Relationship between Depression and Glycemic Control
in patient with Type 2 Diabetes Mellitus


Putranto R, Mudjaddid E, Shatri H, Soewondo P, Panggabean M

Division of Psychosomatic Medicine
Department of Internal Medicine
Faculty of Medicine University of Indonesia



Background :
Depression in patient with diabetes mellitus is often found but care of doctor still less concerning of this problem. Depression related to poor glycemic control as measured by the HbA1c. According to many study in several countries number of prevalence depression in patient with diabetes can be found till over 30 %.

Objective :
Goal of this study is to know proportion of depression in patient with diabetes mellitus in Cipto Mangunkusumo Hospital and to know wether depression associated with poor glycemic control.

Methods :
This research used cross-sectional design. Population study were patients with type 2 diabetes mellitus outpatients of Division of Endocrinology and Metabolic. Interview, physical and laboratory examination (blood glucose and HbA1c) was performed. Depression is found by using Beck Depression Inventory questionnaire and DSM-IV. Total score of BDI noted to be referred by depression when BDI score was 10 or over. Result of HbA1c was recorded. Statistical analysis done to found relationship between blood glucose control (HbA1c) and BDI score with Student T-test and corellation analysis of Pearson.

Result :
From 76 patients which involved in this research is the respondent predominantly female with a mean age of 53,51 years, and half had less than high education. Sixty percent were unemployed. 85,5 % reported married. Seventy percent had health insurance. 64,5 % had psychosocial stressor in their lifetime. 48,7 % were obesity and 51,3 % participants have duration of diabetes ≥ 5 years. They were less likely to have complication of diabetes (46%). Twelve percent of respondent used insulin. We have got proportion of depression equal to 41%.


Key words : Depression, Type 2 diabetes mellitus, Poor Glycemic control.