A Practical Guide to Addressing Mental Health in People With Diabetes for the Diabetes Care and Education Specialist

Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: results from the 2021 National Survey on Drug Use and Health (HHS Publication No. PEP22-07-01-005). 2021. Accessed July 2024. http://www.samhsa.gov/data/

Moradian S Teufel M Jahre L , et al. Mental health burden of patients with diabetes before and after the initial outbreak of COVID-19: predictors of mental health impairment. BMC Public Health. 2021;21(1):2068. doi:10.1186/s12889-021-12101-z

Alessi J Berger de Oliveira G Franco DW , et al. Mental health in the era of COVID-19: prevalence of psychiatric disorders in a cohort of patients with type 1 and type 2 diabetes during the social distancing. Diabetol Metab Syndr. 2020;12:76. doi:10.1186/s13098-020-00584-6

Gonzalvo JD deGroot M Rinker J , et al. Mental health in people with diabetes: a needs assessment for the diabetes educator. AADE in Practice. 2018;6(5):30-35.

Young-Hyman D de Groot M Hill-Briggs F , et al. Psycho-social care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2016;39:2126-2140.

Centers for Disease Control and Prevention. Depression in the U.S household population 2009-2012. Accessed October 24, 2018. https://www.cdc.gov/nchs/data/databriefs/db172.htm

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Health Disorders. 5th ed - TR. American Psychiatric Association; 2022.

Anderson RJ Freedland KE Clouse RE Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24:1069-1078.

McGill DE Volkening LK Pober MD , et al. Depressive symptoms at critical times in youth with type 1 diabetes: following type 1 diabetes diagnosis and insulin pump initiation. J Adolesc Health. 2018;62(2):219-225.

Hood KK Huestis S Maher A , et al. Depressive symptoms in children and adolescents with type 1 diabetes: association with diabetes-specific characteristics. Diabetes Care. 2006;29(6):1389-1391.

Matlock KA Jones MH Corathers SD Kichler JC. Clinical and psychosocial factors associated with suicidal ideation in adolescents with type 1 diabetes. J Adolesc Health 2017;61(4):471-477.

Van Buren DJ Wilfley DE Marcus MD , et al. Depressive symptoms and glycemic control in youth with type 2 diabetes participating in the TODAY clinical trial. Diabetes Res Clin Pract. 2018;135:85-87.

Silverstein J Cheng P Ruedy KJ , et al. Depressive symptoms in youth with type 1 or type 2 diabetes: results of the pediatrics diabetes consortium screening assessment of depressing in diabetes study. Diabetes Care. 2015;38(12):2341-3433.

Koyama AK Hora IA Bullard KM Benoit SR Tang S Cho P. State-specific prevalence of depression among adults with and without diabetes — United States, 2011-2019. Prev Chronic Dis 2023;20:220407. https://www.cdc.gov/pcd/issues/2023/22_0407.htm

de Groot M Crick KA Long M , et al. Lifetime duration of depressive disorders in patients with type 2 diabetes. Diabetes Care. 2016;39(12):2174-2181.

Kessler RC Berglund P Demler O , et al. National Comor-bidity Survey Replication. The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA. 2003;289:3095-3105.

Lustman PJ Griffith LS Clouse RE. Depression in adults with diabetes. Results of 5-yr follow-up study. Diabetes Care. 1988;11:605-612.

Golden SH Lazo M Carnethon M , et al. Examining a bidirectional association between depressive symptoms and diabetes. JAMA. 2008;299:2751-2759.

Mezuk B Eaton WW Albrecht S Golden SH Depression and type 2 diabetes over the lifespan: a meta-analysis. Diabetes Care. 2008;31:2383-2390.

Lustman PJ Anderson RJ Freedland KE , et al. Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care. 2000;23,934-942.

de Groot M Anderson R Freedland KE , et al. Association of depression and diabetes complications: a meta-analysis. Psychosom Med. 2001;63:619-630.

Ciechanowski PS Katon WJ Russo JE. Depression and diabetes: impact of depressive symptoms on adherence, function, and costs. Arch Intern Med. 2000;160:3278-3285.

Von Korff M Katon W Lin EH , et al. Potentially modifiable factors associated with disability among people with diabetes. Psychosom Med. 2005;67:233-240.

Lin EH Heckbert SR Rutter CM , et al. Depression and increased mortality in diabetes: unexpected causes of death. Ann Fam Med. 2009;7:414-421.

Katon WJ Rutter C Simon G , et al. The association of comorbid depression with mortality in patients with type 2 diabetes. Diabetes Care. 2005;28:2668-2672.

de Groot M Doyle T Averyt J . Program ACTIVE: cognitive behavioral therapy to treat depression in adults with type 2 diabetes in rural Appalachia. J Cogn Psychother. 2017;33(1):158-170.

Piette JD Richardson C Himle J , et al. A randomized trial of telephonic counseling plus walking for depressed diabetes patients. Med Care. 2011;49(7):641-648.

Lustman PJ Griffith LS. Cognitive behavior therapy for depression in type 2 diabetes mellitus. Ann Intern Med. 1998;129(8):613-621.

Kalra S Jena BN Yeravdekar R. Emotional and psychological needs of people with diabetes. Indian J Endocrinol Metab. 2018;22(5):696-704. doi:10.4103/ijem.IJEM_579_17

Fisher L Hessler DM Polonsky WH , et al. When is diabetes distress clinically meaningful? Establishing cut points for the Diabetes Distress Scale. Diabetes Care. 2012;35:259-264.

Hagger V Hendrieckx C Sturt J. , et al. Diabetes distress among adolescents with type 1 diabetes: a systematic review. Curr Diab Rep. 2016;16:9. doi:10.1007/s11892-015-0694-2.

Hessler D Fisher L Polonsky W Johnson N. Understanding the areas and correlates of diabetes-related distress in parents of teens with type 1 diabetes. J Pediatr Psychol. 2016;41(7):750-758.

Grigsby AB Anderson RJ Freedland KE , et al. Prevalence of anxiety in adults with diabetes: a systematic review. J Psycho-som Res. 2002;53:1053-1060.

Hermanns N Kulzer B Krichbaum M , et al. Affective and anxiety disorders in a German sample of diabetic patients: prevalence, comorbidity and risk factors. Diabet Med. 2005;22;293-300.

Rechenberg K Whittemore R Grey M. Anxiety in youth with type 1 diabetes. J Pediatr Nurs. 2017;32:64-71.

Smith KJ Beland M Clyde M , et al. Association of diabetes with anxiety: a systematic review and meta-analysis. J Psycho-som Res. 2013;74:89-99.

Fisher L Skaff MM Mullan JT , et al. A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabet Med. 2008;25:1096-1101.

Atlantis E Vogelzangs N Cashman K , et al. Common mental disorders associated with 2-year diabetes incidence: the Netherlands Study of Depression and Anxiety (NESDA). J Affect Disord. 2012;142:S30-S35.

Husarewycz MN El-Gabalawy R Logsetty S , et al. The association between number and type of traumatic life experiences and physical conditions in a nationally representative sample. Gen Hosp Psychiatry. 2014;36:26-32.

Snoek FJ Pouwer F Welch GW , et al. Diabetes-related emotional distress in Dutch and U.S. diabetic patients: cross-cultural validity of the problem areas in diabetes scale. Diabetes Care. 2000;23:1305-1309.

Shepard JA Vajda K Nyer M , et al. Understanding the construct of fear of hypoglycemia in pediatric type 1 diabetes. J Pediatr Psychol. 2014;39:1115-1125.

Bahrmann A Abel A Zeyfang A , et al. Psychological insulin resistance in geriatric patients with diabetes mellitus. Patient Educ Couns. 2014;94:417-422.

van Son J Nyklícek I Pop V , et al. The effects of a mindful-ness-based intervention on emotional distress, quality of life, and HbA(1c) in outpatients with diabetes (DiaMind): a randomized controlled trial. Diabetes Care. 2013;36(4):823-830.

Cox DJ Gonder-Frederick L Polonsky W , et al. Blood glucose awareness training (BGAT-2): long-term benefits. Diabetes Care. 2001;24:637-642.

Young V Eiser C Johnson B , et al. Eating problems in adolescents with type 1 diabetes: a systematic review with meta-analysis. Diabet Med. 2013;30:189-198.

Rodin G Olmsted MP Rydall AC , et al. Eating disorders in young women with type 1 diabetes mellitus. J Psychosom Res. 2002;53:943-949.

Goebel-Fabbri AE. Disturbed eating behaviors and eating disorders in type 1 diabetes: clinical significance and treatment recommendations. Curr Diab Rep. 2009;9:133-139.

Young-Hyman D. Eating disorders and disordered eating behavior. In: Young-Hyman D Peyrot M , eds. Psychosocial Care for People With Diabetes. American Diabetes Association; 2012:17-32.

Aikens JE. Prospective associations between emotional distress and poor outcomes in type 2 diabetes. Diabetes Care. 2012;35(12):2472-2478.

Garber AJ. Novel GLP-1 receptor agonists for diabetes. Expert Opin Investig Drugs. 2012;21:45-47.

Popov MY Lepik OV Kozlovskii VL , et al. Pharmacological strategies for appetite modulation in eating disorders: a narrative review. Consort Psychiatr. 2023;4(2):79-90.

Petry N Foster N Cengiz E , et al. Substance use in adults with type 1 diabetes in the T1D Exchange. Diabetes. 2018;67(suppl 1):216.

Walter KN Wagner JA Cengiz E , et al. Substance use disorders among patients with type 2 diabetes: a dangerous but understudied combination. Curr Diab Rep. 2017;17:2. doi:10.1007/s11892-017-0832-0

Modzelewski KL Rybin DV Weinberg JM Alexanian SM McDonnell ME Steenkamp DW. Active cocaine use does not increase the likelihood of hyperglycemic crisis. J Clin Transl Endocrinol. 2017;9:1-7. doi:10.1016/j.jcte.2017.05.004

Malinovská J Urbanová J Lustigová M Kuc̆era K Brož J. Diabetes mellitus and illicit drugs. Vnitr Lek. 2020;66(5):52-55.

Giese D Kinney G Geno C , et al. Cannabis use, diabetes self-management, and diabetic ketoacidosis (DKA) in adults with type 1 diabetes (T1D). Diabetes. 2021;70(suppl):1114-P.

Sullivan LE Tetrault JM Braithwaite RS Turner BJ Fiellin DA. A meta-analysis of the efficacy of nonphysician brief interventions for unhealthy alcohol use: implications for the patient-centered medical home. Am J Addict. 2011;20:343-356.

Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel, Liaisons, and Staff A clinical practice guideline for treating tobacco use and dependence: 2008 update. A US Public Health Service report. Am J Prev Med. 2008;35:158-176.

Leung GY Zhang J Lin W Clark RE. Behavioral health disorders and adherence to measures of diabetes care quality. Am J Manag Care. 2011;17:144-150.

Biessels GJ Deary IJ Ryan CM. Cognition and diabetes: a lifespan perspective. Lancet Neurol. 2008;7(2):184-190.

Gudala K Bansal D Schifano F Bhansali A. Diabetes mellitus and risk of dementia: a meta-analysis of prospective observational studies. J Diabetes Investig. 2013;4:640-650.

Luchsinger JA Tang MX Stern Y , et al. Diabetes mellitus and risk of Alzheimer’s disease and dementia with stroke in a multiethnic cohort. Am J Epidemiol. 2001;154:635-641.

Luchsinger JA Reitz C Patel B , et al. Relation of diabetes to mild cognitive impairment. Arch Neurol. 2007;64:570-575.

Ryan CM. Why is cognitive dysfunction associated with the development of diabetes early in life? The diathesis hypothesis. Pediatr Diabetes. 2006;7:289-297.

The Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) Study Research Group. Long-term effect of diabetes and its treatment on cognitive function. N Engl J Med. 2007;356:1842-1852.

Luchsinger JA. Diabetes, related conditions, and dementia. J Neurol Sci. 2010;299(1-2):35-38.

Ferguson SC Blane A Wardlaw J , et al. Influence of an early-onset age of type 1 diabetes on cerebral structure and cognitive function. Diabetes Care. 2005;28:1431-1437.

Dahlquist G Kallen B. School performance in children with type 1 diabetes—a population-based register study. Diabetolo-gia. 2007;50:957-964.

Wasserman RM Anderson BJ Schwartz DD. Screening of neurocognitive and executive functioning in children, adolescents, and young adults with type 1 diabetes. Diabetes Spectr. 2016;29(4):202-210.

Palta P Schneider AL Biessels GJ , et al. Magnitude of cognitive dysfunction in adults with type 2 diabetes: a meta-analysis of six cognitive domains and the most frequently reported neuropsychological tests within domains. J Int Neuropsychol Soc. 2014;20(3):278-291.

Christman AL Vannorsdall TD Pearlson GD Hill-Briggs F Schretlen DJ. Cranial volume, mild cognitive deficits, and functional limitations associated with diabetes in a community sample. Arch Clin Neuropsychol. 2010;25(1):49-59.

Institute of Medicine. Health care response to cognitive aging. In Blazer DG Yaffe K Liverman CT , eds. Cognitive Aging: Progress in Understanding and Opportunities for Action. National Academies Press; 2015:209-226. Accessed March 1, 2018. https://nap.nationalacademies.org/read/21693/chapter/9#225

American Diabetes Association. Older adults: standards of medical care in diabetes 2018. Diabetes Care. 2018;41(S1):S119-S125.

Cordell CB Borson S Boustani M , et al. Alzheimer;s Association recommendations for operationalizing the detection of cognitive impairment during the Medicare Annual Wellness Visit in a primary care setting. Alzheimers Dement. 2013;9(2):141-150.

Hill-Briggs F Smith AS. Evaluation of diabetes and cardiovascular disease print patient education materials for use with low-health literate populations. Diabetes Care. 2008;31(4):667-671.

Hill-Briggs F Lazo M Renosky R Ewing C. Usability of a diabetes and cardiovascular disease education module in an African American, diabetic sample with physical, visual, and cognitive impairment. Rehab Psychol. 2008;53(1):1-8.

Olfson M Gerhard T Huang C , et al. Premature mortality among adults with schizophrenia in the United States. JAMA Psychiatry. 2015:72(12):1172-1181.

De Hert M Correll CU Bobes J , et al. Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry. 2011;10:52-77.

Moore S Shiers D Daly B , et al. Promoting physical health for people with schizophrenia by reducing disparities in medical and dental care. Acta Psychiatr Scand. 2015;132:109-121.

Osby U Brandt L Correia N , et al. Excess mortality in bipolar and unipolar disorder in Sweden. Arch Gen Psychiatr. 2001;58:844-850.

Cuijpers P Vogelzangs N Twisk J. Comprehensive meta-analysis of excess mortality in depression in the general com-munity versus patients with specific illnesses. Am J Psychiatry. 2014;171:453-462.

Whitley R Campbell DR. Stigma, agency and recovery amongst people with severe mental illness. Soc Sci Med. 2014;107:1-8.

Silton NR Flannelly KJ Milstein G Vaaler ML. Stigma in America: has anything changed? Impact of perceptions of mental illness and dangerousness on the desire for social distance: 1996 and 2006. J Nerv Ment Dis. 2011;199:361-366.

Knaak S Mantler E Szeto A. Mental illness-related stigma in healthcare: barriers to access and care and evidence-based solutions. Healthc Manage Forum. 2017;30(2):111-116.

Yanos PT Roe D Markus K Lysaker PH. Pathways between internalized stigma and outcomes related to recovery in schizophrenia spectrum disorders. Psychiatr Serv. 2008;59:1437-1442.

Corrigan PW Mittal D Reaves CM , et al. Mental health stigma and primary care decisions. Psychiatry Res. 2014;218:35-38.

Goldberg RW Kreyenbuhl JA Medoff DR , et al. Quality of diabetes care among adults with serious mental illness. Psychriatr Serv. 2007;58:536-543.

Scott D Palatania-Phung C Happell B. Quality of care for cardiovascular disease and diabetes amongst individuals with serious mental illness and those using antipsychotic medications. J Healthc Qual. 2012;34:15-21.

Dixon LB Kreyenbuhl JA Dickerson FB , et al. A comparison of type 2 diabetes outcomes among persons with and without severe mental illness. Psychiatr Serv. 2004;55:892-900.

Brown CH Medoff D Dickerson FB , et al. Long-term glucose control among type 2 diabetes patients with and without severe mental illness. J Nerv Ment Dis. 2011;199:899-902.

Hamm JA Buck KD Gonzalvo JD. Clinical application of patient centered approach to diabetes care for people with serious mental illness. Clin Diabetes. 2017;35(5):313-320.

Lawrence D Kiesely S Pais J , et al. The epidemiology of excess mortality in people with mental illness. Can J Psychiatry. 2010;55(12):752-760.

Antipsychotics. Lexi-drugs. Lexicomp. Wolters Kluwer Health, Inc. Riverwoods, IL. http://online.lexi.com. Accessed August 29, 2018.

Riordan HJ Antonini P Murphy MF. Atypical antipsychotics and metabolic syndrome in patients with schizophrenia: risk factors, monitoring, and healthcare implications. Am Health Drug Benefits. 2011;4(5):292-302.

Sattar N Lee MMY Kristensen SL , et al. Cardiovascular, mortality, and kidney outcomes with GLP-1 receptor agonists in patients with type 2 diabetes: a systematic review and meta-analysis of randomised trials. Lancet Diabetes Endocrinol. 2021;9(10):653-662.

Gerstein H Sattar N. Reduction in heart failure outcomes with SGLT2 inhibitors irrespective of glycaemic status. Lancet Diabetes Endocrinol. 2022;10(12):831-832.

Palmer SC Tendal B Mustafa RA , et al. Sodium-glucose cotransporter protein-2 (SGLT-2) inhibitors and glucagon-like peptide-1 (GLP-1) receptor agonists for type 2 diabetes: systematic review and network meta-analysis of randomised controlled trials. BMJ. 2021;372:m4573. doi:10.1136/bmj.m4573.

Wharton S Raiber L Serodio K Lee J Christensen RA. Medications that cause weight gain and alternatives in Canada: a narrative review. Diabetes Metab Syndr Obes. 2018;11:427-438. doi:10.2147/dmso.s171365

Ebbert JO Wyatt KD Hays JT , et al. Varenicline for smoking cessation: efficacy, safety, and treatment recommendations. Patient Prefer Adherence. 2010;4:355-362.

Anthenelli RM Benowitz NL West R , et al. Neuropsy-chiatric safety and efficacy of varenicline, bupropion, and nicotine patch in smokers with and without psychiatric disorders (EAGLES): a double-blind, randomised, placebo-controlled clinical trial. Lancet. 2016;387:2507-2520.

Adedinsewo D Take N Agasthi P , et al. Prevalence and factors associated with statin use among a nationally representative sample of US adults: National Health and Nutrition Examination Survey, 2011-2012. Clin Cardiol. 2016;39(9):491-496. doi:10.1002/clc.22577

Trompet S vanVliet P deCraen A Jolles J Buckley B Murphy M. Pravastatin and cognitive function in the elderly. Results of the PROSPER study. J Neurol. 2010;257:85-90.

Orsi A Sherman O Woldeselassie Z. Simvastatin associated memory loss. Pharmacotherapy. 2001;21:767-769.

Evans M Golomb B. Statin-associated adverse cognitive effects: survey results from 171 patients. Pharmacotherapy. 2009;29(7):800-811.

Wagstaff LR Mitton MW Arvik BM Doraiswamy PM. Statin-associated memory loss: analysis of 60 case reports and review of the literature. Pharmacotherapy. 2003;23:871-880.

Olmastroni E Molari G De Beni N , et al. Statin use and risk of dementia or Alzheimer’s disease: a systematic review and meta-analysis of observational studies. Eur J Prev Cardiol. 2022;29(5):804-814.

Van Vliet P van de Water W de Craen A , et al. The influence of age on the association between cholesterol and cognitive function. Exp Gerontol. 44:112-122.

Muldoon M Ryan C Sereika S Flory J Manuck S. Randomized trial of the effects of simvastatin on cognitive functioning in hypercholesterolemic adults. Am J Med 2004;117:823-829.

Cramer C Haan M Galea S Langa K Kalbfleisch J. Use of statins and incidence of dementia and cognitive impairment without dementia in a cohort study. Neurology 2008;71:344-350.

Parker BA Polk DM Rabdiya V , et al. Changes in memory function and neuronal activation associated with atorvastatin therapy. Pharmacotherapy. 2010;30:236e-240e.

Zamrini E McGwin G Roseman JM. Association between statin use and Alzheimer’s disease. Neuroepidemiology. 2004;23:94-98.

Muldoon M Barger S Ryan C , et al. Effects of lovastatin on cognitive function and psychological well-being. Am J Med. 2000;108:538-547.

Zandi PP Sparks DL Khachaturian AS , et al. Do statins reduce risk of incident dementia and Alzheimer disease? The Cache County Study. Arch Gen Psychiatry. 2005;62:217-224.

Samaras K Makkar S Crawford J , et al. Effects of statins on memory, cognition and brain volume in elderly. J Am Coll Cardiol. 2019;74(21):2554-2568.

Zhou B Teramukai S Fukushima M. Prevention and treatment of dementia or Alzheimer’s disease by statins: a meta-analysis. Dement Geriatr Cogn Disord. 2007;23:194-201.

Beydoun MA Beason-Held LL Kitner-Triolo MH , et al. Statins and serum cholesterol’s associations with incident dementia and mild cognitive impairment. J Epidemiol Community Health. 2011;65:949-957.

Mansi I Frei CR Pugh M Mortensen EM. Psychological disorders and statin use: a propensity scorematched analysis. Pharmacotherapy. 2013;33(6):615-626.

Wang B An X Shi X , et al. Management of endocrine disease: suicide risk in patients with diabetes: a systematic review and meta-analysis. Eur J Endocrinol. 2017;177(4):R169-R181.

Lutz J Morton K Turiano NA , et al. Health conditions and passive suicidal ideation in the survey of health, ageing, and retirement in Europe. J Gerontol B Psychol Sci Soc Sci. 2016;71(5):936-946.

Wang Y Tang S Xu S , et al. Association between diabetes and risk of suicide death: a meta-analysis of 3 million participants. Compr Psychiatry. 2016;71:11-16.

Sarkar S Balhara YP. Diabetes mellitus and suicide. Indian J Endocrinol Metab. 2014:18(4):468-474.

Clement S Schauman O Graham T , et al. What is the impact of metal health-related stigma on help-seeking?: A systematic review of quantitative and qualitative studies. Psychol Med. 2015;45(1):11-27.

Corrigan P. How stigma interferes with mental health care. Am Psychol. 2004;59(7):614-625.

Majidi Shideh O’Donnell HK Stanek K Youngkin E Gomer T Driscoll KA . Suicide risk assessment in youth and young adults with type 1 diabetes. Diabetes Care. 2020;43(2):343-348. doi:10.2337/dc19-0831

American Diabetes Association. Mental health professional diabetes education program. Accessed October 30. 2018. https://professional.diabetes.org/meeting/other/mental-health-provider-diabetes-education-program

Ceretta LB Reus GZ Abelaira HM , et al. Increased prevalence of mood disorders and suicidal ideation in type 2 diabetic patients. Acta Diabetol. 2012;49(1)227-234. doi:10.1007/s00592-012-0435-9

Huang CJ Huang YT Lin PC Hsieh HM Yang YH. Morality and suicide related to major depressive disorders before and after type 2 diabetes mellitus. J Clin Psychiatry. 2022:83(1):20m13692. doi:10.4088/JCP.20m13692

U.S. Preventative Services Task Force. Patient Health Questionnaire (PHQ-9). Accessed August 29, 2018. https://www.uspreventiveservicestaskforce.org/Home/GetFileByID/218

MHS Assessments. Children’s Depression Inventory 2. Accessed August 29, 2018. https://www.mhs.com/MHS-Assessment?prodname=cdi2

Agency for Healthcare Research and Quality. Geriatric Depression Scale (Long Form). Accessed August 29, 2018. https://integrationacademy.ahrq.gov/sites/default/files/Update%20Geriatric%20Depression%20Scale-30_0.pdf

NIMH. Ask Suicide-Screening Questions (ASQ) toolkit. Accessed August 29, 2018. https://www.nimh.nih.gov/labs-at-nimh/asq-toolkit-materials/index.shtml

American Diabetes Association. Diabetes Education 101 for the Behavioral Health Provider Program. Accessed March 30, 2024. https://professional.diabetes.org/professional-development/behavioral-mental-health/diabetes-education-101-behavioral-health-provider-program

Hill J Nielsen M Fox MH. Understanding the social factors that contribute to diabetes: informing health care and social policies for the chronically ill. Perm J. 2013;17(2)67. doi:10.7812/TPP/12-099

Hill-Briggs F Adler N Berkowitz S , et al. Social determinants of health and diabetes: a scientific review. Diabetes Care. 2021;44(1):258-279. doi:10.2337/dci20-0053

Adler NE Newman K. Socioeconomic disparities in health: pathways and policies. Health Aff (Millwood). 2022;21:60-76.

ElSayed N Aleppo G Aroda V , et al. Standards of care in diabetes - 2023. Diabetes Care. 2023;46(1):S1-S4.

Lucenete G Sonino N Fava G. Allostatic load and its impact on health: a systematic review. Psychother Psychosom. 2021;90(11):11-27. doi:10.1159/000510696

Bijlsma-Rutte A Rutters F Elders PJM , et al. Socio-economic status and HbA1c in type 2 diabetes: a systematic review and meta-analysis. Diabetes Metab Res Rev. 2018;34:3008. doi:10.1002/dmrr.3008

Hills-Briggs F Lazo M Peyrot M , et al. Effect of problem-solving based diabetes self-management training on diabetes control in low-income patient sample. J Gen Intern Med. 2011;26:972-978.

Cavanaugh K Wallston KA Gebtretsadik T , et al. Addressing literacy and numeracy to improve diabetes care: two-randomized controlled trials. Diabetes Care. 2009;32;2149-2155.

Kazemian P Shebl FM McCann N , et al. Evaluation of the cascade of diabetes care in the United States, 2005-2016. JAMA Intern Med. 2019;179:1376-1385.

Liese AD Ma X Reif L , et al. Health care access and glycemic control in youth and young adults in type 1 and type 2 diabetes in South Carolina. Pediatr Diabetes. 2019;20:321-329.

Ngo-Metzger Q Sorkin DH Billimek J , et al. The effects of financial pressures on adherence and glucose control among racial/ethnically diverse patients with diabetes. J Gen Intern Med. 2012;27:432-437.

Kushel MB Gupta R Gee L , et al. Housing instability and food insecurity as barriers to health care among low-income Americans. J Gen Intern Med. 2006;21:71-77.

Ahern M Brown C Dukas S. A national study of the association between food environments and county-level health outcomes. J Rural Health. 2011;27:367-379.

Seligman HK Smith M Rosenmoss S , et al. Comprehensive diabetes self-management support from food banks: a randomized controlled trial. Am J Public Health. 2018;108:1227-1234.

Rivich J Kosirog ER Billups SJ , et al. Social and psychosocial determinants of health associated with uncontrolled diabetes in a federally qualified health center population. Diabetes Spectr. 2019;32(2):145-151. doi:10.2337/ds18-0064

Strom JL Egede LE. The impact of social support on outcomes in adult patients with type 2 diabetes: a systematic review. Curr Diab Rep. 2012;12:769-681.

988 Suicide and Crisis Lifeline. [Home page]. Accessed September 3, 2024. 988liifeline.org

Indian Health Service Division of Diabetes Treatment and Prevention in collaboration with Indian Health Service Tribal Leaders Diabetes Committee and Tribal Community Members. A River Runs Through Us: Inspirations of Wellness. US Government Printing Office;2009.

Caballero AE. Diabetes in the Hispanic or Latino population: genes, environment, culture and more. Curr Diab Rep. 2005;5(3):217-225. doi:10.1006/s11892-005-0012-5

Peterson CM Davis B. Lifestyle intervention to treat diabetes in the Marshall Islands. The Martial Islands Diabetes Intervention Project. Updated May 16, 2023. Accessed 2016. Accessed March 5, 2019. https://www.clinicaltrials.gov/ct2/show/NCT03862963

Mayo Clinic. Diabetes meal plan recipes. https://www.mayoclinic.org/healthy-lifestyle/recipes/diabetes-meal-plan-recipes/rcs-20077150

National Alliance for Hispanic Health. Preventing T2. www.healthyamericas.org/diabetes

Agency for Healthcare Research and Quality. Health Literacy and Universal Precautions Toolkit. 2nd ed. Accessed 12 May 2023. https://www.ahrq.gov/health-literacy/improve/precautions/tool10.html

National Association of School Psychologists. Who are school psychologists? Accessed November 1, 2018. https://www.nasponline.org/about-school-psychology/who-are-school-psychologists

Schmitt A Reimer A Harmanns N , et al. Depression is linked to hyperglycaemia via suboptimal diabetes self-management: a cross-sectional mediation analysis. J Psychosom Res. 2017;94:17-23.

Powers MA Bardsley J Cypress M , et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Educ. 2015;41(4):417-430.

American Diabetes Association. Diabetes Education 101 for the Behavioral Health Professional (online learning program). Accessed September 3, 2024. https://professionaleducation.diabetes.org/Public/Catalog/Details.aspx?id=xURaa6FI93mq5ER%2fU1O2Hw%3d%3d