More depression with type 2 diabetes
The study included 1300 adolescents with diabetes, including 281 with type 2 disease. Those with type 2 diabetes had more depressive symptoms than those with type 1 diabetes at the start of the study. At all follow-up time points two to three times as many with type 2 had elevated depression scores.
HbA1c deteriorated in both groups, increasing by nearly 1.5% during the first six years of diabetes.
“Because of the highly specialised nature of type 1 care… and the relatively recent increases in type 2 in youth, it is likely that the current model of care is not ideal for youth with type 2 diabetes,” the authors wrote.
J Adolesc Health 2014; online 12 May