Do you have self-defeating / unproductive thoughts related to your diabetes?!
Question: Do you have self-defeating / unproductive thoughts related to your diabetes!?
Here's mine:
"If i can't eat that - well i'm screwed anyway (!.!.!.!.if i can't eat a single muffin, donut, whatever)!.!.!.!.so then, what the heck, I'LL EAT THE %^& ( thing!"
thought process behind it: If i'm really so ******'d that i can't even eat a single, tiny (insert high carb, glucose item), then why not, since my health is mincemeat anyway!.!.!.Www@Answer-Health@Com
"If i can't eat that - well i'm screwed anyway (!.!.!.!.if i can't eat a single muffin, donut, whatever)!.!.!.!.so then, what the heck, I'LL EAT THE %^& ( thing!"
thought process behind it: If i'm really so ******'d that i can't even eat a single, tiny (insert high carb, glucose item), then why not, since my health is mincemeat anyway!.!.!.Www@Answer-Health@Com
Answers:
Yes!. I eat it!. But not two and not everyday!.!.Donuts that is or a small piece of cake!. Diabetics can have Ice Cream in moderation!.
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)
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!.
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:
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!.
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 suggestions for dealing with stress and mild to moderate anxiety!.
Examine your lifestyle for sources of stress!. Are there stressers that can be eliminated!?
Learn relaxation techniques!. Yoga, meditation, prayer, and hypnosis may help!.
Make sure that you are getting enough sleep
Exercise!. The body's primitive stress response was designed to prepare the individual to fight or to run away!. In our society, we do not usually respond to stress with physical activity!. Exercise helps our bodies deal with the physiological results of stress!.
Make a list of the things that are worrying you!. When you have a concrete list, the problems often look more manageable!.
Many people do not like the idea that they may have emotional difficulties!. Some find it easier to attribute everything to physical problems or life circumstances!. However, good diabetic management is dependent on the development of self-knowledge!. Many of the things that other people's bodies do automatically, diabetics must do consciously!. This includes closer monitoring of both one's blood glucose and one's emotional state!. Ultimately, the years of deliberately imitating natures beautiful and complex feedback systems can lead to a greater understanding and appreciation of body and mind!.Www@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)
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!.
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:
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!.
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 suggestions for dealing with stress and mild to moderate anxiety!.
Examine your lifestyle for sources of stress!. Are there stressers that can be eliminated!?
Learn relaxation techniques!. Yoga, meditation, prayer, and hypnosis may help!.
Make sure that you are getting enough sleep
Exercise!. The body's primitive stress response was designed to prepare the individual to fight or to run away!. In our society, we do not usually respond to stress with physical activity!. Exercise helps our bodies deal with the physiological results of stress!.
Make a list of the things that are worrying you!. When you have a concrete list, the problems often look more manageable!.
Many people do not like the idea that they may have emotional difficulties!. Some find it easier to attribute everything to physical problems or life circumstances!. However, good diabetic management is dependent on the development of self-knowledge!. Many of the things that other people's bodies do automatically, diabetics must do consciously!. This includes closer monitoring of both one's blood glucose and one's emotional state!. Ultimately, the years of deliberately imitating natures beautiful and complex feedback systems can lead to a greater understanding and appreciation of body and mind!.Www@Answer-Health@Com
you sound like a patient of mine!. (im a home care nurse) you CAN eat a single donut or muffin, the point of it is to have your blood sugar managed 95 percent of the time, keep your numbers below 150 or so at all times (or whatever your doc tells you) if you are controlled you can treat yourself sometimes, because as long as you maintain what you are doing your sugar will come back down, the reality is that you are going to want sweets, shop wisely for the healthier version and once in a while cheat! you just have to be controlled most of the time!. you are not 'screwed' you need to enjoy cooking or something and find new foods that you like!. dont think you cant ever have a treat!. as long as you are being a 'good boy or good girl' !.!.!.!.!.LOL, you can treat yourself!.Www@Answer-Health@Com
I think we all go through that from time to time in coping with diabetes!. Depression is a part of our disease and sometimes that includes anger!. I'm a nurse, and still I battle with the same internal dialog at times !.!.!. "so what if I eat this it doesn't matter anyway because my blood sugar levels are always screwed up" !.!.!.!. mmmhummm !.!.!. see!? Been there & done that! The only thing you can do is work through your feelings and try to put your health first!. Talk these feelings over with your endocrinologist, he/she may be more understanding that you realize!Www@Answer-Health@Com
I used to!.!.!. back in my depressed days!. Now I revel in my newfound lifestyle!. Read all about it in my profile!.Www@Answer-Health@Com