613). Depression shows that it has increased more in diabetic patients then the entire population of the United States. It is associated with poor glycemic control however; with proper treatment can be decreased (Lustman et al., 1998, pg. 613). Due to the risk for complications in diabetes such as: cardiovascular disease and retinopathy as a result, depression evolved (Lustman et al., 1998, pg. 613). Although the link between depression and diabetes is not fully understood, through therapy the risk of complications decrease and depression minimizes with an improved glycemic level (Lustman et al., 1998, pg. 613). The effect of antidepressant medication on severely depressed diabetic patients is insufficient to produce full remission in as many as 50% of diabetic patients with major depression (Lustman et al., 1998, pg. 613). It is uncertain as well as the usefulness of nonpharmacologic approaches such as psychotherapy that bring very little relevant data (Lustman et al., 1998, pg. 613). The cognitive behavior therapy for depression in type 2 diabetes was developed to establish the antidepressant effectiveness of cognitive behavior therapy (Lustman et al., 1998, pg. 613). In addition, secondary aim was to see how the system of depression is linked in helping improve glycemic levels (Lustman et al., 1998, pg. …show more content…
614). A score of at least 14 on the Beck Depression inventory must be held as well as, filling forms and giving consents to be a part of the study. The patients that have a mental illness, other than depression, were unqualified in participating in this study. Some of these are: Bipolar depression, Panic disorder, Substance abuse disorder, psychoactive medication or any attempts of suicidal thoughts (Lustman et al., 1998, pg. 614). By continuing this study, patients with type 2 diabetes who suffer from major depression were told that, this mental illness can play a huge factor in poor glycemic levels. The possibility of decreasing depression would be by focusing on the mental and physical state of the glycemic levels which, the concept was familiar and generally accepted by most patients (Lustman et al., 1998, pg. 614). The people that were selected and fit the criteria went on to a one week training period to test the levels of glucose in their blood with a glucometer. This meant that, the patients needed to test their blood 4 times per day on every second day (Lustman et al., 1998, pg. 614). Once the patients completed the assignment, they were randomly picked into study groups. Each group was required to undergo a ten week treatment