Characterization of type 2 diabetic patients on recent insulin use: lifestyle and depressive symptoms

Authors

DOI:

https://doi.org/10.15448/1980-6108.2019.3.33463

Keywords:

Diabetes Mellitus, insulin, depression.

Abstract

AIMS: To characterize type 2 diabetes mellitus patients who have recently initiated treatment with insulin regarding lifestyle and depressive symptoms.
METHODS: Cross-sectional study carried out with patients in recent use of insulin, which was determined by the register held in the family health strategy, from January 2017 to August 2018. In home visits, the patients answered questions about lifestyle and characteristics of the disease, and Beck’s Depression Inventory.
RESULTS: The sample consisted of 38 type 2 diabetic patients in recent use of insulin. There was a predominance of males (57.9%), married (65.8%) and white (89.5%), the average years of study being 5.8±2.9. 13.2% were considered physically active in leisure time, and only 47.4% were restricting carbohydrates. 65.8% were overweight and 34.2% were obese. The participants had type 2 diabetes mellitus diagnosis for 8.9±7.48 years on average. Regarding the reasons that led to the use of insulin, 92.1% mentioned the lack of control of the disease. As for the classification of depressive symptoms, 47.3% had some psychological alteration. We verified that the presence of depressive symptoms
was more prevalent in women (p=0,014).
CONCLUSION: Patients with type 2 diabetes on recent insulin use had few changes in lifestyle after being diagnosed with the disease. Most patients started using insulin due to lack of control of the disease. The presence of depressive symptoms was more prevalent in women and in patients who reported dietary changes after the diagnosis of type 2 diabetes mellitus.

Downloads

Download data is not yet available.

References

Alves CG, de Morais Neto OL. Trends in premature mortality due to chronic non communicable diseases in Brazilin Federal units. Ciênc Saúde Coletiva. 2015;20(3):641-54. https://doi.org/10.1590/1413-81232015203.15342014

Iser BPM, Vigo A, Duncan BB, Schmidt MI. Trends in the prevalence of self-reported diabetes in Brazilian capital cities and the Federal District, 2006-2014. Diabetol Metab Syndr. 2016;8:70. https://doi.org/10.1186/s13098-016-0185-x

International Diabetes Federation. IDF diabetes atlas [Internet]. 8th ed. Brussels: International Diabetes Federation; 2017 [capturado em 04 out. 2017]. Disponível em: https://www.idf.org/diabetesatlas.

Malta DC, Iser BPM, Chueiri PS, Stopa SR, Szwarcwald CL, Schmidt MI, Duncan BB. Cuidados em saúde entre portadores de diabetes mellitus autorreferido no Brasil, Pesquisa Nacional de Saúde, 2013. Rev Bras Epidemiol. 2015;18(supl. 2):17-32. https://doi.org/10.1590/1980-5497201500060003

Iser BPM, Stopa SR, Chueiri PS, Szwarcwald CL, Malta DC, Monteiro HOC, Duncan BB, Schmidt MI. Prevalência de diabetes autorreferido no Brasil: resultados da Pesquisa Nacional de Saúde 2013. Epidemiol Serv Saúde.

;24(2):305-14. https://doi.org/10.5123/S1679-49742015000200013

American Diabetes Association. Standards of medical care in diabetes: 2019 [Internet]. Arlington: ADA; 2019 [capturado em 04 set. 2019]. Disponível em: https://professional.diabetes.org/content-page/standards-medical-carediabetes.

Sociedade Brasileira de Diabetes. Conduta terapeutica do diabetes tipo 2: algoritmo da SBD 2017. São Paulo: SBD; 2017.

Cortez DN, Reis IA, Souza DAS, Macedo MML, Torres HC. Complicações e o tempo de diagnóstico do diabetes mellitus na atenção primária. Acta Paul Enferm. 2015;28(3):250-5. https://doi.org/10.1590/1982-0194

Sociedade Brasileira de Diabetes. Revisão sobre análogos de insulina: indicações e recomendações para a disponibilização pelos serviços públicos de saúde [Internet]. São Paulo: SBD; 2011 [capturado em 20 out. 2017]. Disponível em: https://www.diabetes.org.br/publico/images/pdf/posicionamento-sbd.pdf.

Ramos LBS, Santana CN, Araújo LLC, Jesus GP, Gois CF, Santos FL, Brito GM, Santos EF. Qualidade de vida, depressão e adesão ao tratamento de pessoas com diabetes. Rev Bras Ciênc Saúde. 2017;21(3):261-8. https://doi.org/10.22478/ufpb.2317-6032.2017v21n3.29085

Alajmani DSA, Alkaabi AM, Alhosani MW, Folad AA, Abdouli FA, Carrick FR, Abdulrahman M. Prevalence of undiagnosed depression in patients with Type 2 Diabetes. Front Endocrinol. 2019;10:259. https://doi.org/10.3389/fendo.2019.00259

Brasil. Ministério da Saúde. Vigitel Brasil 2016: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde; 2017.

Gorenstein C, Andrade LHSG, Zuardi AW, editores. Escalas de avaliação clínica em psiquiatria e psicofarmacologia. São Paulo: Lemos; 2000.

Freitas CM. Diabetes mellitos tipo 2 e depressão: uma perspectiva psiconeuroimunológica [dissertação]. Juiz de Fora: Universidade Federal de Juiz de Fora; 2018.

Nefs G, Pouwer F, Denollet J, Pop V. The course of depressive symtoms in primary care patientes with type 2 diabetes: results from the Diabetes, Depression, Type D Personality Zuidoost-Brabant (DiaDDZoB) Study.

Diabetologia. 2012;55(3):608-16. https://doi.org/10.1007/s00125-011-2411-2

Van de Velde S, Bracke P, Levecque K. Gender differences in depression in 23 European countries: crossnational variation in the gender gapin depression. SocSci Med. 2010;71(2):305-13. https://doi.org/10.1016/j.socscimed.2010.03.035

Zanoveli JM, Morais H, Dias IC, Schreiber AK, Souza CP de, Cunha JM. Depression associated with diabetes: from pathophysiology to treatment. Curr Diabetes Rev. 2016;12(3):165-78. https://doi.org/10.2174/1573399811666150515125349

Lemes IR, Sui X, Turi-Lynch BC, Lee DC, Blair SN, Fernandes RA, Codogno JS, Monteiro HL. Sedentary behaviour is associated with diabetes mellitus in adults: findings of a cross-sectional analysis from the Brazilian National Health System. J Puplic Health (Oxf). 2018 Sept 27. https://doi.org/10.1093/pubmed/fdy169

Borba AKOT, Marques APO, Ramos VP, Leal MCC, Arruda IKG, Ramos RSPS. Fatores associados à adesão terapêutica em idosos diabéticos assistidos na atenção primária de saúde. Ciênc Saúde Coletiva. 2018;23(3):956-61. https://doi.org/10.1590/1413-81232018233.03722016

Leal PAMC, Bonfim CFA, Magalhães EIS, Silva RCS, Silva TM, Santos DP, Kochergin CN. Avaliação do controle glicêmico de pacientes diabéticos insulino-dependentes atendidos em unidade de saúde da família de Vitória da Conquista, Bahia. C&D Rev Eletrônica Fainor. 2014;7(2):232-43.

World Health Organization. More active people for a healthier world: the global action plan on physical activity 2018-2030 [Internet]. Geneva: WHO; 2019 [capturado em 20 out. 2018]. Disponível em: http://www.who.int/ncds/prevention/physical-activity/gappa/.

Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ, Gross JL, Ribeiro JP, Schaan BD. Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. JAMA. 2011;305(17):1790-9. https://doi.org/10.1001/jama.2011.576

Maia RHS, Navarro AC. O exercício físico leve a moderado como tratamento da obesidade, hipertensão e diabetes. RBONE. 2017;66(11):393-402.

Brasil. Ministério da Saúde. Sistema de cadastramento e acompanhamento de Hipertensos e Diabéticos (HIPERDIA). Brasília: DATASUS; 2018.

Gusmai LF, Novato TS, Nogueira LS. The influence of quality of life in treatment adherence of diabetic patients: a systematic review. Rev Esc Enferm USP. 2015;49(5):839-46. https://doi.org/10.1590/S0080-623420150000500019

Schmidt MI, Hoffmann JF, Diniz MFS, Lotufo PA, Griep RH, Bensenor IM, Mill JG, Barreto SM, Aquino EML, Duncan BB. High prevalence of diabetes and intermediate hyperglycemia: The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetol Meta Syndr. 2014;6(1):123. https://doi.org/10.1186/1758-5996-6-123

Published

2019-10-21

How to Cite

Schuelter, P. O., Fernandes, T. M., Marques, G. M., & Iser, B. P. M. (2019). Characterization of type 2 diabetic patients on recent insulin use: lifestyle and depressive symptoms. Scientia Medica, 29(3), e33463. https://doi.org/10.15448/1980-6108.2019.3.33463

Issue

Section

Original Articles

Most read articles by the same author(s)