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?

We all have those days when we seem to have hit an all time low. We feel bad, sad, mad, and there seems to be no light at the end of the tunnel. However, this is a temporary, passing phase for most of us. But for people with depression, this is not the case.

Chronic depression, which is more common in women than men, can arise due to different reasons. Major life changes, marital issues, relationship issues, financial problems, chronic medical problems, death of loved ones, life stressors, weather changes, etc. can lead to depression.

This leads to prolonged periods of sadness, feeling of emptiness, loss of interest in activities which were normally pleasurable, irritability, sleeplessness, loss of appetite, weight gain, worthless and hopeless feeling, and feeling of doom. This can result in dejection, social withdrawal, poor performance at work/school, and an overall declining quality of life.

In most cases, there is usually a past, unpleasant experience which leads to depression. This could be different for different people, depending on their tolerance. While some may go into depression over minor relationship issues, for others, it could be as severe as sexual abuse in the past.

Ayurveda recognizes  sadhaka agni  as a fire that helps a person to digest trauma. People with a strong sadhaka agni have a higher tolerance and take more time to get depressed compared to people who have a weak fire in them.

The following are some simple changes that can be very useful in overcoming depression.

Meditate for about 20 minutes every day.
Realize and practice detachment. Most people with depression have a loss of something they were closely attached to. Realizing that nothing in life is permanent and letting it go will play a major role in feeling better.
Get a sound, restful sleep. Stick to a routine by going to bed and getting up at the same time every day.
Walk out in the sun and get a good dose of sunlight. Add exercise to sun exposure to feel elated and upbeat about life in general.
Exercises such as yoga, walking, and cycling also are useful in improving overall balance and health. A healthy and fitter body definitely leaves one in a better mood.
Eat healthy food. Avoid packaged, canned, and processed food. Include a lot of nuts and seeds in your diet, be it roasted or soaked.
Try mood uplifting food items like black pepper, dry ginger, turmeric, amla, cloves, and cardamom.
Herbs like ashwagandha, shatavari, brahmi are highly useful in curing depression. They also treat fluid balance, govern energy and creativity in the body, improve metabolism, and clear toxins.
Ayurveda believes in not just making one feel better, but improving his/her overall well-being by getting to the root of the issue.

Depression - 8 Steps To Help You Get Rid Of It!

Suffering from depression - Avoid these

Depression is a psychological condition that can drain your hope, energy and drive. The things that you once rejoiced might not be pleasurable anymore. Meanwhile, overcoming depression isn't quick or easy and it is recommended that you opt for counselling or professional support to help you through. At the same time, you need to avoid these practices, which tend to increase the intensity of depressive symptoms.

These are the things you should avoid while suffering from depression.

1. Avoid Staying Alone: When you are depressed, you might not feel pleasure in things you used to enjoy earlier. This might result in social isolation, making you lonelier and more depressed than ever. But living in social situations, meeting people will actually help you. It can take off your mind from the feelings of depression and while meeting people might not seem as enjoyable as it did before, it can certainly help in overcoming the feelings of loneliness.

2. Avoid NOT Seeking Help: Most of the people are unable to differentiate between sadness and depression. But if you are someone who has been feeling intensely sad for no reason, then you are probably depressed. So, don't avoid seeking help. Approach a therapist, even online if you want more confidentiality and privacy. A counsellor can actually help in overcoming the feeling of depression.

3. Avoid White Foods: Processed foods or white foods are simple carbohydrates that can actually lead to insulin dumping and trigger the process of depression. The surge of insulin will initially make you feel happier, but once that's surge goes down, you will begin to feel depressed again. This will even trigger hunger and particular cravings, which in turn affect depression symptoms negatively.

4. Products with Aspartame: Aspartame can lower the production of serotonin, a neurotransmitter that's associated with mood. Therefore, eating aspartame can increase the intensity of your depression symptoms, may result in insomnia as well.



Do You Feel DEPRESSED Often? Stay Away from These 4 Things!

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!

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

A depressive disorder is not just a passing phase of the mind; it is a condition which involves your body, mind, and thoughts. It comes in the way of your daily life, thereby preventing you from carrying out your regular routine, even making it harder for you to concentrate or work properly. The exact causes are still not known, but as certain studies suggest, it might be hereditary, due to changes in the neuroendocrine functions, or due to other psychological and social factors.

Some of the depressive disorders are:

- Major depressive disorder
- Persistent depressive disorder
- Other specified or unspecified depressive disorders

Others are classified by their causes:

- Premenstrual Dysphoric disorder
- Another medical condition induced depressive disorder
- Substance/Medication-induced depressive disorder

Depressive disorders can set in at any point in time, but primarily, symptoms are visible in your late teens, 20's or your 30's.

Symptoms

For major depression the symptoms are:

1.Feelings of depression throughout the day
2.Significantly diminished interest in all your activities

All You Need to Know about Depressive Disorders

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