P-405: Depression severity and glycaemic control among young people with diabetes in Bangladesh
F Ahmed, A A Arifa, S Amirat, M M Rahman, B ZabeenAbstract
Introduction
Depression is a common but often under-recognized comorbidity among young people with diabetes, particularly in resource-limited settings.
Objectives
This study assessed depression severity and its association with glycaemic control and sociodemographic factors among individuals with diabetes in Bangladesh.
Methods
A cross-sectional study was conducted among 139 individuals with diabetes attending BADAS-PDRC. Depression severity was assessed using PHQ-9. Differences in HbA1c across severity groups were analyzed using the Kruskal–Wallis test and chi-square test for trend.
Results
Participants were mostly female (69.8%) and had type 1 diabetes (75.5%); 55.4% lived in rural areas. Mean HbA1c was 8.72 ± 1.93%. HbA1c differed significantly across depression severity categories (p = 0.029) and showed a significant association with increasing depression severity (χ² = 13.947, df = 4, p = 0.007; trend p = 0.018), indicating poorer glycaemic control with higher depression severity.
Conclusions
Depressive symptoms are common among young people with diabetes in Bangladesh. Poor glycaemic control was significantly associated with greater depression severity. These findings highlight the need for routine psychosocial screening and the integration of mental health support into diabetes care, particularly in resource-limited settings.