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?

India is all set to celebrate its 75th Independence Day on 15th August 2021. This day marks the Independence of our country from the British. So, every year the Independence Day is celebrated throughout the country with great fervour. So, this Independence Day, let's take a pledge and abide by the fact that we will take up small measures to restore our health. Below are few healthy habits that we must follow.

Freedom to be ourselves: By having the freedom to be ourselves, basically refers to the idea of having certain choices without being bound by any kind of limits, social stigma or pressure. People should have the independence to do anything that they want to do. Going deep into it, it is basically having the freedom to grow and attain the level that people want to achieve, in an unrestricted manner. This would only be possible if one is allowed to make experiments with their choices.

Constant progress towards a fulfilling life: Today s world is filled with a variety of stress. We are always in a hurry to catch up with our goals and meeting our targets. So, in pursuit of all this, there is every possibility that we might lose out to make time for ourselves and our relationships.

So, this Independence Day, we must take a pledge and abide by the fact that we will take up small measures to restore our health and rejuvenate our relationships and this constant progress will enable us to achieve something big in life. Now let us talk about certain healthy habits that we must follow in order to be free from diseases or health problems.

Healthy breakfast: A nutritious and healthy breakfast is of utmost importance as it provides us with the much-needed energy to carry out our activities throughout the day. A healthy breakfast is one which includes fruits, eggs, a portion of oats or barley to have a great mix of protein, fat, vitamins, minerals and carbohydrates
A good night s sleep: Research has shown that a sufficient sleep at night is essential towards getting an efficient mind, as it helps to bring forth improvements in cognitive skills, sharpens memory and keep gastrointestinal disorders away. Ideal sleep hours for women should be 8-9 hours and for men, 7-8 hours should be ideal.
Fluid intake is important: Drinking 8-10 liters of water every day carry great benefits for one s health and well-being. Water helps to remove toxins, makes the skin glow and people don t feel dehydrated.
Exercising daily is good for you: Staying fit and healthy in this competitive world is a must. Fitness cannot be attained only having healthy food but doing exercise on a regular basis is also essential. So make sure to make time for working on your cardio, abs, legs, chest, so that on an overall basis, you are fit and fine. Walking, jogging, cycling and doing normal free hand exercises can help in attaining good health.
Avoid long gaps in-between meals: Generally, we tend to have three big meals, breakfast, lunch and dinner. In the midst of these three, the normal gap is of 5 to 6 hours, which often leads to a drop in our blood sugar level. Ideally, which should be avoided and in place, a habit of eating something healthy after every 2 or 3 hours should be adopted.
Restore your health with a cup of Green Tea: Green Tea has great health benefits as it is filled with antioxidants, which ensures brain to function better and thus lower the chances of getting plagued by cancer. It also makes the body system free from toxins. One cup of green tea in the morning or taking it even at the end of the day is ideal. Make sure not to have more than 2-3 cups every day as it can lead to stomach problems, restlessness and insomnia.
Wash your hands frequently: A number of diseases and health ailments spread from unhygienic habits and that is something which is in our control. We should encourage people around us, such as kids, household help, relatives to wash their hands from time to time. This will help us in controlling the spread of diseases.
The above-mentioned habits are only indicative, however, there are many more that we should adapt according to our health requirements.

Independence Day Special - Let's Take A Pledge To Stay Healthy & Embrace Healthy Habits!

How to brush off stress from your life

Current lifestyle is such that stress becomes inevitable. But you might be aware how disastrous stress can be, it does take control of our lives. What one needs to consciously do is, take steps to address the stress that they are under. 
Here are simple and effective ways to do it.

1) indulge in physical activities - most of us have sedentary lifestyles which add to stress. While indulging in workouts won't take away your stress, what will happen is that there will be clarity in your thoughts, and your emotional intensity will come down, calming you.
2) believe every problem has a solution - it is easy to be scared of the problem and let it take control of your mind &amp; your life. Take control of them. Try to actively address your problem and look for solutions. When you act towards solving your problem, irrespective of the solution, your mind has more positive in it than stress.
3) give it away - meet people, socialize, and connect with other lives. This is actually going to solve half your problem. Not only will more things occupy your mind, and you will know of other people's problems too, but at times, sharing your stress problem warranties a quick solution!
4) treasure yourself - take some time for yourself and do what you love to do the most. Go to the spa, go shopping, read or just sleep. But make sure you have time away from work and daily chores, where you can rejuvenate your sense by doing what makes you the happiest. If nothing, meet up with friends.
5) indulge in volunteering work - helping others not only preoccupies your mind with problems of others rather than staying immersed in your own, but also helps you be more resilient. You will come out stronger and with more will to address your own issues.
6) try to stay positive all the time - appreciate what you have rather than concentrate on what you don't. Be thankful.
7) accept what you cannot change - however much we try to solve our problems, some things we cannot resolve right at the time. And there is no point in pondering over them. Accept that this is how things will be, and move on.

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

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How To Brush Off Stress From Your Life

Depression: Why is this Silent Killer Taking Our Youth Away?

Recently most of us were shaken by the death of the well-known television actress, Pratyusha Banerjee. Her sudden death has brought to light the very common yet under-addressed problem - Depression -  that a number of youths are living with.

Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should, most people still live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression. There is often a delay in opting for the treatment because of the social taboo associated with depression.

Although cases of depression can vary from an individual to the other, there are signs that one can look out for, to identify a depressed person:

- Low mood most of the time of day along with frequent crying spells

- Feeling of unworthiness and low self-respect are very common in a depressed person. Due to these feelings, the affected person may become very critical and disapproving about himself or herself.

- Lack of enjoyment and loss of interest in a depressed person makes them no longer derive pleasure from things that once gave him or her happiness.

- Exhaustion and insomnia are signs that one should look out for in a depressed individual. These are usually due to changes in sleep patterns, from sleeping a lot because of feelings of constant fatigue or due to instances of wakefulness.

- From indulging in comfort eating to losing the will to eat, predominantly loss of appetite characterizes a depressed person.

- Difficulty in recalling details and tendency to over generalize as also problem-solving issues can point to the presence of depression

- Unexplained bodily pains and aches are another characteristics of the condition.  

What are the different types of depression?

Regarding the different forms of this mental health issue, it comes in several forms along with their distinct symptoms, effects, and causes. These are:

- Major depression

- Dysthymia

- Recurrent depressive disorder

- Seasonal affective disorder

- Bipolar disorder

How can it affect your life?

More than 90% people who commit suicide suffer from some form of psychiatric illness and depression is the most common reason. The despair that usually accompanies depression makes the thought of taking one's life as the only means available to escape the pain. In addition to suicidal thoughts, it can also affect one's functioning in day to day life if help is not sought in time.

Depression is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability.



Depression: Why is this SILENT KILLER taking our YOUTH away?

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! 

Depression is a very unfortunate state to be in, in every sense of the word. It is a sickness of the mind and can only be felt by the person experiencing it. As a matter of fact, it is even worse when depression does not occur on its own, but is rather accompanied by another condition such as fatigue.

There are many cases where depression occurs along with chronic fatigue syndrome. The irony is that when a person is depressed, he or she is unlikely to be willing to get out of bed and when this is compounded by chronic fatigue syndrome, even if the depression alleviates, it would not make much of a difference as it would be a case of  mind willing, flesh weak !

Many of the people who are diagnosed with depression have extreme patterns when it comes to sleep. Either he or she would sleep for extended periods of time and feel lethargic to do anything else. Or, the other situation is generally when he or she is more or less an insomniac and does not get sleep even if he or she would really like to grab a bit of shut-eye!

What are the Symptoms?
When a person is going through depression, it can be said to be of the highest importance to be able to judge the symptoms of the condition soon, so that the person can go and seek treatment. The symptoms, which are being talked about include extreme eating habits, that is, either eating way too much or not enough at all, along with a continuous sense of anxiety which, depending on how severe the case of depression is, can cause a person to have his or her mind clouded by the anxiety which over sweeps all other thoughts. In addition to these symptoms, there are other signs which appear with the onset and continuance of depression. These include disinterest in hobbies, which once appeared enjoyable to take part in.

Chronic fatigue syndrome kills off any urge to partake in any activity, which is voluntary in nature. With the combination of these two conditions, it can be quite possible, rather unfortunately, for a person to find himself or herself to be stuck in a vicious cycle. Sleep disorders, such as sleep apnea can really kill a person s zing and as a result of the same, make it harder for him or her to get out of depression and more likely to fall into depression if he or she has not yet. Curing depression includes changes schedules, engaging in yoga and other similar activities. Dietary changes may also be warranted. However, the recovery should take effect soon!

Depression - It Can Cause You to Feel 100 Years Old

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