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Depression and Type 2 Diabetes Over the Lifespan: A Meta-Analysis

Response to Nouwen, Lloyd, and Pouwer

  1. Briana Mezuk, PHD1,
  2. William W. Eaton, PHD2 and
  3. Sherita Hill Golden, MD, MHS3,4
  1. 1Department of Epidemiology, University of Michigan, Ann Arbor, Michigan;
  2. 2Department of Mental Health, Johns Hopkins School of Public Health, Baltimore, Maryland;
  3. 3Division of Endocrinology and Metabolism, Johns Hopkins School of Medicine, Baltimore, Maryland;
  4. 4Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Maryland.
  1. Corresponding author: Briana Mezuk, bmezuk{at}umich.edu

We appreciate the thoughtful comments of Nouwen, Lloyd, and Pouwer (1) on our recent systematic review of the bidirectional relationship between depression and type 2 diabetes (2). They criticize the choice of only including studies that excluded cases of depression at baseline from the analysis of type 2 diabetes as a risk factor for incident depression because depression is a chronic condition and the absence of baseline depression does not rule out prior episodes. We agree with the instinct to measure the lifetime history of …

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