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 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. 




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 Logical Reasons You Must Never Give Up On Your Passion

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!

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.

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.

Health Tip - Role of Relationship Problems in Depression and Suicides

Anxiety is something you face a lot due to different reasons. It also leads to mutiple problems, including low confidence, giving you an uneasy or uneasy feeling and more importantly affects your general well being and ability to work. If you feel you suffer from anxiety, here are some ways to reduce it.


	Accept the anxiety: anxiety is only a temporary phase which everyone faces. If you keep worrying and try to fight it, you will become even more anxious and your health will become even worse. The only way to deal with the anxiety mentally is to accept that this is a temporary phase and that it will pass away soon.
	Self-soothing techniques: there are many physiological things for you to do as well which will allow you to relieve anxiety. Diaphragmatic breathing is a very good way to achieve this. Sometimes reassuring yourself is more valuable than you think. Practice saying comforting things to yourself and the stress and anxiety will automatically reduce. Muscle relaxation is yet another method which will allow you to decrease your anxiety.
	Monitor your diet: your diet is crucial in reducing your anxiety as caffeine and alcohol are two of the leading causes of anxiety in your body. However, abruptly stopping your intake of caffeine and alcohol also leads to withdrawal symptoms. Therefore balancing out intake of alcohol and caffeine is crucial.
	Exercise regularly: you probably know that exercise is very important for maintaining good health. However, what you probably do not know is that exercise is perhaps more effective than even medication in relieving your anxiety. Therefore, it is imperative for you to get moving.
	Get adequate sleep: everyone feels bad when they do not sleep enough. However, did you know that lack of sleep is a major cause of anxiety. The more you sleep, the less anxious you will feel.



5 Tips To Reduce Your Anxiety Instantly

Top tips to help you fight anxiety

Anxiety is the latest problem affecting a majority of the population, owing to our hectic and fast-paced lifestyles. All of us are so busy in our lives that we forget to provide our mind and body with the basic care that they need in order to function effectively. Here are five useful tips to help you overcome anxiety, on a daily basis.

1. Maintain the right diet
Though it may sound like a cliche, maintaining a healthy diet on a regular basis is the key to beating anxiety. Try and consume food products rich in Vitamin b which is known to improve mental health; and Omega-3s which can effectively counter severe anxiety and depression.

2. Get adequate sleep
Not getting enough sleep not only affects your mind but has an adverse effect on your body as well. Even anxiety can result in irregular sleep patterns and thus ensure that in any situation, you manage to get six to seven hours of sleep on a daily basis.

3. Engage with people
Man is indeed a social animal. People make us happy. The hormone oxytocin significantly reduces anxiety levels and it is released during the process of socializing; thus it is essential to be in contact with your close group of people.

4. Keep your immediate environment clean
A cluttered home or workplace not only adds to physical clutter but contributes towards building up mental clutter as well. Spend a few minutes every day in keeping your immediate environment clean and organized. You are bound to feel calmer and more relaxed.

5. Indulge in breathing exercises
When your brain is tensed, your breathing pattern automatically becomes short and shallow. In order to send relaxing signals to your brain, try taking deep and long breaths and continue the process for a few minutes.

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

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 Most Effective Ways To Drive Anxiety Out Of Your Life

Don't wait any longer, manage your Philophobia online with a Lybrate doctor today

Consult for Philophobia - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES