ë Depression increases frequency of poor out comes among those suffering from diabetes ë  When co-occurring results can include: poor compliance with treatment recommendations, increased symptoms, and increased likelihood of lethal complication. Culpepper, 2002 ë In a study of Medicare claims data involving over 200,000 older subjects, researchers found that people with diabetes and depression “seek treatment for more services and and when admitted spend more time in impatient facilities than claimants without major depression.” Finklestein, et al, 2002