The link between diabetes and depression is interesting and important. Research now shows that diabetes can lead to depression (which we knew) and depression can lead to diabetes.
Although women tend to be affected more, everyone with diabetes is at higher risk for depression. Managing a chronic condition every day can be overwhelming and can tip the scale toward depression. In addition, those who have complications of diabetes are at risk for depression. Unfortunately, depression can decrease someone’s motivation to manage the disease, which can lead to further damage.
So how can depression lead to diabetes? I like how the article (link above) mentions that it’s all about stress. Stress causes the body to release hormones that raise the blood glucose and make the body less successful at regulating glucose levels. In addition, some antidepressants (medications for depression) cause elevated blood glucose levels. Finally, depression can cause people to overeat and not exercise, and this type of lifestyle can lead to type 2 diabetes.
It is crucial that those who have diabetes and depression take care of both conditions. Without managing the depression – with medication and/or counseling – the diabetes can suffer. Without managing diabetes, depression can develop. Another study looked at integrated care, where people with diabetes and depression received education sessions regarding medications, depression, diabetes, and the importance of taking both diabetes and depression medications. Results of this study showed a significant improvement in blood glucose (hemoglobin A1C) and a decrease in depression symptoms for those who received the intervention. This is evidence that it is possible to find ways to manage these two diseases successfully.
If you or someone you know is depressed and has diabetes, please ask your health care provider for help. Show them this study.