The doctor usually diagnoses Diabetes by conducting a series of tests such as the A1C test, fasting plasma glucose (FPG) test and oral glucose tolerance test (OGTT).
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-
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:
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.
The endocrine system is a network of glands that produce and release hormones. These hormones are in charge of several functions in the body, from heartbeat to tissue growth to the creation of new life. Even a small issue with one or more of these glands can interrupt the careful balance that the body strikes with these hormones. This causes an endocrine disorder or dysfunction. One of the most common endocrine disorders is diabetes. Many other endocrine disorders include adrenal insufficiency, gigantism and other growth hormone problems, hypothyroidism, and polycystic ovarian disease.
Causes of Endocrine Disorders: The endocrine system consists of several glands, including the pituitary gland and hypothalamus in the brain, adrenal glands in the kidneys, and thyroid in the neck, as well as the pancreas, ovaries, and testes. The stomach, liver, and intestines also secrete hormones related to digestion. Most common endocrine disorders are related to the improper functioning of the pancreas and the pituitary, thyroid, and adrenal glands. The causes of endocrine disorders are grouped into two categories – Disorders caused by a gland producing too much or too little of a hormone, which is known as hormone imbalance and disorders due to the development of lesions in the endocrine system that can affect hormone levels.
Testing for Endocrine Disorders: An endocrinologist is specially trained in problems related to the endocrine system. Normally, blood and urine tests are conducted to check the hormone levels to determine if you have an endocrine disorder. Imaging tests may be done further to locate or pinpoint a nodule or a tumor.
Diabetes – Most common endocrine disorder: Diabetes is a chronic, lifelong disease that affects the body’s ability to process insulin. Normally when you eat, the pancreas, an organ located in the upper abdomen, produces the hormone insulin to move glucose from the bloodstream into cells where it can be used for energy and growth. With diabetes, either the pancreas produces too little or no insulin or the body’s cells don’t respond to the insulin. Diabetes deprives the body’s cells of nutrition and leads to an abnormally high level of glucose in the blood. Over time, this can result in damage to the blood vessels and organs and premature death. The three most common forms of diabetes are type 1 diabetes, type 2 diabetes, and gestational diabetes.
Symptoms of Diabetes: Symptoms of diabetes that can indicate a dangerous, potentially life-threatening change in your blood sugar level can occur suddenly and rapidly. Symptoms include increased thirst, frequent urination, vomiting, shortness of breath, abdominal pain, confusion, sweating, feeling shaky, extreme irritability, or aggressive behavior. In case you have diabetes and experience symptoms of high or low blood sugar, test your blood sugar and follow your treatment plan based on the test results.
Treatment of Diabetes: Treatment for diabetes varies among cases but a good diet plan and regular exercise are extremely valuable for both management and prevention of this endocrine disorder. Some other treatments include regular blood sugar monitoring, insulin treatment, oral or intramuscular administration of medications, pancreatic transplant in the case of type 1 diabetes and bariatric surgery for people who are very overweight.
Bariatric surgery is a surgery performed on the stomach and is usually recommended for people who are obese. If you have a BMI value more than 40, then this surgery is a very good option. Along with those having an obesity problem, this surgery is also said to be ideal for those people who are suffering from type 2 diabetes and having a BMI value between 35 to 40.
There are many studies which show that there is a great improvement in people with type 2 diabetes after bariatric surgery. Even the cholesterol and blood pressure levels can also be controlled with the help of this surgery. Post-surgery, you will have to take fewer medicines or in some cases, you need not have to take medicine at all.
How does the doctor decide if you need bariatric surgery?
Basically, there are two things that will be considered by the doctor. The first one is the BMI value, which should be above 35. And the second parameter to consider is if you have tried any other methods to lose weight but did not succeed. Based on these and if you are ready to face the mental and physical challenges after the surgery, you will be advised to go through this surgery. You should make sure that you are doing regular exercise and also eat less.
Types of bariatric surgeries for type 2 diabetes
Does it help?
Some surgeries show 80 percent success rate and some show 60 percent success rate, but that is in terms of diabetes levels. Due to less food, the body will not get the required minerals and vitamins, which will result in other health complications. Some surgeries are also irreversible. So, it is your doctor who understands the surgery and your health better and they will always suggest the best option for you. In case you have a concern or query you can always consult an expert & get answers to your questions!
Diabetes is a condition that cannot be cured. It is a lifelong disease that can be only managed. The way your body handles glucose is affected by this condition. Diabetes is classified into Type 1 and Type 2. Most people affected by diabetes have Type 2 diabetes. In few cases, the blood sugar levels are above normal. Yet, it cannot be high enough to be called diabetes. This condition is called prediabetes. People with such condition have a higher risk of being affected by diabetes. When one is diagnosed with diabetes, a lot of factors should be taken care of. The first thing you need to be careful about is the food intake. Physical activities and exercises, too, should be given importance.
Role of insulin: Insulin is a hormone produced by the pancreas. The food you eat contains glucose, a form of sugar. This has to be converted into energy, which is done by insulin. When you are affected by Type 2 diabetes, your body still produces insulin. When your body cannot make use of it, the condition is called insulin resistance. To cope with this, the pancreas produces more insulin to convert the sugar into energy. But, still it cannot be used efficiently and sugar build up keeps growing.
The causes: You could have been affected by Type 2 diabetes because of various factors. It can be because of hereditary reasons. DNA can influence the way your pancreas produces insulin. You can be at a higher risk of diabetes when you both your parents are a diabetic. If you have excess weight around the middle or abdominal area, you are at an increased chance of being affected by Type 2 diabetes. Excess weight can lead to insulin resistance. Childhood obesity can result in diabetes in the teens and adults who are in their early twenties. Wrong communication between the cells and broken beta cells, too, can lead to Type 2 diabetes.
Risk factors: Low HDL cholesterol, heart diseases, high triglycerides, gestational diabetes, PCOS, depression, and prediabetes are some of the risk factors you need to be cautious about. When you know your medical history and undergo periodic checkups, you can assess your chances of getting affected by it. You can also find that various lifestyle factors play a vital role here. If you spend most part of your day sitting, or you have a sedentary job, your chance of getting affected by Type 2 diabetes is alarming. The same is applicable for smoking. Obesity or being overweight can also lead to Type 2 diabetes. Stress is a factor that can affect your health, and can also trigger this condition. You need to sleep for at least 7 to 8 hours per day. When you do not get adequate sleep, again, you are at risk. This does not mean sleeping more is safe. 10 or more hours spent sleeping again can cause type 2 diabetes.
If you want to keep off the risk factors, lose weight. Don’t get into crash diets. You can try healthy foods in portions. Do workouts. Cardio workouts are a good choice Stay off from junk foods and carbonated drinks. When you find the symptoms of being thirsty often, blurred vision, frequent urination, and numbness in feet, check your blood sugar levels. Speak to your doctor and take the right medication for diabetes. In case you have a concern or query you can always consult an expert & get answers to your questions!
The lifestyle condition, diabetes, is occurring in a substantial percentage of the population across the world, and quite a lot of research goes into the treatment options. If you experience a weight gain as you started taking medication for diabetes and wondering if there could be a correlation between the two, your observation is most likely correct as studies report that diabetic medication in some rare cases can lead to weight gains in some patients.
Weight gain due to insulin
Weight gain due to Sulphonylureas
So, if you notice any signs of weight gain while undergoing treatment for diabetes, you should consult your physician at the earliest to avoid further complications. It is important to not to cut back on the dosage of the prescribed medications to deal with the weight gain issue as it will not help and consulting a physician is the right way to go about it.