [et al.] // J Pediatr Psychol. - 2007. - Vol. 32(7). - P. 794-806.Comparison of adoltscents with and without diabetes on indices of phychosocial functioning for three years / V. S. Helgeson [et al.] // J Pediatr Psychol. - 2007. - Vol. 32(7). - P. 794-806.How to screen for depression and emotional problems in patients with diabetes: comparison of creening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessmen / N. Hermanns [et al.] // Diabetologia. - 2006. - Vol. 49 - P. 469-477.How to screen for depression and emotional problems in patients with diabetes: comparison of creening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessmen / N. Hermanns [et al.] // Diabetologia. - 2006. - Vol. 49 - P. 469-477.Hood Depressive Symptoms and Glycemic Control in Adolescents With Type 1 Diabetes Mediational role of blood glucose monitoring / E. Meghan [et al.] // Diabetes Care. - 2009. - Vol. 32(5). - P. 804-806.Hood Depressive Symptoms and Glycemic Control in Adolescents With Type 1 Diabetes Mediational role of blood glucose monitoring / E. Meghan [et al.] // Diabetes Care. - 2009. - Vol. 32(5). - P. 804-806.Ciechanowski, P. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs / P. Ciechanowski, W. Katton, J. Russo // Arch Intern Med. - 2000. - Vol. 160. - P. 3278-3285.Ciechanowski, P. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs / P. Ciechanowski, W. Katton, J. Russo // Arch Intern Med. - 2000. - Vol. 160. - P. 3278-3285.Depression and poor glycemic control / P. J. Lustman [et al.] // Diabetes Care. - 2000. - Vol. 23. - P. 934-942.Depression and poor glycemic control / P. J. Lustman [et al.] // Diabetes Care. - 2000. - Vol. 23. - P. 934-942.Association of depression and diabetes complications: a meta-analysis / M. de Groot [et al.] // Psychosom Med. - 2001. - Vol. 63. - P. 619-630.Association of depression and diabetes complications: a meta-analysis / M. de Groot [et al.] // Psychosom Med. - 2001. - Vol. 63. - P. 619-630.Zigmond, A. S. The Hospital Anxiety and Depression scale / A. S. Zigmond, R. P. Snaith // Aсta Psichiat. Scand. - 1983. - Vol. 67. - P. 361-370.Zigmond, A. S. The Hospital Anxiety and Depression scale / A. S. Zigmond, R. P. Snaith // Aсta Psichiat. Scand. - 1983. - Vol. 67. - P. 361-370.Реброва, О. Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTIKA / О. Ю. Реброва. - М.: МедиаСфера, 2002. - 312 с.Реброва, О. Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTIKA / О. Ю. Реброва. - М.: МедиаСфера, 2002. - 312 с.Lustman, P. Recognizing and managing depression in patients with diabetes / P. Lustman, P. Singh, R. Clouse // Practical Psychology for Diabetes Clinicians. - 2002. - Vol. 23. - P. 229-238.Lustman, P. Recognizing and managing depression in patients with diabetes / P. Lustman, P. Singh, R. Clouse // Practical Psychology for Diabetes Clinicians. - 2002. - Vol. 23. - P. 229-238.Recovery of cognitive function and mood after sever hypoglicemia in adults with insulin- treated diabetes / M. W. Strachan [et al.] // Diabetes Care. - 2000. - Vol. 23. - P. 305-312.Recovery of cognitive function and mood after sever hypoglicemia in adults with insulin- treated diabetes / M. W. Strachan [et al.] // Diabetes Care. - 2000. - Vol. 23. - P. 305-312.Acute hypoglecemia in humans causes attentional dysfunctions while nonverbal intelligenсe is preserved / V. McAulay [et al.] // Diabetes Care. - 2001. - Vol. 24. - P. 1745-1750.Acute hypoglecemia in humans causes attentional dysfunctions while nonverbal intelligenсe is preserved / V. McAulay [et al.] // Diabetes Care. - 2001. - Vol. 24. - P. 1745-1750.Weinger, K. Cognitive impairment in patients with type 1 diabetes mellitus: incidence, mechanism, and therapeutic implications / K. Weinger // AM CNS Drugs. - 1998. - Vol. 9. - P. 233-252.Weinger, K. Cognitive impairment in patients with type 1 diabetes mellitus: incidence, mechanism, and therapeutic implications / K. Weinger // AM CNS Drugs. - 1998. - Vol. 9. - P. 233-252.

The authors declare that there are no conflicts of interest present.