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?

If people understood the benefits of laughter and it could be packaged and sold in bottles, then it would sell the most. Laughter and humour is contagious and easy to  make and use. It has many therapeutic benefits besides just enjoying a good joke. When laughter is shared, it binds people together and increases happiness and intimacy. Laughter also triggers healthy physical changes in the body. Humor and laughter strengthen your immune system, boost your energy, diminish pain, and protect you from the damaging effects of stress. 

A. Laughter is good for your health:
1.Laughter relaxes the whole body. A good, hearty laugh relieves physical tension and stress, leaving your muscles relaxed for up to 45 minutes after.
2.Laughter boosts the immune system. Laughter decreases stress hormones and increases immune cells and infection-fighting antibodies, thus improving your resistance to disease.
3.Laughter triggers the release of endorphins, the body’s natural feel-good chemicals. Endorphins promote an overall sense of well-being and can even temporarily relieve pain.
4.Laughter protects the heart. Laughter improves the function of blood vessels and increases blood flow, which can help protect you against a heart attack and other cardiovascular problems. 

B. The link between laughter and mental health:
1.Laughter dissolves distressing emotions. You can’t feel anxious, angry, or sad when you’re laughing. You will feel lighter, happier and confident.
2.Laughter helps you relax and recharge. It reduces stress and increases energy, enabling you to stay focused and accomplish more. It has the capacity for a person to be in touch with the present and bounce back faster from problematic situations.
3.Humor shifts the perspective, allowing you to see situations in a less serious light. You will be able to see your own mistakes as errors of judgement, learn from them and move on. You will feel less anxiety and panic reducing your heart rate and muscle tensions.

Shared laughter is one of the most effective tools for keeping relationships fresh and exciting. All emotional sharing builds strong and lasting relationship bonds, but sharing laughter and play also adds joy, vitality, and resilience. And humor is a powerful and effective way to heal resentments, disagreements, and hurts. Laughter unites people during difficult times.

C. Humour improves your Social Relationships
Incorporating more humor and play into your daily interactions can improve the quality of your love relationships— as well as your connections with co-workers, family members, and friends. Using humor and laughter in relationships allows you to:
1.Be more spontaneous. Humor gets you out of your head and away from your troubles.
2.Let go of defensiveness. Laughter helps you forget judgments, criticisms, and doubts.
3.Release inhibitions. Your fear of holding back and holding on are set aside.
4.Express your true feelings. Deeply felt emotions are allowed to rise to the surface. Its easier for others to take constructive feedback when sandwiched between something light and positive. 

D. Making opportunities to laugh together:
1.Watch a funny movie or TV show.
2.Go to a comedy club.
3.Read the funny pages.
4.Seek out funny people.
5.Share a good joke or a funny story.
6.Check out your bookstore’s humor section.
7.Host game night with friends.
8.Play with a pet.
9.Go to a “laughter yoga” class.
10.Fool around with children.
11.Do something silly.
12.Make time for fun activities (e.g. bowling, picnics, games) 

However, it is important to keep in mind that you don’t laugh at someone or in their absence. Don’t resort to sarcasm and witticism, which is not clean humor and showing sensitivity towards other people’s sentiments. So take out your laughter arsenal and get ready to shoot.








LAUGHTER: THE BEST MEDICINE

In the modern day lifestyle, it is extremely difficult to be stress free. Even a tiny situation like losing your pen to a something like meeting a deadline at work can cause stress. Stress acts like a catalyst to different diseases like high cholesterol, hypertension, cardiac diseases, etc. You cannot avoid stress, but what you can do is help yourself fight it; and you can actually fight stress with the help of food as well. Here are a few food items which will help you with your fight against stress:

1. Chocolate: Chocolate is one of the best stress busters. It contains magnesium, phenyl ethyl amine and carbohydrates, all of which help lift your spirits. Chocolate helps in the reduction of stress hormones, helping you to relax.

2. Coffee: Coffee helps your brain signal the production of BDNF (a brain derived protein), which helps to keep your brain cells healthy. A low level of BDNF can cause a lot of stress and depression. Coffee triggers many neurotransmitters, which control your mood changes; so may be a cup or two of coffee will help your to be chirpier.

3. Green leafy vegetables: All green leafy vegetables like spinach contain a high quantity of magnesium. Magnesium prevents headaches and fatigue, which in turn reduces stress.

4. Black Tea: Black tea can relieve you of stress, quicker than any other food item. Black tea reduces the amount of cortisol, a hormone which causes stress, and gives you a feeling of calmness.

5. Milk: Milk contains calcium, which is known to ease anxiety and control sudden mood swings related to PMS or post menstrual stress.

6. Bananas: Bananas have a huge content of dopamine, which is a natural chemical that works towards boosting your mood. This is the same chemical released in your body after a session of working out. Bananas also have a lot of potassium and B group vitamins which work towards soothing your nervous system and a lot of magnesium which brings in positivity to your mood.

7. Almonds: Almonds are rich in vitamin E and group B vitamins, which will help you to be more resilient when you are depressed or anxious.

So if you are stressed out, pop in a few almonds or have a cup of tea, and release your stress.

7 Foods That Fight Stress

It's International Women s Day yet again. A time to celebrate women s accomplishments- both those of legendary creators including Mother Teresa, Kiran Bedi, Anuradha Koirala   the anti-sex-trafficking activist & Mary Kom to name a few and the women in our lives who mentor and inspire us every day. It s a day to celebrate our journey towards gender equality and women empowerment.

This year s International Women s Day theme is  Time is Now: Rural and urban activists transforming women's lives.  It comes on the heels of unprecedented global movement for women s rights, equality, and justice. The theme has taken the global campaigns and marches on issues ranging from sexual harassment and femicide to equal pay and women s political representation.

Women still have a long way to go to attain equality and non-discrimination from her male counterparts. 2018 International Women s day is an 'iron in the fire opportunity' to bring a call to action to entrust women with what they actually deserve, not only in a particular sector but to every woman who resides in urban as well as rural areas. It is a step to respect and appreciate the women who step out every day for the livelihood of their families and kids - a step to stop casual sexism faced by urban women in the workplace.

Women, experiencing sexual harassment in the workplace, not only bear strained relationships with their counterparts but also are at risk of numerous health problems. Let us know about the health effects of sexual harassment:

Depression: Self-doubt and criticism can lead to depression and loss of interest in work or other activities. Women also experience loss of self-confidence and feelings of failure & powerlessness.
Anxiety: Many women feel anxious about going to work, communicating with co-workers or being involved in social situations.
Insomnia: Sexual harassment trauma can cause nightmares and may lessen the woman's ability to sleep properly.
Post-traumatic stress disorder (PTSD): Studies say that sexual harassment meets the Criteria A1 and A2 of PTSD. The stress of sexual harassment may cause a woman to relive the trauma even when it is not happening, or avoid things or people that remind her of the sexual harassment.
The International Women s Day echoes a word for transforming the lives of women with a bold determination not just on papers but in reality to support the women all around the globe. Many working women have sad tales to tell as they are exploited at a very high level, and they actually lead a stressful life in comparison to their male counterparts.

So, the spotlight this year is to fight against the injustice that most women face every day and to bring about a change that will be remembered for years and will outshine the lives of such women who devote themselves for the livelihood of their families.

Join a campaign, embrace your inner activist and empower the women in your life...

The #TimeisNow To-

Raise your voice
Support each other
Share the workload
Get involved
Educate the next generation
Know your rights

#TimeIsNow - This International Women's Day, Empower The Woman In Your Life! 

Do you know why some people accomplish more and generally are much happier in their lives?
 
The field of Positive Psychology explains this. Research says, one of the signature strengths that such people have is "Gratitude. Gratitude makes them take better care of themselves physically and mentally. It also makes people engage in more proactive and healthy way. It promotes the motivation for exercise, healthy diet and willingness to wriggle out of any negative situations in life. It helps boost your immune system.  Since it makes you more optimistic and alert, you cope better with stress and feel healthier.

How to Have An Attitude of Gratitude?

1) Be Mindful of What You Have - Being thankful for very small things actually bring a great amount of joy. Have gratitude for small things like sunlight, rain, flowers, a cup of tea, a caring spouse, a child's laughter. It gives us the resilience to cope with tougher situations.

2) Keep a Gratitude Journal - Every night before going to bed, write down "What was the best thing that happened to you that day.  It fosters better sleep and a sense of well being and satisfaction.

3) Reframe Challenging Situations - It's not the situation but our perception of the situation that makes it challenging. You can reframe your reactions and respond by saying that "I may have a very demanding boss, but I have become more organized, patient. It will help you to attend to your work and be cheerful.

4) Practice saying Thank You - It's very simple. When you buy a bus ticket, just smile and say 'Thank You. Feel the first raindrops on your face and smile in gratitude for all the life it brings.

5) Focus your attention outwards - According to Emmons, a US psychology professor, people who are more aware of the positives in their lives tend to focus their attention outside of themselves. They feel complete, satisfied and fulfilled in their lives and are capable of helping the less fortunate ones.

If you have any questions, please click on "Consult Privately.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.


5 Reasons Why Some People Accomplish More And Are Much Happier

What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

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