Psychiatric Comorbidity in Type 2 Diabetes Mellitus: From Diagnosis to Treatment

Abstract
Diabetes mellitus (DM) is a chronic disease characterized by a group of metabolic alterations that have in common a persistent hyperglycemia. Despite all efforts to control the disease, a group of diabetic patients remains with increased glycemic levels, developing associated clinical complications later on, even after following specific therapeutical recommendations. The presence of psychiatric disorders in DM could be one of the factors that disturb the metabolic control, facilitating the progression of the disease. The goal of this article was to investigate the association between psychiatric comorbidity, particularly depression and eating disorders (ED), and type 2 diabetes mellitus (T2DM). The occurrence of depression and ED seems to be increased in patients with diabetes. Furthermore, the presence of a depression syndrome and eating disorder symptoms seems to negatively influence metabolic control. of the disease. It seems important to investigate the presence of a psychiatric disorder in patients with diabetes, especially in those who cannot achieve a satisfactory metabolic control. The adequate treatment of an eating disorder in diabetes could be associated with a reduction in the number of clinical complications related to this disease.

Key words
diabetes mellitus, depression, eating disorders, binge eating, metabolic control

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