RESUMEN
Relation between diabetes and depression is bidirectional. Diabetics are at higher risk for developing depression, which is a risk factor for the onset of type 2 diabetes and its complications. We will illustrate these links through the cases of two patients. The first patient had a major depressive episode that has resisted treatment, and in whom the management of a discovered diabetes has improved the depressive symptoms. The second patient suffered from diabetic complications stabilized after treatment of a neglected depression. Several factors favor the occurrence of depression in diabetic patients: the low socioeconomic and education level, loneliness, stress, high levels of glycated hemoglobin and the presence of diabetic complications, especially neuropathic ones. Furthermore, depression can lead to eating disorders and sedentary lifestyle, favoring the development of obesity and type 2 diabetes; depression is also accompanied by biological changes that may increase vulnerability to diabetes. Therapeutic response to antidepressants is probably lower in diabetics
RESUMEN
Psychiatric disorders accompanying infection with human immunodeficiency virus are frequent and varied. They can occur in inaugural precede even the discovery of serological abnormalities. Patient of 36 years old, was hospitalized in psychiatry hospital after a confusional syndrome, in which the examinations objectified HIV positive serology cortical and subcortical cerebral atrophy. The clinical evolution course was favorable with risperidone 3mg/daily, diazepam 20mg daily. The Psychiatric symptoms most frequently encountered in infection with human immunodeficiency virus are anxiety and depression, cognitive impairment, which can reach up to dementia, psychotic states and confounding or iatrogenic psychiatric disorders. Patients with human immunodeficiency virus often suffer from psychiatric disorders. An early adapted care stabilize these disorders, thereby improving the disease prognosis