Research published in the Journal of American Medical Association in 2008 revealed evidence that diabetes plays a role in depression and depression plays a role in diabetes. Compared to those who are not depressed, those with high levels of depression are almost 50% more likely to develop diabetes.
Compared to the general population, depressed people are more likely to smoke, overeat, exercise less, and be overweight. Therefore, all these negative factors increase the risk of diabetes. Golden's study found that all of these factors contributed to the high rates of diabetes in subjects with depression.
But other factors are also thought to play a role in the etiology. Golden, an endocrinologist, suspects that depression predisposes people to diabetes by causing certain physiological changes. Depression increases the levels of both stress hormones such as cortisol and other molecules that cause inflammation, and these chemicals contribute to the development of diabetes.
Depression plays a role in many other diseases in addition to diabetes. Scientists have known for years that depression is associated with higher rates of heart disease, stroke, osteoporosis and perhaps dementia. Stress hormones and inflammatory molecules play a role in all these diseases. The link between depression and diabetes seems interestingly closely related to socioeconomic status. In a new study conducted by Mezuk from the University of Michigan and published in the American Journal of Public Health, the risk of diabetes was found to be 200% higher in those who were depressed and had an education level of high school or less.
What is active in triggering Which side is it? Diabetes or psychiatric problems? Actually, it could be both. As a chronic disease, diabetes can trigger psychiatric problems. On the other hand, in depression or some psychotic states, the early emergence of diabetes may be triggered because the person does not take adequate care of himself, his nutrition is impaired, and he remains inactive. In addition, some drugs used in psychotic conditions may trigger diabetes by causing excessive weight gain.
18% of diabetic patients experience psychiatric problems that require treatment. So 5 diabetes One in every patient needs psychiatric support, but only one in 10 of these patients can be diagnosed with a psychiatric disease.
Depression and eating disorders are more common in women, and sexual dysfunction is more common in men. Psychotherapy is one of the most important parts of diabetes treatment. Thus, the patient's compliance can be facilitated and the development of diabetes-related complications can be delayed. Stress-related blood sugar irregularities can be reduced by developing strategies to cope with stressful situations.
Stress and anxiety are important factors in cases where blood sugar cannot be regulated despite medical treatment. Different emotional reactions and adaptation difficulties are frequently encountered problems in patients diagnosed with diabetes. Because it is a chronic disease that causes various limitations and requires the individual to cope with complications, patients have difficulty adapting to their new lives. Anxiety about losing their independence, fears about further deterioration in body functions, and concerns about increasing sexual inadequacy are frequently observed.”
Individuals with Diabetes and Treatment of Depression
Depression; It may lead to some situations of non-compliance with treatment caused by loss of desire / loss of attention / forgetfulness / negative thinking about the future. In this case, the individual with diabetes due to loss of desire/loss of attention, forgetfulness, negative thinking about the future;
- Not complying with the recommendations
- Not using the medicine regularly
- Recommended physical activity/ may not follow the diet.
Treatment of depression with diabetes requires a coordinated approach to control blood sugar and monitor symptoms of depression. Psychological and medical care, medical monitoring, individual diabetes education and adequate community support are the most effective treatment components. In addition to drug treatment;
- Motivational therapy/Stress management
- Increasing coping skills/Case management
- Cognitive Behavioral Therapy are the applied methods.
The doctor or healthcare professional who follows you recommends the most appropriate treatment, taking into account the condition of the individual with diabetes.
Read: 0
