Comorbid depression is associated with increased health care use and expenditures in individuals with diabetes.

By Leonard E. Egede, D. Zheng, Kit Simpson. Diabetes Care, 2002

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The Vital Link Between Chronic Disease and Depressive Disorders (2004, background): “5 times higher than for those without depression: $247 million compared with $55 million (85).”
Socioeconomic position and health among persons with diabetes mellitus: a conceptual framework and review of the literature. (2004, background): “population (136, 137), and in the general population there is”
Depression in diabetic patients: the relationship between mood and glycemic control. (2005, background): “Diabetes has been reported to at least double the risk of comorbid depression, with the point prevalence approximating 11% in the diabetic population (Anderson et al., 2001; Egede et al., 2002; Goodnick et al., 1995).”
Depression and Diabetes Treatment Nonadherence: A Meta-Analysis (2008, background): “P atients with diabetes are more likely to experience depression than the general population, and the presence of depression is associated with poorer quality of life (1), increases in hyperglycemia (2), health care utilization (3), risk of complications (4,5), functional impairment (6), and risk of”