Diabetes mellitus and comorbid depression: improvement of both diseases with milnacipran. A replication study (results of the Austrian Major Depression Diabetes Mellitus study group) Full Text
Neuropsychiatric Disease and Treatment, 08/17/2012
Abrahamian H et al. – The present data underline the importance of diagnosis and treatment of comorbid depression in patients with type 2 diabetes mellitus with milnacipran.Methods
- The authors sought to replicate these results in a larger cohort (n=135).
- Patients received milnacipran and metformin for 6months and metabolic parameters and depressive symptoms were measured at baseline and after 3 and 6months.
- At the end of the study, 72.6% of patients had an antidepressant response (≥50% reduction of baseline Beck Depression Inventory score).
- Overall, there was significant improvement in the metabolic and anthropometric parameters measured.
- The number of patients with glycated hemoglobin >8% (>63.9mmol/mol), an indicator of poor metabolic control requiring intensive therapeutic intervention, decreased from 31.9% at baseline to 11.9% during the study.
- As found in the pilot study, levels of total cholesterol and triglycerides were only significantly decreased in antidepressant responders.
- Body weight was significantly reduced in both responders and non-responders but the effect size was significantly greater in the responder group.
- In contrast to the pilot study, fasting blood glucose and glycated hemoglobin were significantly decreased to a similar extent in both antidepressant-responders and nonresponders.
- The present study thus replicates some of the original findings.
- The main difference between the present and the pilot study is that in the larger cohort significant reductions in fasting blood glucose and glycated hemoglobin were found in all patients irrespective of whether or not they responded to antidepressant treatment.