Last data update: Jun 03, 2024. (Total: 46935 publications since 2009)
Records 1-4 (of 4 Records) |
Query Trace: Owens-Gary MD [original query] |
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Trends in depression by glycemic status: Serial cross-sectional analyses of the National Health and Nutrition Examination Surveys, 2005-2016
Chandrasekar EK , Ali MK , Wei J , Narayan KV , Owens-Gary MD , Bullard KM . Prim Care Diabetes 2022 16 (3) 404-410 AIMS: We examined changes in the prevalence of elevated depressive symptoms among US adults with diabetes, prediabetes, and normal glycemic status during 2005-2016. METHODS: We analyzed data from 32,676 adults in the 2005-2016 National Health and Nutrition Examination Surveys. We defined diabetes as self-reporting a physician diagnosis of diabetes or A1C ≥ 6.5% [48 mmol/mol], and prediabetes as A1C 5.7-6.4% [39-46 mmol/mol]. We used the 9-item Patient Health Questionnaire (PHQ-9) score ≥ 10 or antidepressant use to define 'clinically significant depressive symptoms' (CSDS) and PHQ-9 score ≥ 12 as 'Major Depressive Disorder' (MDD). We calculated prevalence age-standardized to the 2000 US census and used logistic-regression to compute adjusted odds of CSDS and MDD for 2005-2008, 2009-2012, and 2015-2016. We analyzed the prevalence of A1C ≥ 9.0% [75 mmol/mol], systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg, non-HDL cholesterol ≥ 130 mg/dL, and current smoking among adults with diagnosed diabetes by depressive status. RESULTS: The prevalence of CSDS increased among individuals with normal glycemic status from 15.0% (13.5-16.2) to 17.3% (16.0-18.7) (p = 0.03) over 2005-2016. The prevalence of CSDS and MDD remained stable among adults with prediabetes (~ 16% and 1%, respectively) and diabetes (~ 26% and ~3%). After controlling for glycemic, sociodemographic, economic, and self-rated health variables, we found 2-fold greater odds of CSDS among unemployed individuals and 3-fold greater odds among those with fair/poor self-rated health across all survey periods. Cardiometabolic care targets for adults with diagnosed diabetes were stable from 2005 to 2016 and similar across depressive status. CONCLUSIONS: One-fourth of adults with diabetes have comorbid CSDS; this prevalence remained stable over 2005-2016 with no change in diabetes care. At the population level, depression does not appear to impact diabetes care, but further research could explore subgroups that may be more vulnerable and could benefit from integrated care that addresses both conditions. |
The importance of addressing depression and diabetes distress in adults with type 2 diabetes
Owens-Gary MD , Zhang X , Jawanda S , Bullard KM , Allweiss P , Smith BD . J Gen Intern Med 2018 34 (2) 320-324 People with type 2 diabetes often experience two common mental health conditions: depression and diabetes distress. Both increase a patient's risk for mortality, poor disease management, diabetes-related complications, and poor quality of life. The American Diabetes Association and the U.S. Preventive Services Task Force recommend routine evaluations for these conditions in adults for optimal disease management and prevention of life-threatening complications. However, barriers exist within primary care and specialty settings that make screening for depression and diabetes distress challenging. Depression and diabetes distress influence diabetes self-care and diabetes control and barriers in clinical care practice that can hinder detection and management of psychosocial issues in diabetes care. This paper highlights opportunities to increase mental health screenings and provides strategies to help providers address depression and diabetes distress in patients with type 2 diabetes. |
Interventions to increase access to care and quality of care for women with gestational diabetes
Owens-Gary MD , Ware J . Diabetes Spectr 2012 25 (1) 26-28 The prevalence of gestational diabetes mellitus (GDM) in the United States is increasing, and rates in some populations range from 3 to 14%.1–3 The true prevalence of GDM may be even higher because underreporting of GDM on birth certificates is well documented.1–4 Difficulties in documenting and reaching consensus on the prevalence of GDM exist for a number of reasons, including the use of various diagnostic criteria, past confusion about the specific criteria used to diagnose GDM, and the lack of a universal recommendation for screening and diagnosis.5,6 | In previous publications, 5–7 researchers have outlined and critiqued the various GDM guidelines established by professional organizations. Most agree on assessment of the risk for GDM for all pregnant women, with the exception of the U.S. Preventive Service Task Force.8 However, they differ on testing procedures, diagnostic criteria, target blood glucose levels during pregnancy, and scheduled postpartum testing and follow-up for diabetes.5,6 |
Diabetes update. Helping students cope with diabetes: the role of the school nurse
Owens-Gary MD , Shea L , Lewis S . School Nurse News 2010 27 (4) 29-30 The article reports on the difficulties faced by children and adolescents with diabetes and discusses ways a school nurse can help them. It states that the school nurse can help in removing the stressors being experienced by the diabetic students. The National Diabetes Education Program (NDEP) has developed tip sheets that offer suggestions on preventing and managing diabetes. NDEP also developed a guide that can help the nurse assist students with the ailment face their feelings in a positive manner and help them whenever they feel depressed. |
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