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?

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!

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

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Health Tip - Role of Relationship Problems in Depression and Suicides

Anger is an ordinary and is an expressed reaction to an attack, perceived danger or fear. It has been very useful in our struggle for survival. The brain distinguishes the danger and the body is provoked and energized to respond with battle or fight. Once in a while, obviously, it gets out of hand. A few people, unmistakably, see dangers where there are none or where the risk is negligible. Their bodies get provoked improperly. They could use some assistance in understanding the signs that trigger their reactions and discover approaches to improve control.

Health problems: There are some individuals who encounter so much anger that they cannot control their drive to strike out at other people. This is isolated and separated from the issue of alcohol and medication misuse. It is imperative to recall that in case that you are a person who effectively gets angry and has outbursts, you can hurt your health.

Aerobics: Many of us are aware of the advantageous impacts that workout has on one s well-being and health. Various studies exhibit that every day exercise, particularly a program that includes aerobic exercise, can counteract or lessen feelings of anger or depression. Aerobic exercises, much like cardio activities, such as running, brisk walking, swimming and bike riding gets a person out of breath while expanding the pulse and heart rate.

Muscle relaxation: Muscle relaxation requires you to concentrate on straining and unwinding specific muscle groups in your body, so that it can divert you from your sentiments of anger. Moreover, it is great for mitigating nervousness and pressure, which can likewise ease angry emotions. This activity additionally attempts to help you rest when your emotions are running high. Concentrate on a specific muscle group, for example, the muscles in one hand. While breathing in profoundly and gradually, crush the muscles as hard as you can and keep up that pressure for five seconds. For instance, straining your hand muscles would include shaping a tight clench hand. Concentrate on that gathering of muscles and make an effort not to unintentionally tense the surrounding muscles.

30 minutes: There is a lot to be gained even from a 30 minute routine at the gym, in the recreation center or at home. If you have any sort of medical condition, or if you are not sure about the condition of your health, you must consult your doctor. When you get medicinal freedom for activities, it helps arranging and using a work out timetable of no less than thrice each week.

All things considered, you do not have anything to lose except excess weight, depression and now, perhaps even anger. Along these lines, in case that you need to better deal with your anger as it emerges, a great workout might be the correct approach.

How Workout is the Best Way to Get Over Your Anger?

The Power Of Passion

Passion is the energy that can fuel a project, or a task. It gives you the energy to jump out of bed every morning or go to bed late after you have worked out the last block that was stopping your passion from flowing. It has a similar role to inspiration. When we engage in something we are passionate about, we feel free from external and internal blocks and in control. Time recedes into the background, and we feel empowered to engage in flow. 
Research has shown that passion has brought people back to life and start thriving again, making them more emotionally stable and a strong mental equilibrium. Abraham Maslow, a US psychologist said that without passion, nobody would reach their  self actualised  state.

Passion can make or break you. Passion can make you feel invigorated, committed, focussed, connected, courageous, creative, satisfied and productive. A man can be passionate about sports and take out time every week to indulge in his passion, while keeping his boss and family happy. 

On the other hand, it can also ruin your life by being obsessed and possessed by the fire of passion. A workaholic, who doesn t go back home till 2 am and reports to office again at 10 am, he who doesn t see his children nor relaxes or does any physical activity is ensuring a quick burnout in the guise of following a passion. A harmful passion can be diagnosed easily by gauging whether it controls you or you feel in control of your life, which is about harmonious passion.

WHY  YOU MUST NEVER GIVE UP YOUR PASSION

1. Helps you unwind and relax - Zafar liked to do puzzles, crosswords and Sudoku when he started his day. It freshened him up and his mind became sharper as he looked at various permutations and combinations for the words and numbers. Daily new neural pathways were getting stronger in his brain. This exercised his left brain adequately every day. He slept well. Do remember not to do such exercises before sleeping.   

2. Expands your life - Some hobbies like travelling, cooking, collecting trivia has its own benefits. This involves physical activity and meeting up with other people. This helps a person to remain connected with society and keep active. Ram liked travelling so much that he gave up his job to become a globe trotter and tied up with a TV channel to commentate on tourist locations. He earns handsomely from his hobby. His self esteem has doubled since then.

3. Keeps your mind productively channelized - Nandini s problem was that she didn t have anything to do while the kids were away at school. She had started feeling depressed and got headaches often. She knew that she connected well with the children in the neighbourhood and had a flair for painting. She started teaching them painting in the evenings. Soon she became very busy and had no time to get bored.  She not only made new friends, she also earned the respect and awe of her community. She feels energised, happy and motivated to work while looking forward to life.

4. Success at work - Often passion has been linked to success at work. It is seen that people who are passionate, committed and hardworking often excel in their work as they have a goal to achieve. They look forward to their day and any hurdles or failures don t deter them from trying again. Neela was always passionate about becoming an IT professional. She had grown up playing with computers. Despite her family not agreeing with her choice of profession, she went ahead and burnt the midnight oil to score high in school and college. She got picked up in campus placements and today she holds a coveted position in the company. She has motivated many girls from her conservative community to study and get work.

5. Keep away illness - Having a hobby or working passionately has its own share of health benefits. People have reported higher physical and emotional immunity. They had deep and strong bonding with their community. They didn t suffer from insomnia, depression, dementia and anxiety and hope was alive in them till the end. They knew that success and failure are two sides of the same coin. 




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5 Logical Reasons You Must Never Give Up On Your Passion

Depression can be caused because of many reasons. However, it can get worse or be triggered due to nutritional deficiency. However nutritional deficiencies and depression act in a vicious cycle. Depressed people often receive less or improper food which leads to malnutrition which again aggravate depression. Thus, both conditions should be treated simultaneously. Read further to know how:

Omega-3 fatty acids: An Omega-3 unsaturated fat deficiency can cause depression. That shows exactly how much fish, salmon, halibut or flaxseeds and walnuts we have to expend to be at an ideal level. These basic minerals lessen aggravation and take up a basic part in our mental health, particularly memory and disposition.
Vitamin D: Vitamin D deficiency is a noteworthy problem that specialists and general physicians perceive to be dangerous. This lack has been connected to depression, dementia and mental imbalance. The majority of our Vitamin D levels drop off during the fall and winter months, since daylight is the best source of vitamin D.
Magnesium: Odds are great that you are magnesium inadequate since a lot of people are. Sugar, phosphoric acid, perpetual anxiety, anti-infection agents and diuretics contain magnesium. Magnesium is infrequently alluded to as the anxiety counteracting agent.
Vitamin B complex: B vitamins like vitamin B6 and vitamin B12 have some great medical advantages, including decreased heart diseases and healthy skin and nails. Again, a vitamin B deficiency may affect your emotional wellness. Every one in four depressed or stressed woman suffers from vitamin B12 deficiency.
Folate: Individuals with a low folate level have just a seven percent reaction to treatment with antidepressants. Those with high folate levels have a reaction of 44 percent. That is the reason a lot of specialists are currently endorsing a folate called Deplin to treat dejection.
Amino acids: Amino acids are the building blocks of protein that help your mind work efficiently. An amino acid deficiency may make you feel slow, foggy, unfocused, and discouraged. Great sources of amino acids include meat, eggs, beans, seeds, and nuts.
Iron: Iron deficiency is truly common in women. Around 20 percent of the women and 50 percent of pregnant women are iron deficient. Just 3 percent of men are iron deficient. The most widely recognized type of side effect is the decreasing number of red platelets brought on by the lack of iron. The side effects include weakness, concentration issues and a foggy mind.
Zinc: Zinc is used by more proteins (a person has more than 300) than some other minerals. It is important to most of the body s systems. It also helps our stomach to determine what food items or nutrients to keep and what to dispose off.
Therefore, it is very important for a person to consume the right amount of nutrients that a human needs. Their deficiency not only causes depression, but also many other diseases and illnesses.

Nutritional Deficiency - Can it Cause Depression?

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