How does blood sugar affect mood (diabetes)?!
Question: How does blood sugar affect mood (diabetes)!?
I was recently diagnosed within Type 2 diabetes!. There are also a number of personal challenges going on my life at the time (unemployment, family, etc!.)!. I've been getting depressed at times, and would like to know if blood sugar levels can affect mood - are they related!?Www@Answer-Health@Com
Answers:
Yes!. Depression is a part of diabetes
Depression is not generally listed as a complication of diabetes!. However, it can be one of the most common and dangerous complications!. The rate of depression in diabetics is much higher than in the general population!. Diabetics with major depression have a very high rate of recurrent depressive episodes within the following five years!. (Lustman et al 1977) A depressed person may not have the energy or motivation to maintain good diabetic management!. Depression is frequently associated with unhealthy appetite changes!. The suicidal diabetic adolescent has constant access to potentially lethal doses of insulin!.
At this point in time, it is well accepted that psychological factors and psychiatric conditions can affect the course of medical illnesses!. There is some suggestion that the stress of depression itself may lead to hyperglycemia in diabetics!. The interaction between cardiovascular disorders (such as heart attack and high blood pressure) and depression has been extensively studied!. Anxiety and depression can also affect other conditions including irritable bowel syndrome, headache and skin diseases!. Treatment of anxiety and depression may lead to a better medical prognosis and well as a better quality of life!.
For over three hundred years, physicians have suspected an interaction between the emotions and the course of diabetes mellitus!. Studies have examined whether stressful events or psychiatric illness might precipitate either Type I (insulin-dependent) or Type II (Non-insulin dependent) diabetes!. So far, study results are not conclusive!.
Now that we have more accurate methods of measuring glucose control, it has become easier to measure both short-term and long-term effects of emotional factors on blood glucose level!. One study found that children judged to have a "Type A" personality structure had an increased blood sugar elevation in response to stress!. Children with a calmer disposition had a smaller glucose rise when stressed!. (Stabler et al!. 1987) A 1997 study suggested that Type I patients with a history of a psychiatric illness might be at increased risk for developing diabetic retinopathy!. Those patients with a psychiatric history were found to have a higher average glycosylated hemoglobin!. (a measure of long term diabetic control) (Cohen et al!. 1997) Children whose relatives made more critical comments had significantly poorer glucose control!. Interestingly enough, emotional overinvolvement between family members was not correlated with poor diabetic control!. (Koenigsberg et al!. 1993) Diabetic adolescents had a higher incidence of suicidal ideation than expected!. Those with suicidal ideation took poorer care of themselves!. Not living in a two-parent home was associated with poorer long-term diabetes control!. (Goldston, et al!. 1997)
Recent studies have suggested that effective treatment of depression can improve diabetic control!. In a study by Lustman and colleagues, glucose levels were shown to improve as depression lifted!. The better the improvement, the better the diabetic control!. (Lustman et al!. 1997a)
Being diagnosed with diabetes is a major life stress!. It requires a large number of physical and mental accommodations!. The individual must learn about a complex system of dietary and medical interventions!. Lifestyle, work, and school schedules may have to be altered!. This can consume a lot of energy for both the individual and his or her family!. Just as important, are the psychological adjustments!. One must adjust to a new view of oneself!. For those who liked to see themselves as invincible, this may be particularly difficult!.
Many newly diagnosed diabetics go through the typical stages of mourning!. These are denial, anger, depression and acceptance!.
Denial: This can be one of the more dangerous stages of the grief process!. It may not occur only once!. Many individuals cycle back to this phase several times!. The honeymoon phase, associated with early Type I diabetes, may reinforce denial!. Denial is a common stance for adolescent diabetics!.
Anger: It really does seem unfair!. The type II diabetic, trying to lose weight, may envy heavier people who seem to enjoy good health!. One might erupt at someone who innocently offers a desert!. Unfortunately, anger can drastically affect glucose levels!.
Depression: Mild depressive feelings are a normal part of grieving and adaptation!. As long as they are not pervasive or prolonged, they may not be harmful!. However, when the depression lasts a long time, becomes severe or interferes with diabetic management, one should seek prompt treatment!.
Acceptance: Individuals achieve different degrees of acceptance and inner peace!. Some will need to experience the denial, anger and depression several times as they move through different phases of life and different stages of diabetes!. Some people move through a chronic disease to a state of much greater self-knowledge!. They may actually say that the diabetes was, in part, a blessing!. Through their close attention to diet and exercise, and their close monitoring of stress levels, they have arrived at a deeper understanding of themselves and their relations to others!. They realize that for all human beings, life is vulnerable and precious!.
Often, individuals with depression do not realize that they are depressed!. It is easy to attribute the symptoms of depression to the diabetes!. This is particularly difficult since depressed diabetics may have poorer glucose control!. Sometimes a spouse or close friend can give good feedback!. However, medical professionals or mental health clinicians may be the best ones to determine what is the diabetes and what is due to depression!. A psychiatrist has had medical training before specializing in mental health!. He or she can sort out the diagnosis, communicate with your regular doctor and help coordinate the treatment of the depression with treatment of the diabetes!.
Symptoms of Depression: These are based on the Diagnostic and Statistical Manual of the American Psychiatric Association, 4th Edition!. (DSM-4)
Depressed mood for most of the day
Decreased pleasure in normal activities
Difficulty sleeping or significantly increased need to sleep
Weight loss or weight gain!.
Feelings of guilt or worthlessness
Low energy level
Difficulty making decisions of concentrating
Suicidal thoughts
Treatment of Depression:
The most important starting point is an accurate diagnosis!. There have been major advances in the treatment of depression!. There are specific medications and specific psychotherapy techniques that have been shown to help depression!. Often individuals do well with a combination of antidepressant treatment and psychotherapy!. Be sure that your clinician is willing to take the time to communicate with your diabetes team!. Ideally, the mental health clinician should be familiar with your type of diabetes!.
Antidepressants: Today, we have a much wider variety of antidepressant medications than were available fifteen years ago!. Because we have more medication choices, we can often minimize annoying side effects!. The older tricyclic antidepressants can increase glucose levels in non-depressed diabetics!. However, when depressed diabetics take them, diabetic control improves!. (Lustman et al!. 1996) Selective Serotonin Reuptake Inhibitors (SSRIs such as Prozac and Zoloft) are easier to administer and have fewer side effects, so they are more often used as the first line antidepressants!. Sometimes they can cause decreased sexual desire!. This may be a sensitive issue for some diabetics, especially those who have some sexual difficulty due to their diabetes!. This is not a reason to avoid treatment!. Keep an open dialogue with your psychiatrist!. If the medication does affect sexual functioning, dose adjustment or a switch to another type of antidepressant can usually take care of the problem!. Often, treatment of the depression can result in much better sexual functioning!. Other types of antidepressants, such as Bupropion (Wellbutrin) or Venlafaxine (Effexor) add to our treatment options!. Some people respond to the first medication!. Other people may have to try several medications before they hit upon the right one!.
Psychotherapy: Recently, researchers have made an effort to do good psychotherapy outcome studies!. It turns out that several forms of psychotherapy really do work better than simple "tincture of time!." Cognitive psychotherapy is one of the methods that has demonstrated good results for depression!. In this type of therapy, the individual identifies thought patterns associated with a depressive, hopeless outlook!. Frequently these thought patterns are based on erroneously assumptions about self and others!. The therapist helps the patient monitor such thoughts and to replace them with more effective positive ways of thinking!. Cognitive therapy can also be helpful in non-depressed individuals who are having trouble with their diabetic management!.
Anxiety and stress can also cause large jumps in blood glucose levels!. Panic attacks may resemble hypoglycemic episodes and vice-versa!. (When in doubt, treat it as hypoglycemia!.) People respond differently to stressful situations!. Given the same subjective level of stress, one diabetic may have a different glucose response from another!. Because of this, one should monitor blood glucose more frequently during periods of stress!. On the positive side, a conscientious diabetic may have a unique barometer of stress unavailable to the general population!. There are a number of specific anxiety disorders that are treated differently!. As with depression, there are specific medications and therapies that have been shown to work!. If anxiety is severe, it is important to identify the specific type, so that one can embark on the right treatment!. We will not cover all of these treatments in this article!. The following are some general suggesWww@Answer-Health@Com
Depression is not generally listed as a complication of diabetes!. However, it can be one of the most common and dangerous complications!. The rate of depression in diabetics is much higher than in the general population!. Diabetics with major depression have a very high rate of recurrent depressive episodes within the following five years!. (Lustman et al 1977) A depressed person may not have the energy or motivation to maintain good diabetic management!. Depression is frequently associated with unhealthy appetite changes!. The suicidal diabetic adolescent has constant access to potentially lethal doses of insulin!.
At this point in time, it is well accepted that psychological factors and psychiatric conditions can affect the course of medical illnesses!. There is some suggestion that the stress of depression itself may lead to hyperglycemia in diabetics!. The interaction between cardiovascular disorders (such as heart attack and high blood pressure) and depression has been extensively studied!. Anxiety and depression can also affect other conditions including irritable bowel syndrome, headache and skin diseases!. Treatment of anxiety and depression may lead to a better medical prognosis and well as a better quality of life!.
For over three hundred years, physicians have suspected an interaction between the emotions and the course of diabetes mellitus!. Studies have examined whether stressful events or psychiatric illness might precipitate either Type I (insulin-dependent) or Type II (Non-insulin dependent) diabetes!. So far, study results are not conclusive!.
Now that we have more accurate methods of measuring glucose control, it has become easier to measure both short-term and long-term effects of emotional factors on blood glucose level!. One study found that children judged to have a "Type A" personality structure had an increased blood sugar elevation in response to stress!. Children with a calmer disposition had a smaller glucose rise when stressed!. (Stabler et al!. 1987) A 1997 study suggested that Type I patients with a history of a psychiatric illness might be at increased risk for developing diabetic retinopathy!. Those patients with a psychiatric history were found to have a higher average glycosylated hemoglobin!. (a measure of long term diabetic control) (Cohen et al!. 1997) Children whose relatives made more critical comments had significantly poorer glucose control!. Interestingly enough, emotional overinvolvement between family members was not correlated with poor diabetic control!. (Koenigsberg et al!. 1993) Diabetic adolescents had a higher incidence of suicidal ideation than expected!. Those with suicidal ideation took poorer care of themselves!. Not living in a two-parent home was associated with poorer long-term diabetes control!. (Goldston, et al!. 1997)
Recent studies have suggested that effective treatment of depression can improve diabetic control!. In a study by Lustman and colleagues, glucose levels were shown to improve as depression lifted!. The better the improvement, the better the diabetic control!. (Lustman et al!. 1997a)
Being diagnosed with diabetes is a major life stress!. It requires a large number of physical and mental accommodations!. The individual must learn about a complex system of dietary and medical interventions!. Lifestyle, work, and school schedules may have to be altered!. This can consume a lot of energy for both the individual and his or her family!. Just as important, are the psychological adjustments!. One must adjust to a new view of oneself!. For those who liked to see themselves as invincible, this may be particularly difficult!.
Many newly diagnosed diabetics go through the typical stages of mourning!. These are denial, anger, depression and acceptance!.
Denial: This can be one of the more dangerous stages of the grief process!. It may not occur only once!. Many individuals cycle back to this phase several times!. The honeymoon phase, associated with early Type I diabetes, may reinforce denial!. Denial is a common stance for adolescent diabetics!.
Anger: It really does seem unfair!. The type II diabetic, trying to lose weight, may envy heavier people who seem to enjoy good health!. One might erupt at someone who innocently offers a desert!. Unfortunately, anger can drastically affect glucose levels!.
Depression: Mild depressive feelings are a normal part of grieving and adaptation!. As long as they are not pervasive or prolonged, they may not be harmful!. However, when the depression lasts a long time, becomes severe or interferes with diabetic management, one should seek prompt treatment!.
Acceptance: Individuals achieve different degrees of acceptance and inner peace!. Some will need to experience the denial, anger and depression several times as they move through different phases of life and different stages of diabetes!. Some people move through a chronic disease to a state of much greater self-knowledge!. They may actually say that the diabetes was, in part, a blessing!. Through their close attention to diet and exercise, and their close monitoring of stress levels, they have arrived at a deeper understanding of themselves and their relations to others!. They realize that for all human beings, life is vulnerable and precious!.
Often, individuals with depression do not realize that they are depressed!. It is easy to attribute the symptoms of depression to the diabetes!. This is particularly difficult since depressed diabetics may have poorer glucose control!. Sometimes a spouse or close friend can give good feedback!. However, medical professionals or mental health clinicians may be the best ones to determine what is the diabetes and what is due to depression!. A psychiatrist has had medical training before specializing in mental health!. He or she can sort out the diagnosis, communicate with your regular doctor and help coordinate the treatment of the depression with treatment of the diabetes!.
Symptoms of Depression: These are based on the Diagnostic and Statistical Manual of the American Psychiatric Association, 4th Edition!. (DSM-4)
Depressed mood for most of the day
Decreased pleasure in normal activities
Difficulty sleeping or significantly increased need to sleep
Weight loss or weight gain!.
Feelings of guilt or worthlessness
Low energy level
Difficulty making decisions of concentrating
Suicidal thoughts
Treatment of Depression:
The most important starting point is an accurate diagnosis!. There have been major advances in the treatment of depression!. There are specific medications and specific psychotherapy techniques that have been shown to help depression!. Often individuals do well with a combination of antidepressant treatment and psychotherapy!. Be sure that your clinician is willing to take the time to communicate with your diabetes team!. Ideally, the mental health clinician should be familiar with your type of diabetes!.
Antidepressants: Today, we have a much wider variety of antidepressant medications than were available fifteen years ago!. Because we have more medication choices, we can often minimize annoying side effects!. The older tricyclic antidepressants can increase glucose levels in non-depressed diabetics!. However, when depressed diabetics take them, diabetic control improves!. (Lustman et al!. 1996) Selective Serotonin Reuptake Inhibitors (SSRIs such as Prozac and Zoloft) are easier to administer and have fewer side effects, so they are more often used as the first line antidepressants!. Sometimes they can cause decreased sexual desire!. This may be a sensitive issue for some diabetics, especially those who have some sexual difficulty due to their diabetes!. This is not a reason to avoid treatment!. Keep an open dialogue with your psychiatrist!. If the medication does affect sexual functioning, dose adjustment or a switch to another type of antidepressant can usually take care of the problem!. Often, treatment of the depression can result in much better sexual functioning!. Other types of antidepressants, such as Bupropion (Wellbutrin) or Venlafaxine (Effexor) add to our treatment options!. Some people respond to the first medication!. Other people may have to try several medications before they hit upon the right one!.
Psychotherapy: Recently, researchers have made an effort to do good psychotherapy outcome studies!. It turns out that several forms of psychotherapy really do work better than simple "tincture of time!." Cognitive psychotherapy is one of the methods that has demonstrated good results for depression!. In this type of therapy, the individual identifies thought patterns associated with a depressive, hopeless outlook!. Frequently these thought patterns are based on erroneously assumptions about self and others!. The therapist helps the patient monitor such thoughts and to replace them with more effective positive ways of thinking!. Cognitive therapy can also be helpful in non-depressed individuals who are having trouble with their diabetic management!.
Anxiety and stress can also cause large jumps in blood glucose levels!. Panic attacks may resemble hypoglycemic episodes and vice-versa!. (When in doubt, treat it as hypoglycemia!.) People respond differently to stressful situations!. Given the same subjective level of stress, one diabetic may have a different glucose response from another!. Because of this, one should monitor blood glucose more frequently during periods of stress!. On the positive side, a conscientious diabetic may have a unique barometer of stress unavailable to the general population!. There are a number of specific anxiety disorders that are treated differently!. As with depression, there are specific medications and therapies that have been shown to work!. If anxiety is severe, it is important to identify the specific type, so that one can embark on the right treatment!. We will not cover all of these treatments in this article!. The following are some general suggesWww@Answer-Health@Com
Yes!. In fact, it's a two-way process!. Blood sugar results can affect mood, which can lead to depression, but low mood/depression can adversely affect diabetes control!.
If you are at all worried, you should discuss this with your doctor!. S/he will be the ones most able to describe what's happening, how to combat it, and prescribe medication, if they felt the need was there!.
Best of luck to you!.
May you live a long, healthy, complication-free life!.Www@Answer-Health@Com
If you are at all worried, you should discuss this with your doctor!. S/he will be the ones most able to describe what's happening, how to combat it, and prescribe medication, if they felt the need was there!.
Best of luck to you!.
May you live a long, healthy, complication-free life!.Www@Answer-Health@Com
yes it does affect your mood!. My mom has diabetes Type 2 and she gets moody sometimes!. She just started eating snacks and stuff to keep her blood sugar up and she's fine but when she was first diagnosed, it took her a while to get used to maintaing her blood sugar level!.Www@Answer-Health@Com
blood sugar affets your whole body and can kill you watch sugar levels i have alot of problems due to my sugarWww@Answer-Health@Com
when your sugar is up you get moodyWww@Answer-Health@Com