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The
Relationship Between
Diabetes and Depression Diabetes and depression is highlt related. In fact,diabetes and its related complications are associated with depression, and the more complications a person experiences the greater likelihood that he or she will be depressed. It is has been found that the prevalence of clinical depression among people with diabetes is three times that of the general population.  Depression is generally a severe and recurring condition in people with diabetes, with only about 20% of people who recover from an episode of depression remaining asymptomatic for more than 5 years. Several researchers have examined the efficacy of psychotherapy and/or pharrnacotherapy for treating depression in people with diabetes and found the treatment benefits were similar to those in people without diabetes. Only one third of all people with diabetes and depression, however, are diagnosed and treated . Depression should be diagnosed, assessed, and treated in people with diabetes because it is associated with significantly increased mortality in this population. Because glycemic control is significantly worse for people who are depressed depression's association with increased mortality is speculated to be due to deterioration of glucose control and the onset of other illnesses and complications . Depression and diabetes can intensify one another since both can cause stress hormone disturbances, and having depression can make diabetes self-management behaviors difficult to initiate or maintain, which worsens glycemic control . Several researchers found that treatment of depression improved glucose control , although this finding was not universal . Diabetes and Depression are associated with Neuropathy in the feet. Diabetics who have two or more diabetes-related complications are more likely to have symptoms of depression . For instance, depression is strongly associated with symptoms of neuropathy in the feet, in particular unsteadiness. In addition, many people with neuropathy report its symptoms are unpredictable and difficult to treat. All this creates stress because of the resulting restrictions in activities of daily living and changes in social self-perception . t is important to ask patients if they understand what causes their lower extremity symptoms, for instance unsteadiness. Many individual with neuropathy are not sufficiently educated about the causes and symptoms of diabetic neuropathy, so they do not have an accurate understanding of what is happening to them. A better understanding could affect their perceptions and experience of the symptoms and improve their quality of life. Diabetes and depression amongst adults According to a study by the Northwestern University School of Medicine in Chicago amongst adults aged 65 and above reports depressive reports that symptoms are 50 to 60 percent more likely to develop diabetes than are their peers,. The study also demonstrate that depression alone, apart from lifestyle factors such as poor diet and lack of exercise, can trigger type 2 diabetes in older adults. As excess weight is the primary risk factor for diabetes MR Carlstone a lead researcher from the University School of Medicine in Chicago says that overweight adults are two to three times as likely to develop diabetes as their normal-weight peers are. Diabetes and depression in children and adolesents The combination of diabetes and depression in diabetic children and diabetic adolescents raises an additional concern, as the connection between the two is associated with a tenfold increase in suicide and suicidal ideation. Additionally, children and adolescents with type 1 diabetes on insulin have a ready method of performing suicide. In non-diabetic children, and especially non-diabetic adolescents, the recurrence and course of depression may be more intense (with some studies suggesting that depression tends to be more severe, more difficult to resolve, and more likely to recur) than in children and adolescents without diabetes The most puzzling aspect of diabetes is perhaps its connection to depression. Diabetes is a much dreadful and chronic disease, and we know that people with chronic diseases tend to become more depressed than the rest of the population . And when you are depressed, you are more likely to stop eating healthfully and forget about exercise, which is a lead cause your high blood sugar levels. As there may also be a biological connection between diabetes and depression researchers are not able to determine whether it is diabetes that is causing the depression-or is the depression is causing the diabetes? . |
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