Glycemic control and psychoemotional alteration in patients with different clinical characteristics of diabetes mellitus

Aim. To determine the pattern and changes of psychoemotional states in 94 patients with diabetes mellitus (DM) and to study their relationship to glycemic values in its different clinical characteristics. Subjects and methods. Ninety-four patients (63 women and 31 men) with type 1 (n=20) and type 2 (n=74) DM who had received a course of planned hospital treatment in the Vladikavkaz Endocrinology Dispensary in the period 2006 to 2010 were examined. The psychodiagnostic procedure "GSAM" to evaluate their general state, activity, and mood and the Luscher color test were used. Results. Determinants of the psychoemotional pattern were identified in the patients with DM. These included: 1) age that determined general state and mood; 2) glycemia that affected the evaluation of general state and activity in middle-aged patients; 3) the type of DM that affected the evaluation of general state; 4) insulin dependence that determined mood. The activity factor related to the mechanisms of development of hyperglycemia was separated out in the very pattern of a psychoemotonal state. Conclusion. The low self-rating of general state, activity, and mood among diabetic patients is most common in elderly patients who have type 2 DM and receive sugar-lowering drugs.