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?

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.

Depression makes a person miserable, disappointed, restless or numb for long and tedious timeframes, and is debilitating, particularly when they can't demonstrate their feelings and worries to anybody. It can meddle with their productivity and can become a concern not only in workplaces, but also in social circles.

So here's how to deal with a friend or family member in a depressed state of mind:

Be considerate: Do understand that depression doesn't mean" trouble". Melancholy is a condition with an assortment of side effects like exhaustion, confused mind state and rest issues. These are all side effects of melancholy. Crabbiness is an exceptionally basic side effect, which once in a while is encountered by many individuals, and can lead to an expanded sensitivity. Normally, it's difficult to be sympathetic with someone who is behaving grumpily. But you need to make a conscious effort to still see the positive in depressed individuals and lead them to hope.
Encourage and support: Try not to shame people for being negative. Dejection changes the world into a scene of pessimism. Discouraged individuals don't just focus on the negatives, but they also disregard the positives.
Do validate: Approval can help manage a depressed state, and can wean a friend or family member out of depression. Remember that someone with dejection is not living in the same universe as you. The laws that oversee your universe don't exist in theirs.Depressed individuals require your understanding, your empathy, and your affection, considerably more when they are having a troublesome day, week or month. It is hard, but possible. Discouraged individuals value a positive backing in particular.
Never say 'you're too much': When someone with depression is told "you're too much" particularly by somebody near them, it can send them spiralling into blame and nervousness and bitterness. Being encouraging and empowering is likewise useful.
Be patient with the treatment process: A certain amount of trial and error in treatment is to be expected, Baer said. But the good news is that doctors can often help people with depression feel better and function better with a combination of medication and talk therapy, he added. With time and treatment, depression can lift.


Tips for Dealing with a Depressed Family Member

According to most experts, depression and diabetes have been intricately connected in a vicious cycle. While the prolonged and sustaining nature of diabetes directly makes one vulnerable to the bouts of depression, doctors tend to locate traces of depression in the family history of an individual in order to diagnose the roots of diabetes. It won't be too far-fetched to state that both causes as well as affects the other.

If you have diabetes, either type 1 or type 2, you have an increased risk of developing depression. And if you're depressed, you may have a greater chance of developing type 2 diabetes. The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

How diabetes and depression correlated? 
There are myriad ways in which diabetes affects depression and vice versa. 

Firstly, tackling such a long drawn disease and its various pitfalls might cause a lot of anxiety to one and lead to depression. Whereas on the other hand, depression reduces the zeal to live and thus results in poor lifestyle choices which in turn causes weight gain, unhealthy food habits, physical inactivity. As we are well aware, all these have the potential to wreak havoc for any patient of diabetes. 

Similarly, diabetes ushers in various other health complications, adversely impacting one's productivity. This may cause depression in a lot of people. 

On the flipside, depression impedes one's ability and enthusiasm to work or communicate, this in turn intervenes with one's monitoring of diabetes. Since these two extremely malevolent diseases have such close connections, medical science recommends ways to grapple with both. The rigors of managing diabetes can be stressful and lead to symptoms of depression.

Diabetes can cause complications and health problems that may worsen symptoms of depression.

Depression affects your ability to perform tasks, communicate and think clearly. This can interfere with your ability to successfully manage diabetes.

Treatment

Depression is just like any other illness, it can be treated. Treatment can lift the depression and improve diabetes control.

Looking after your diabetes will help decrease the risk of getting depression. If you already have depression, good diabetes management will help lessen the negative impacts it can have. Depression is no different to any of the other complication of diabetes. It is a genuine illness for which you need to seek help and support from health professionals.

The treatment for depression and diabetes involves a coordinated approach that monitors both diabetes control and the symptoms of depression. It is about finding the treatment that works best for each person. For example, people with diabetes and mild depression may find that regular physical activity improves depressed moods and also helps control blood glucose levels.

Helping yourself.

If you suspect you might have depression, take control of your health by:

Going to a doctor or other health professional
Getting involved in social activities
Engaging in regular moderate physical activity
Learning about depression and diabetes
Very particular about medicines prescribed for diabetes
Eating healthily and including a wide variety of nutritious foods
Achieving and maintaining healthy weight
Limiting your alcohol intake
Getting help, support and encouragement from family and friends
Asking your doctor to check your blood pressure, cholesterol and blood glucose levels.

Diabetes and Depression

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?

Psychiatric disorders like bipolar disorder or schizophrenia do not appear all of a sudden. There are small changes that happen to an individual over a long period of time until the disease fully develops. These signs and symptoms might be too subtle in the early stage for other people to notice until they become obvious. But an early detection of any irregularity proves to be more beneficial for the patient in the long run.

It is important to know the telltale symptoms of mental disorder to distinguish between what is regular and what is not.

Withdrawal
Everyone needs some quiet time to cool off and relax but if a person continuously withdraws him/herself from social occasions and avoids meeting or speaking to friends, it could be a sign that something is wrong. Losing interest in life, work and people are symptoms of depression and psychotic disorder.

Thinking problems
Having trouble concentrating, remembering, understanding and explaining oneself in a coherent manner are some common signs of mental disorder.

Anxiety
Excessive stress and anxious behavior for a prolonged period are not normal. Frequent heart palpitations, headache, shortness of breath, racing mind and restlessness are cries of help that need to be heard.

Emotional outbursts
Sudden dramatic outbursts for no apparent reason, frequent mood swings and feeling distressed are potent signs of mental illnesses. These kinds of behavior are seen as part of a person's nature and so they are often unnoticed.

Changes in appetite and sleeping patterns
Oversleeping may be a sign of depression and insomnia could be a sign of anxiety. Changes in appetite and not caring about oneself or the world are indicators of a mental problem.

5 Silent Signs Of A Psychiatric Disorder

Depression is recognized as a mood disorder characterized by the prolonged feeling of sadness and loss of interest in otherwise regular activities. The symptoms include loss of sleep and appetite, loss of interest, persistent feeling of sadness and lowered self-esteem. These symptoms should last for a minimum of 4 weeks for the individual to be diagnosed with depression. Sometimes, at its later stages, depression can also be accompanied by suicidal tendencies.

How it can be treated?

Role of anti-depressants: Depression has become rather common in the present day scenario. The treatment varies from prescription drugs to therapy. People who have depression are usually given mood enhancers and anti-depressants. Antidepressants are medicines used to help people who have depression. With the help of these depression medications, most people can achieve significant recovery from depression. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain s chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. However, these are but short-term solutions to depression and don t necessarily cure the individual completely. For the treatment to be effective, the drug intake must be combined with therapeutic techniques to solve the problem at the root level.
Therapy: Different therapeutic techniques are used to treat depression depending majorly on the individual, the cause of depression and general history and state of mind. Research suggests that client centered therapy and cognitive behavioral therapy are a good start with an average case of depression. The therapists usually incorporate several other methods based on the client s need to get maximum effect. Adlerian techniques, where individuals are made to comprehend the thoughts and emotions which influence their lifestyles and adopt a more productive and positive way of life, are rather helpful with most clients who suffer from depression.
Note
Depression is a fairly common mental health disorder today, affecting a large population. Depression must be acknowledged as a proper mood disorder and not just a passing phase. It is completely curable with proper medicine and therapeutic sessions. The individual is able to move over the feelings of unhappiness and lack of interest with proper care and acceptance from loved ones in addition to therapy and the drugs, of course.

Depression - Is it Curable?

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