As I was looking at the full NICE guidelines on Type 2 diabetes for another purpose (assessment report for the OU course on "diabetes care") I thought I'd look at what they said about diabetes and depression so quote as follows
"Psychological well-being is clearly part of being healthy. It is an important part of healthcare management of any condition where psychological health is impaired or where it has particular impact on clinical management.
There is evidence of a high prevalence of psychological ill-health in people with diabetes,
notably for depression,21 which is often under-recognised.22 Additionally because of the
importance of self-care to the management of the condition, there is evidence that
psychological ill-health is associated with adverse effects on other aspects of the long-term health of people with Type 2 diabetes.23?25
Formal assessment of psychological well-being is not a standard part of practice in diabetes care in the UK. Other guidelines, including the NICE guideline for people with Type 1 diabetes, have emphasised the importance of recognising and managing depression. Only general recommendations have been made regarding being alert to problems, availability of skills to manage routine psychological disorders, and of appropriate referral to those with special expertise where the condition is more severe.26 NICE has recently published a guideline on the management of depression.27
No evidence search has been performed for the purpose of the current guideline due to the availability of the NICE depression guideline. People with Type 2 diabetes with psychological and/or depressive disorders should be identified by continuing professional awareness, and managed in accordance with current national guidelines."
Work is underway to produce NICE guidelines on depression and chronic health problems so here's hoping that will spur the NHS on in recognising our needs.
On a personal basis, I've had treatment for depression in the past and my GP and practice nurse ask the standard screening questions as part of my diabetic reviews. They seem very much aware that I am more at risk from depression but, like iwth diabetes, one of the best resources I found in managing my depression was from the "dummies" series - "Depression for Dummies" particularly as by the time I got to see the clinical psychological services I was well past the worst
Vanessa