Effect of Mental health and family functioning on glycemic control in patients with diabetes mellitus

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The aim of the study was to investigate the impact of depression on quality of life, family functioning, glycemic control among treatment-resistant Japanese patients with type 2 diabetes and their family members. Ambulatory adult patients with type 2 diabetes were drawn consecutively from the inpatient population participated in a two-week educational intervention program. Before and after the intervention program, and also 6 months later, the subjects and their family members completed packets of questionnaires about depression, anxiety, diabetes-related quality of life, and family functioning. “Depressed Patients” at baseline perceived significantly worse diabetes-related quality of life including family functioning than “Non-depressed Patients” before the intervention. At the 6-month follow-up, Depressed Patients still showed significantly worse general health, inappropriate familial communication and higher HbA1c values than Non-depressed Patients. Consequently, diabetes care professionals should devote attention to taking care of mood status of patients, and intervene to promote more appropriate and effective communication among patients and their caregivers.