الفهرس 
Diabetes MellitusOnly 14 pages are availabe for public view
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Abstract
Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion and / or insulin action or both. The chronic hyperglycemia of diabetes is associated with long term damage, dysfunction and failure of various organs especially the eyes, kidneys, nerves, heart, and blood vessels.
Despite the extensive knowledge about the factors associated with the control of T2DM, little has been reported on the psychological aspects. T2DM is associated with anxiety and depression.
Depression is a mood disorder that causes the affected person to lose interest and the ability to enjoy things, and to experience a decrease in vitality accompanied by feelings of sadness, insecurity, and excessive fatigue; depressed people often have feelings of guilt and a bleak vision of the future. Depression is accompanied by changes in sleep, appetite, and sexual desire.
In the past decade, interest in the psychological and psychosocial aspects of T2DM has increased. It is estimated that diabetic patients are at increased risk of developing depression and that the incidence of depression is up to three times higher in people with T2DM than in the general population.
The aim of this study was to study depression in DM female patients & to study the relation between depression and the glycemic control of T2DM.
The study was conducted on 180 diabetic patients, females matched with 50 healthy as a control group.
Subjects were subjected to the following:
1- Detailed history taking.
2- Comprehensive general examination.
3- Anthropometric examinations to assess body mass index.
4- The Arabic version of beck depression inventory II.
5- Fasting and two hour post prandial blood sugar and hemoglobin A1C levels.
The results of our study showed that the depression is more prevalent in T2DM than in healthy control group. Depressed DM patients had poor glycemic control in comparison to non-depressed patients. Depression is more common in DM patients who were obese, female sex & on insulin treatment.
Some limitations of this study must be discussed, the absence of specific interventions to ameliorate depression in our sample of T2DM patients & monitoring of the metabolic control after treatment. However, our findings add one more piece of information regarding the impact of depression on the metabolic control of diabetes. Furthermore, this is the first observational study on the association between depression and glycemic control of T2DM in Ain Shams university hospitals.