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?

Are you a 'What-If' person? Kill anxiety in 4 easy ways

Thinking about dangers and risks is a normal phenomenon, it helps us to stay alert and to become a good problem solver. It’s only when worrying gets out of a person’s control, it turns into a problem. If a person is constantly preoccupied with “what-if " and keeps imagining worst-case scenarios, worry actually turns into the cause for high pulse rate, insomnia, poor mental and physical health. 

Here are 4 simple steps to cope with anxiety and worry.

1. Breathing technique: The first thing to do when you get anxious is to take deep breath. Deep breathing is a powerful anxiety-reducing technique because it activates the body’s relaxation response. Try slowly inhaling to a count of 5, filling your belly first and then your chest, gently holding your breath to a count of 5, and slowly exhaling to a count of 5 and repeat several times.

2. Accept that you’re anxious: Remember anxiety is just a feeling, like any other feeling, by reminding yourself that anxiety is simply an emotional reaction, you can start to accept it. Acceptance is critical because trying to eliminate anxiety often worsens it. But accepting your anxiety doesn’t mean liking it or resigning yourself to a miserable existence. It just means you would benefit by accepting reality as it is – and in that moment, reality means 'anxiety' you are feeling.

3. Question your worries. When people are anxious, most of the time their brains start coming up with all sorts of unrealistic ideas, which most likely will never occur. To avoid unnecessary worry, one should ask himself / herself a few questions like:
- Is there a reason to believe something is wrong?
- What evidence is there that something is wrong?
- If the worst possible outcome happens, what would be so bad about that?
- What are the options I can use to handle the situation at hand?


4. Focus on right now: When people are anxious, they are usually obsessing about something that might occur in the future. It is important that when a person becomes anxious, he/she takes a deep breath and pay attention to what’s happening right now, around them. Even if something serious is happening, focusing on the present moment will improve your ability to manage the situation.

If you would like to consult with me privately, please click on 'Consult'.

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Are you a 'What-If' person? Kill anxiety in 4 easy ways

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

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

Smartphone Addiction is a Sign of Depression

There are some people who just never seem to get off the phone. They would be looking at their phones all the time, messaging, using social networking sites or simply clicking their pictures or playing games. A study suggests that addiction to the smartphone is linked to and serves as a sign of depression.

The study reveals that individuals who have been diagnosed with some form or degree of depression tend to use their phones more. In fact, smartphone addiction is correlated to clinical depression. So, if your teenage son or daughter or someone you know have been using their phones too often, then this might be a red signal towards depression.

Smartphone addiction can be seen as a compulsive behavior and is typically noticed among depressed people. At the same time, it can result in depression as well. People who are prone to developing depression symptoms may also use their phone more often. Their excessive usage and smartphone addiction may actually make them irritable and sad, looking at photos of others, noticing other people’s lives may make them feel that their lives aren’t perfect. This can in turn lead to feelings of extreme sadness, cause depression or even suicidal thoughts.

So, make sure that you keep a tab of how often people use smartphone in your family. If you suspect behavioral changes with smartphone addiction, consider getting a consultation with a psychologist or counsellor.

If you would like to consult with me privately, please click on 'Consult'.

Your Addiction To Smart Phone Reveals Something Shocking About You!

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.

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5 Reasons Why Some People Accomplish More And Are Much Happier

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