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[Correspondence] Mental illness: the forgotten burden on diabetes populations?

In April, The Lancet discussed the high cost of diabetes and an urgent call for action. The Comment by Etienne Krug (April 9, p 1485)1 focuses on physical interventions without mentioning the burden of mental illness in diabetes, in which depression and diabetes distress are common. Depression also has a bidirectional relationship with type 2 diabetes, showing causative and consequential implications: mental health is an essential consideration in diabetes prevention and management.