[Cardiovascular and metabolic disorders in diabetic patients with concomitant depression].

We studied the character of cardiovascular and metabolic disorders in diabetic patients depending on the severity of depression. It was shown that depressive symptoms in excess of 10 scores by the Beck scale are predictors of atherogenous dyslipidemic disorders, atherosclerotic changes in peripheral vessels and cardiac valves, myocardial remodeling, and asymptomatic diastolic dysfunction. Also, DM-associated depression proved to reflect resistance to orthostatic hypotension. Results of the study suggest the necessity of dynamic evaluation of the affective status of DM patients based on subjective depression scales that could be used by a therapist or endocrinologist without special preliminary training.