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†For correspondence: anilbhansali_endocrine@rediffmail.com
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Dear Sir,
The suggestion1 is well taken. As the prevalence of hypertension is also common in general population, a control group would have strengthened these data. However, we did not have a control group2.
The cause and effect relationship between depression and risk factors and the effect of risk factors on prevalence of diabetes have not been examined by us, since these all were already known patients with type 2 diabetes. However, a prospective study is available in the liteature showing that patients with major deprssive disorders have high prevalence of diabetes3.
Since it was a hospital based study, there may be a selection bias, as depressed diabetic patients may not visit the hospital. This should be considered as a limitation of the study.
That the depression and diabetes are causally related is based on studies from the literature3. However, in our study, the cause and effect relationship between the two could not be established and it was only the association of different risk factors with depression was observed.
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