The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

Depression is a very unfortunate state to be in, in every sense of the word. It is a sickness of the mind and can only be felt by the person experiencing it. As a matter of fact, it is even worse when depression does not occur on its own, but is rather accompanied by another condition such as fatigue.

There are many cases where depression occurs along with chronic fatigue syndrome. The irony is that when a person is depressed, he or she is unlikely to be willing to get out of bed and when this is compounded by chronic fatigue syndrome, even if the depression alleviates, it would not make much of a difference as it would be a case of  mind willing, flesh weak !

Many of the people who are diagnosed with depression have extreme patterns when it comes to sleep. Either he or she would sleep for extended periods of time and feel lethargic to do anything else. Or, the other situation is generally when he or she is more or less an insomniac and does not get sleep even if he or she would really like to grab a bit of shut-eye!

What are the Symptoms?
When a person is going through depression, it can be said to be of the highest importance to be able to judge the symptoms of the condition soon, so that the person can go and seek treatment. The symptoms, which are being talked about include extreme eating habits, that is, either eating way too much or not enough at all, along with a continuous sense of anxiety which, depending on how severe the case of depression is, can cause a person to have his or her mind clouded by the anxiety which over sweeps all other thoughts. In addition to these symptoms, there are other signs which appear with the onset and continuance of depression. These include disinterest in hobbies, which once appeared enjoyable to take part in.

Chronic fatigue syndrome kills off any urge to partake in any activity, which is voluntary in nature. With the combination of these two conditions, it can be quite possible, rather unfortunately, for a person to find himself or herself to be stuck in a vicious cycle. Sleep disorders, such as sleep apnea can really kill a person s zing and as a result of the same, make it harder for him or her to get out of depression and more likely to fall into depression if he or she has not yet. Curing depression includes changes schedules, engaging in yoga and other similar activities. Dietary changes may also be warranted. However, the recovery should take effect soon!

Depression - It Can Cause You to Feel 100 Years Old

4 Life Lessons to Learn from Kangana Ranaut

Despite being an outsider in the industry, Kangana Ranaut has made her mark in Bollywood. The 'Queen of Bollywood' bagged the National Award in the best actress category for the third time for her double act in the commercial hit Tanu Weds Manu Returns. Ranaut is one of the highest paid actresses in India and is known for playing emotionally intense roles in films like Gangster and Woh Lamhe. But behind the fame and the glory, lies a story of struggle and constant perseverance. Kangana's rise to fame did not happen overnight, and her travails and triumphs have quite a few important lessons stored for all of us.

Here are 4 inspiring life lessons to take away from Kangana's real life story.

1. Be Yourself

Accept yourself and embrace the person you are. Making desperate attempts to fit in a social circle or trying to make people like you could turn depressing. Be yourself and don't compromise on your identity and be afraid to have a mind of your own. Kangana has constantly inspired us to be rebellious and to question stereotypes and sexism.

'People in the industry treated me like I didn't deserve to be spoken to and I was some unwanted object. I couldn't speak English fluently and people made fun of me for that. So dealing with rejection became a part of life...Today, when people say that I have made it and made it on my own.'

She said on an interview with Daily News and Analysis

2. Deal with your relationship problems

Stop tolerating abuse. Your partner is supposed to love and support you and not hurt you physically or emotionally. Don't be afraid of getting out of a relationship. It might be difficult and hard to deal with but it's best to get over with and start afresh. Ranaut was in a relationship with Aditya Pancholi, which turned sour after he assaulted her. Later she was also in a relationship with Adhyayan Suman and Nicholas Lafferty, an English doctor, which did not last either, but she always moved on with her head held high, personifying dignity.

3. Beat the odds

There might situations when your family does not support your career choices but don't let that stop you from going ahead with it. Believe in yourself and work hard on your goals. Kangana Ranaut inspires us to not give up easily. In spite of being an industry outsider, Ranaut made her mark with remarkable performances in Fashion, Queen, Woh Lamhe and Tanu Weds Manu. She quit pursuing medical and went for modeling instead and refused to take financial aid from her father. In short, don't give up on your dreams no matter how difficult it gets.

4. There is no end to learning

You can always continue with your interests even if you have a very busy professional life. Make time for your hobbies and interests as they expand your outlook. Ranaut learns Kathak as she enjoys dancing and considers it as a form of therapy. She also did a course on the technical aspects of filmmaking from New York Film Academy. She did not let her stardom affect her personal interests and wants to have a normal life.

'I don't want to lose my rights as a common person to learn and grow'

She said on an interview with Filmfare.



4 Life Lessons to Learn from Kangana Ranaut

The first question when you greet somebody is 'how are you' and this often refers to our state of well-being. While most answers would be great, awesome or good, we usually think of how we are doing physically. While some of us may talk about physical conditions (say things like feverish, have a cold, etc.), not many would think of talking about mental health conditions. However, mental health is very important for overall well-being. 

Can you think of someone who is severely depressed or anxious all the time and have a good physical health? Chances are very bleak, and if you consider the overall health as a mix of mental and physical balance, this is not possible. Read on to understand how important mental health is and why you should start paying more attention to it.

Improved physical health: If someone is in a stressed state, it is obvious that they would not be able to do the activities they enjoy. Being affected mentally also leads to reduced immunity and sleep disturbances, making the person prone to infections and other disorders. Stress is one of the main risk factors for chronic medical conditions like heart disease and diabetes.
Improved prognosis: Most often, doctors focus on treating the physical aspects of a person s health. However, with recent emphasis on mental health, more and more doctors are looking at wholesome measures to improve a person s health. Results show that when a person s mental health is also addressed, the physical ailments respond very well.
Improved productivity: People with unattended mental health disorders often resort to absence from work and/or school, can have financial instability, be homeless and can fall repeatedly. Being mentally healthy provides overall changed perspective of life and therefore improves productivity.
Improved personal relationships: Children of people affected with mental illness are prone to neglect, abuse, rejection, and behavioural issues. There is also social isolation, which may lead into adulthood, and these children may also have emotional health problems. Others in the close circle including spouses, siblings, parents, close friends and colleagues would be clearly affected by a person who is mentally unhealthy.
Social effects: These people are highly prone to social crimes like rape, murder, theft, violence, etc. They may not be able to afford their treatment and/or resort to these crimes to assert themselves.
Improved quality of life: Life expectancy is higher in people who are mentally healthy. Even with mild symptoms of anxiety and depression, this is reduced, and the chances of a happier, healthier life are reduced.
Whatever the effect, mental health needs to be addressed as equally as we do physical problems, using medications, counselling, or lifestyle changes.

Mental Health - 6 Reasons Why You Should Take it Seriously!

When it comes to the brain, simple yet easy to make juices can make a lot of difference. These juices not only improve your memory, but are of great help to the cognitive functions as well. While green tea is a known component of increased brain function, there are other drinks too, which can charge your brain over the long term if consumed daily:

Beet juice: Apart from being a nutritional powerhouse, beet juice is a great source of nitric acid. The latter helps with blood flow in the body. A smooth blood flow, on the other hand, helps the brain in functioning properly. A study has found that people who consume beet juice have an increased circulation in the white matter resulting from an increased brain activity. This juice is sweet in taste and can be consumed every alternate day.
Berry Smoothies: Acai is a fruit which has a South African origin and hits the top of the list when it comes to brain assisting food. It increases the flow of the blood and dilates the blood vessels. However, this is extremely expensive. Berries also have a similar effect on the brain, but they are less powerful in nature. What can be done is to mix a little ingredient of Acai in frozen berries juice and drink the same every day. Frozen berries retain the freshness and the nutritional benefits. This drink will improvise your brain and increase blood flow in the body.
Pomegranate juice: Pomegranate is a great antioxidant and it very aptly limits the free radicals from damaging the brain cells. Antioxidants are also credited with increased blood flow and protection of the heart. A healthy cardiovascular system is synonymous to an increased brain function. What is surprising is the fact that Pomegranate has more antioxidant content compared to red wine and green tea. Pomegranate juice can be consumed daily during the morning or afternoon.
Carrot juice: Carrot is known for its healthy components that are beneficial for the eyes. Recent studies have revealed that they are great for the brain too. Like other colored vegetables, they are a great source of antioxidant and have a high content of beta-carotene. Carrot juice can reduce the inflammation of the brain cells and improve memory. Carrot juice is not at all bitter and the same can be consumed every alternate day after your meal.
Cocoa: A Harvard study revealed that two cups of cocoa on a daily basis greatly helps a person in improving memory. Cocoa contains flavanols that keep the blood pressure normal and relaxes the blood vessel linings. Cocoa is also known to be a great antioxidant agent that limits the free radical to affect the brain cells. Cocoa should not be overloaded with sugar and should be consumed hot before starting your day.

5 Super Brain Drinks that Boost Your Memory

Depression is often equated with isolation and brooding but this is not always the case. Many people may actually suffer from depression without showing the typical symptoms of this condition. Hence, this form of depression may go unnoticed for many years. Such cases are known as high-functioning depression. Some of the symptoms of this condition include:

Having difficulty expressing happiness: Though a person may be able to work normally, a person suffering from high-functioning depression will find it difficult to express emotions such as happiness. Thus he or she may not know how to act in the event of a promotion at work, the beginning of a new relationship or any other such happy events. In such cases, the happiness a person experiences from these events is temporary and muted.
Lowered energy levels: Unlike not being able to get out of bed when suffering from typical forms of depression, a person suffering from high-functioning depression can follow his or her usual routine. However, they often find themselves lacking the energy they would normally have and feel the need to put extra effort into their normal tasks. This reduces the amount of satisfaction derived from completing tasks.
Persistent self-doubt: While being self-critical is good to a certain extent, a person suffering from this form of depression is rarely satisfied with their work. Even when recognised by their peers or given an award for their work, they feel that this praise is misguided and have trouble accepting it. Thus, suffering from this condition is akin to swimming a race against the current and with additional unnecessary weights.
Substance abuse: Since this form of depression can go undiagnosed for many years, patients often turn to alcohol and other addictive substances in frustration. This can further delay diagnosis as many of the symptoms of this condition can also be attributed to substance abuse.
Feeling like a failure: Many people suffering from this condition feel as though they are constantly wasting time no matter how much they achieve in a day. This can make them feel hopeless and cause frequent changes in jobs.
The good news is that depression can be cured. Hence if someone around you or you, yourself experience such symptoms, talk to a doctor. Alternatively, you could make a few changes in your lifestyle to lift your mood. Try meditating in the morning or fit in some light exercise into your day. You could even take up a new hobby. However, this cannot replace cognitive therapy and psychological counselling.

High Functioning Depression & Anxiety!

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