The Connection Between Diabetes and Depression
Living with diabetes can be overwhelming. It can cause frustration, anxiety, and/or depression, all of which can get in the way of diabetes management. Taking medications, monitoring blood sugar levels, practicing healthy eating habits, engaging in physical activity, and everything else that’s involved can become challenging over time. Feeling anxious and stressed makes it even more difficult to manage diabetes. Frustration about uncontrolled blood sugars can lead to depression.
Diabetes and depression can be treated together. The American Diabetes Association recommends including a behavioral health professional as part of a diabetes care team; however, few diabetes clinics in the United States currently incorporate this recommendation into their practice. The UMass Memorial Diabetes Center of Excellence care team includes two health psychologists who are specially trained to help individuals manage diabetes, as well as their emotional and behavioral well-being.
Lifestyle factors such as a stressful job and family life may sometimes get in the way of successful diabetes management. People often know what they should be doing, but struggle to put a plan into action. Our diabetes psychologists help individuals initiate and maintain necessary health behavior changes. Many of the changes in habits that can improve your diabetes can also improve depression, such as getting enough sleep and exercise. Research studies show that depression affects nearly 10% of American adults. People living with diabetes are at greater risk of depression.
Recognizing Signs of Depression
You can't get help for depression unless you realize you’re feeling depressed. Symptoms of depression include:
- Loss of pleasure in things you usually enjoy
- Nervousness
- Change to sleep habits
- Sadness or irritability
- Appetite change
- Feeling guilty or worthless
- Difficulty concentrating
- Loss of energy
Getting Help for Depression
If you're experiencing symptoms of depression, discuss them with your care team. There are various treatment options for depression, but they should be chosen carefully by a trained professional based on the specific needs of the individual. Prescription antidepressant medications are generally well-tolerated and safe for people with diabetes. There are also non-medication options, including psychotherapy or “talk” therapy, that can relieve depression. The sooner you address it, the faster you’ll be on the road to recovery!
