According to the National Institute of Mental Health, nearly 10 percent of American adults suffer from some form of depression every year. While depression is a common mental illness among the general population, it is even more likely to occur in those with diabetes. What’s more, those with Type 2 diabetes who experience depression are also at increased risk for developing serious diabetes complications. This may be because a depressed diabetic is less likely to take care of her diabetes, such as checking blood sugars as necessary, following a meal plan or taking diabetes medications.
It is not clear exactly what triggers depression in people with diabetes. The stress of coping with and managing diabetes may be a factor, as well as the metabolic effects of diabetes on the brain. Others may be genetically predisposed to the disorder. The side effects of certain medications can also bring about depression.
Symptoms of Depression
Because diabetics are at increased risk for developing depression, it is important for family, friends and health care providers to be aware of any changes in disposition among their loved ones or patients with diabetes. Common symptoms to look for include:
- Prolonged period of sadness, anxiety or feeling empty
- Constant feelings of hopelessness or pessimism
- Feeling guilty, worthless, helpless, restless, irritable and/or fatigued
- Loss of interest in activities that are usually enjoyable, including sex
- Loss of focus, inability to concentrate or make decisions
- Overeating or loss of appetite
- Insomnia or sleeping too much
- Thinking about or attempting suicide
Treatment for Depression
If any of the symptoms above persist for more than two weeks and interfere with daily activities such as work or your social life, or caring for yourself or your family, you should seek help from a mental health professional. A psychiatrist, psychologist or clinical social worker should communicate with your diabetes doctor, particularly if he prescribes antidepressant medications. Many antidepressant medications do not interact with diabetes medications and, when combined with psychotherapy, may actually help with glycemic control, as well as mood.
Depression is a treatable disease. Therapy and medication ease the symptoms of depression in over 80 percent of those treated, yet less than half of those with depression seek the help they need. Treatment for depression can improve a patient’s ability to manage diabetes and quality of life. If you or someone you know suffers from diabetes and depression, seek treatment for yourself or encourage your loved one to do so.
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