Depression and Coping

Diabetes is not a curable disease.

One has to live with it and learn to cope up with it. Some succeed in doing so. Others may fail to do so and get into depression. Injecting insulin into themselves or by someone else and the other ailments that arise due to the condition may dampen one’s spirits. Diabetes can kill you in the long run and the slow death can lead to depression among some. Depression and diabetes, whichever maybe the cause and effect, is deadly combination.

In Depression people tend to eat more. Obesity is cause of diabetes. Similarly, diabetes can affect the weight of an individual and overall health condition and make him or her feel low(in other words-low self-esteem) and this can lead to depression. When parts of your body get affected and body starts withering, any normal person can be affected psychologically. He or she may not be able to appreciate her body.

Depression affects the body system. Apetite patterns change. Anxiety and panic attacks can affect the bowel movements. It has also been observed that stress or depression itself may lead to hyperglycemia in diabetics. Studies have also been conducted between cardiovascular disorders and depression.

For over three hundred years,physicians have suspected an interaction between emotions and the course of diabetes mellitus. Studies were conducted to observe “whether stressful events or psychiatric illness might precipitate either Type 1 (insulin-dependent) or Type 2 (Non-Insulin dependent) diabetes.”Results are not conclusive so far.

Stress also plays a major factor in onslaught and progression of diabetes. One study, for example, observed that those prone to stress had a higher glucose level as compared to those who were of a calm disposition. Those with a psychiatric history were found to have a higher risk of developing diabetic retinopathy if they had certain personality traits. It was also observed that patients with a psychiatric history were found to have a higher average glycosylated hemoglobin (a measure of long term diabetic control).

Children whose relatives made more critical comments had significantly poor rate of glucose control. Diabetic adolescents had a higher incidence of suicidal ideation than expected. They took poorer care of themselves. Based on recent studies it was observed that effective treatment of depression can improve diabetic control. Glucose levels improved as depression lifted. The better the improvement, the better the diabetic control.

Being diagnosed with diabetes is itself a major stress problem. A lot of physical and mental adjustments are required. The affected person has to be aware of the dietary and medical interventions. Lifestyle,work and school schedules may have to be altered. One has to view themselves differently now. Obviously, there are a lot of psychological changes in the person. From this one could say that psychological problems and diabetes are interlinked. If diabetes occurs, depression may follow. If depression occurs, diabetes may occur . Both need to be looked into