diabetestalk.net

Is Anxiety A Symptom Of Diabetes?

7 Tips For Supporting An Anxious Person With Type 1

7 Tips For Supporting An Anxious Person With Type 1

A few months before I graduated college, I was diagnosed with ADHD, Generalized Anxiety, and OCD. Now that I’m taking medicine for ADHD, which also helps with my anxiety, I realize the impact my mental health has on my diabetes. When I notice triggers that affect both, I try to work on them. Here are 7 things I’d love for other people to keep in mind regarding diabetes and mental health, based on my experience: 1. Please let me explain why I don’t love my CGM It’s complicated. Being able to catch patterns and see my blood sugar during exercise is great, but seeing my number every five minutes increases my anxiety. I didn’t get a CGM for a long time because I knew it would stress me out. I’m also staying away from linking it to my phone; I don’t see that going well for me. 2. Please don’t tell me that repeatedly checking my blood sugar won’t help Yes, I know that 20 minutes won’t make a difference, but I’m going to recheck it anyway. The moment I know my blood sugar is above target, I have to check. I also start to think about the money I’m wasting and then my mind fires off in a million different directions. 3. Please don’t tell me how to feel about a low or high I start to freak out when I’m low. Lows scare me, especially middle-of-the-night lows. What if I’m alone or where people don’t know me? It’s stressful even without the anxiety. And when my blood sugar is above target, I think the worst: What will it do to my A1C? What if I go into DKA? How is it impacting my life? There are a lot of emotions at play, and it’s hard to bend them to the way you think I should feel. 4. Please don’t mention that commercial you saw about eyes and feet My diagnosis was caught at an eye exam so I’m afraid enough, thanks. I don’t like thinking a Continue reading >>

Anxiety

Anxiety

It’s normal to feel anxious or worried at times. Everyone does. In fact, a moderate amount of anxiety can be good. It helps you respond appropriately to real danger, and it can help motivate you to excel at work and at home. But if you often feel anxious without reason and your worries disrupt your daily life, you may have an anxiety disorder. Anxiety disorders cause excessive or unrealistic anxiety and worry about life circumstances, usually without a readily identifiable cause. Little is known about the relationship between diabetes and anxiety. Recent evidence suggests that the rate of anxiety disorders is elevated in people with type 1 diabetes. It is estimated that 14% of people with diabetes have generalized anxiety disorder. As many as 40% of people have at least some anxiety symptoms, and fear of hypoglycemia is not uncommon in those with diabetes. Anxiety disorders in people with type 1 and 2 diabetes may be associated with poor blood sugar control. Signs & symptoms of anxiety The signs and symptoms of generalized anxiety disorder can vary in combination or severity. They may include: Restlessness Feeling of being tense or on edge Feeling a lump in your throat Difficulty concentrating Fatigue Irritability Impatience Being easily distracted Muscle tension Trouble falling or staying asleep (insomnia) Excessive sweating Shortness of breath Stomach ache Diarrhea Headache Treatment of anxiety The two main treatments for anxiety disorders are medication (anti-anxiety drugs and/or anti-depressants) and psychotherapy ("talk therapy"), either alone or in combination. If you have difficulty controlling your worries, or if anxiety interferes with your daily life, speak with your doctor, diabetes health-care team or mental health professional. Continue reading >>

Struggles With Panic Attacks

Struggles With Panic Attacks

First, I want to address a question that Envoy posted on my blog entry from two weeks ago. Envoy asked if I thought that depression was more common in people who have diabetes. The first answer is that I have always believed it is more common, and research has also indicated that it’s twice as likely to occur in people who have diabetes. That is part of the reason I suggest a yearly mental health checkup in conjunction with your annual physical. The percentage of people with diabetes who experience depression is quite significant, in the range of 20%. Hopefully, your health-care professional asks you questions about your moods, energy level, activities, sleep, and connections with other people at appointments. An open discussion of this type can give him or her enough information to begin an assessment for depression. It makes sense that controlling diabetes would be made more difficult if depression is left untreated. However, fewer than 25% of cases of depression in people with diabetes are recognized and treated appropriately. We clearly have a lot of work to do in improving mental health care for people with diabetes. Another mental health issue that has been shown to interfere with people’s diabetes control is panic disorder. Panic disorder is characterized by unpredictable, excessive fear or terror accompanied by a number of physical symptoms. Symptoms may include pounding heart, palpitations, sweating, difficulty breathing, numbness or tingling sensations, chest pain, dizziness, nausea, trembling or shaking, and chills or hot flashes. Many of these are similar to symptoms of hypoglycemia, or low blood glucose, and they could also resemble a heart attack. Therefore, a person may overreact (by visiting the emergency room, for example) or, thinking that his symp Continue reading >>

Prevalence And Determinants Of Depressive And Anxiety Symptoms In Adults With Type 2 Diabetes In China: A Cross-sectional Study

Prevalence And Determinants Of Depressive And Anxiety Symptoms In Adults With Type 2 Diabetes In China: A Cross-sectional Study

Objectives To evaluate the prevalence and determinants of anxiety and depression and to assess their impact on glycaemic control in participants with type 2 diabetes mellitus. Participants 893 Chinese men and women aged 18–84 years who fulfilled the inclusion criteria. Methods People with type 2 diabetes completed the Pittsburgh Sleep Quality Index and the Zung Self-Rating Anxiety and Depression Scales. Demographic and physiological characteristics were recorded. Multiple logistic regression was used to evaluate the combined effect of factors associated with anxiety and depression and to assess the effects of anxiety and depression on glycaemic control. Results The prevalence of depressive symptoms and anxiety symptoms was 56.1% and 43.6%, respectively. Multivariate logistic regression analysis indicated that anxiety symptoms were associated with being woman, low income, chronic disease, depressive symptoms and poor sleep quality. Depressive symptoms were associated with being woman, older age, low education level, being single, diabetes complications, anxiety symptoms and poor sleep quality. Glycaemic control was not related to anxiety symptoms (OR=1.31, 95% CIs 0.94 to 1.67) or depressive symptoms (OR=1.23, 95% CI 0.85 to 1.63). A combination of depressive symptoms and anxiety symptoms was associated with poor glycaemic control (relative excess risk due to interaction: 4.93, 95% CI 2.09 to 7.87; attributable proportion due to interaction: 0.27, 95% CI 0.12 to 0.45). Conclusions There was a high prevalence of depressive and anxiety symptoms in this Chinese sample of participants, although depression and anxiety were not singly associated with glycaemic control. However, a combination of depressive and anxiety symptoms was negatively correlated with glycaemic control Continue reading >>

Tips For Managing Diabetes And Anxiety

Tips For Managing Diabetes And Anxiety

A few weeks ago I was in Siem Reap, Cambodia, with one of my oldest and closest friends. After an amazing day hiking and visiting the temples of Angkor Watt, we rewarded ourselves with a nice dinner in town. After programming my pump for my dinner bolus, as I returned to chatting with my friend, I felt the familiar feeling of my insulin pump vibrating. When it continued beyond the normal length, I double-checked. “Button Error.” During my entire 12 years of using an insulin pump, I had never received this error. I didn’t even know what it meant. Soon after, my pump stopped working and major anxiety set in. Anxiety is normal part of life, for everyone. Symptoms of anxiety include general feelings of worry, being “keyed up,” or on edge, racing heart and sweating. In the most basic form, anxiety is our body’s way of telling us to pay attention, because something important, fearful or unusual is going on. In many situations, anxiety is adaptive and helpful. Anxiety before a test can motivate us to study and anxiety about walking down a street alone at night can help deter us from potentially dangerous situations. For individuals with diabetes, anxiety is an extremely common issue. Not only do we have to all of life’s normal issues to contend with, but we also have the stress and anxiety that come with managing a chronic disease. Even in situations less severe than the one I described above, feelings anxiety related to the complexity and expense of self-management and blood sugar control, potential long-term complications, and hyperglycemic or hypoglycemic episodes are common. When anxiety becomes severe and overly intrusive, an anxiety disorder is often diagnosed. Anxiety disorders are also common among individuals with diabetes, and 13% of young adults with d Continue reading >>

Diabetes Symptoms & Diagnosis

Diabetes Symptoms & Diagnosis

Diabetes is a disorder of metabolism -- the way our bodies use digested food for growth and energy. There are three main types of diabetes: type 1, type 2, and gestational diabetes. The warning signs of diabetes can be so mild that you don't notice them. That's especially true of type 2 diabetes. With type 1 diabetes, the symptoms usually happen quickly, in a matter of days or a few weeks. One of every four people with diabetes doesn't know they have it. See if your risk of having the disease is high. Diabetes and prediabetes are diagnosed with a fasting plasma glucose test, oral glucose tolerance test, or random plasma glucose test. Although doctors don't routinely use it anymore, the oral glucose tolerance test is the gold standard for diagnosing type 2 diabetes. It's still commonly used to diagnose gestational diabetes, a condition that a woman can get while pregnant. The hemoglobin A1c test, also called HbA1c, glycated hemoglobin test, or glycohemoglobin, is an important blood test that shows how well your diabetes is being controlled. Two simple tests that check your urine can help you and your doctor watch for kidney disease and severe high blood sugar. Continue reading >>

Does Emotional Stress Cause Type 2 Diabetes Mellitus? A Review From The European Depression In Diabetes (edid) Research Consortium

Does Emotional Stress Cause Type 2 Diabetes Mellitus? A Review From The European Depression In Diabetes (edid) Research Consortium

Specialty: Psychiatry, Epidemiology, Endocrinology Institution: Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University Address: Tilburg, Netherlands Author: Nina Kupper Specialty: Psychology, Biology Institution: Center of Research on Psychology in Somatic Diseases (CoRPS), Tilburg University Address: Tilburg, Netherlands Author: Marcel C Adriaanse Specialty: Epidemiology, Psychology Institution: Section of Prevention and Public Health, Department of Health Sciences and EMGO Institute for Health and Care Research, VU University Amsterdam Address: Amsterdam, 1081 HV, Netherlands Abstract: According to the World Health Organization, approximately 220 million people worldwide have type 2 diabetes mellitus. Patients with type 2 diabetes not only have a chronic disease to cope with, they are also at increased risk for coronary heart disease, peripheral vascular disease, retinopathy, nephropathy, and neuropathy. The exact causes of type 2 diabetes are still not clear. Since the 17th century, it has been suggested that emotional stress plays a role in the etiology of type 2 diabetes mellitus. So far, review studies have mainly focused on depression as a risk factor for the development of type 2 diabetes mellitus. Yet, chronic emotional stress is an established risk factor for the development of depression. The present review provides an overview of mainly prospective epidemiological studies that have investigated the associations between different forms of emotional stress and the development of type 2 diabetes mellitus. Results of longitudinal studies suggest that not only depression but also general emotional stress and anxiety, sleeping problems, anger, and hostility are associated with an increased risk for the development of type 2 diabetes. Conf Continue reading >>

The Shocking Diabetes Trigger That Can Strike Anyone

The Shocking Diabetes Trigger That Can Strike Anyone

It’s the opposite of what most people worry about… Everyone knows about high blood sugar and the devastating effects it can have on one’s health and longevity. But low blood sugar (hypoglycemia) can be just as dangerous—and it does not get nearly the attention that it should. Simply put, hypoglycemia occurs when the body does not have enough glucose to use as fuel. It most commonly affects people with type 2 diabetes who take medication that sometimes works too well, resulting in low blood sugar. Who gets overlooked: In other people, hypoglycemia can be a precursor to diabetes that is often downplayed by doctors and/or missed by tests. Having low blood sugar might even make you think that you are far from having diabetes…when, in fact, the opposite is true. Hypoglycemia can also be an underlying cause of anxiety that gets mistakenly treated with psychiatric drugs rather than the simple steps (see below) that can stabilize blood sugar levels. That’s why anyone who seems to be suffering from an anxiety disorder needs to be seen by a doctor who takes a complete medical history and orders blood tests. When a patient comes to me complaining of anxiety, hypoglycemia is one of the first things I test for. What’s the link between hypoglycemia and anxiety? A sudden drop in blood sugar deprives the brain of oxygen. This, in turn, causes the adrenal glands to release adrenaline, the “emergency” hormone, which may lead to agitation, or anxiety, as the body’s fight-or-flight mechanism kicks in. THE DANGERS OF HYPOGLYCEMIA Hypoglycemia has sometimes been called carbohydrate intolerance, because the body’s insulin-releasing mechanism is impaired in a manner similar to what occurs in diabetics. In people without diabetes, hypoglycemia is usually the result of eati Continue reading >>

Diabetes And Generalized Anxiety

Diabetes And Generalized Anxiety

According to one study, 14% of people with diabetes suffer from generalized anxiety. A diabetes diagnosis and the lifestyle changes imposed by this new condition often cause worry and anxiety. In some people, this anxiety becomes significant and overwhelming. Anxiety is more prevalent in people with diabetes than in the general population. Fortunately, generalized anxiety can be treated, hence the importance of quickly recognizing the signs. Consequences for people with diabetes People with generalized anxiety experience great distress about their diabetes. This distress can lead to continuous worry, agitation, obsessive monitoring of their blood glucose (sugar) levels, constant concern about certain short-term (e.g.: hypoglycemia) or long-term complications. Generalized anxiety can also undermine their personal and professional relationships. How to recognize generalized anxiety People suffering from generalized anxiety exhibit the following symptoms on an almost permanent basis, for at least six months: Excessive worry or concern about daily events or activities Trouble controlling these worries Agitation, feeling keyed up or on edge Easily fatigued Trouble concentrating or memory blanks Irritability Disturbed sleep Feeling tense What to do if you have these symptoms If you experience these symptoms, it is important to talk to your doctor or a psychologist so that you can be thoroughly evaluated. You can also talk to a nurse, a pharmacist, a social worker or a dietitian. They can help you assess the seriousness of your symptoms and refer you to a professional. Treatment Once you have been diagnosed with generalized anxiety, you will usually be treated with medication and psychotherapy. Family and friends If a family member or friend exhibits symptoms of generalized an Continue reading >>

Diabetes: Stress & Depression

Diabetes: Stress & Depression

How is diabetes linked to emotion? You have been challenged with the diagnosis of diabetes. Whether it is a new diagnosis or a longstanding one, living with this challenge can trigger a flood of emotions. Some of these emotions can include: Grief Anxiety Frustration Disappointment Stress These emotions are natural responses and are experienced by many people, especially when they are first diagnosed with diabetes. These emotions might also be experienced by someone managing diabetes over the long term. Emotional issues may make it harder to take care of you—to eat right, exercise, and rest—which in turn can affect blood sugar control. In addition, you might find yourself trying to reduce stress with unhealthy behaviors, which can contribute to diabetes complications. What is stress? Most people experience stress as an emotional or physical strain. It can result in worry, anxiety, and tension. Everyday events or changes in life may create stress. Stress affects everyone to some degree, but it may be more difficult to manage when people learn that they have diabetes. Symptoms of stress can include: Nervousness A fast heartbeat Rapid breathing Stomach upset Depression Stress can make it more difficult to control your diabetes as it may throw off your daily routine and can result in wear and tear on your body. Hormones from stress increase your blood pressure, raise your heart rate, and can cause blood sugar to rise. High blood sugar can make you feel down or tired. Low blood sugar may result in your feeling upset or nervous. How can I reduce stress in my life? There are many things you can do to reduce stress. The following are some suggestions: Take your medications as directed and eat healthy meals. Use relaxation techniques such as deep breathing. Get some exercise. Continue reading >>

Tips For Dealing With Anxiety And Diabetes

Tips For Dealing With Anxiety And Diabetes

While diabetes is typically a manageable disease, it can create added stress. People with diabetes may have concerns related to regularly counting carbohydrates, measuring insulin levels, and thinking about long-term health. However, for some people with diabetes, those concerns become more intense and result in anxiety. Read on to find out more about the connection between diabetes and anxiety and what you can do to prevent and treat your symptoms. Research has consistently uncovered a strong connection between diabetes and anxiety. One study found that Americans with diabetes are 20 percent more likely to be diagnosed with anxiety than those without diabetes. This was found to be particularly true in young adults and Hispanic Americans. The link between anxiety and glucose levels Stress can affect your blood sugars, though research tends to be mixed as to how. In some people, it appears to raise blood glucose levels, while in others it appears to lower them. At least one study has shown there may also be an association between glycemic control and mental health conditions such as anxiety and depression, particularly for men. However, another study found that general anxiety didn’t affect glycemic control, but diabetes-specific emotional stress did. Other research has found that people with type 1 diabetes seem to be “more susceptible to physical harm from stress” while those with type 2 diabetes weren’t. One’s personality also seems to determine the effect to some extent as well. People with diabetes may become anxious over a variety of things. These can include monitoring their glucose levels, weight, and diet. They may also worry about short-term health complications, such as hypoglycemia, as well as long-term effects. People with diabetes are at higher ri Continue reading >>

Can Hypoglycemia Cause Anxiety?

Can Hypoglycemia Cause Anxiety?

Diabetes and issues with blood sugar are all over the news. Every day there are more and more reports of the effects that foods and chemicals have on your long term health, and it's not uncommon to worry about developing these types of problems. That's why so many people with anxiety wonder if they have hypoglycemia - or low blood sugar. Hypoglycemia occurs when there is not enough glucose in the body, starving the brain. This article explores whether or not hypoglycemia may be causing your anxiety and how. You Can Manage Hypoglycemia Anxiety Even if your anxiety is related to your blood sugar levels, you can control it with the right anxiety treatments. Take my anxiety test to look at the symptoms of your anxiety and recommend an effective treatment option. Worried About Hypoglycemia? See a Doctor Your blood sugar is one of the easiest things to diagnose. You can take a simple blood test after fasting for 12 hours and have results in no time. So if you're worried about your blood sugar, talk to your doctor. You should also take my free anxiety test to find out more about your anxiety. Health Causes of Anxiety Most people that suffer from anxiety worry that it has a physical cause. In fact, one of the main problems affecting those with anxiety attacks is the constant, nagging feeling that the physical symptoms are too severe to be something as "harmless" as anxiety, and they often look for other explanations for why they may be feeling these symptoms. First, you need to remember that anxiety causes you to think this way. Anxiety alters thought processes so that "worst case scenario" thinking is more common. In addition, anxiety symptoms can be incredibly severe, and genuinely mimic the symptoms of major health disorders. As much as it may seem hard to believe, your symp Continue reading >>

Diabetes And Mood Swings: Effects On Relationships

Diabetes And Mood Swings: Effects On Relationships

Diabetes is a condition that impacts the way a person's body uses sugar for energy. However, diabetes affects much more than blood sugar. It can impact nearly every body system and have an effect on a person's mood. Stress associated with managing diabetes as well as concerns about potential side effects can all contribute to changes in mood. In addition, the actual highs and lows of blood sugar levels may also cause nervousness, anxiety, and confusion. It is important for people to recognize their own individual symptoms of high or low blood sugar. They must also ensure they seek support for any concerning mental health symptoms they might experience. Watching these mood swings can often be difficult for friends and family to understand. However, learning why a person may experience mood changes related to diabetes and being supportive can help to promote a stronger, healthier relationship. Contents of this article: How do diabetes and mood swings go together? Diabetes can have many effects on a person's mood. For example, managing diabetes can be stressful. A person may be constantly worried about their blood sugar and whether it is too high or too low. Adjustments to their diet and constantly checking their blood sugar can also add to a person's stress and enjoyment of life. As a result, they are more likely to experience feelings of anxiety and depression. Blood sugar swings can cause rapid changes in a person's mood, such as making them sad and irritable. This is especially true during hypoglycemic episodes, where blood sugar levels dip lower than 70 milligrams per deciliter (mg/dL). Hyperglycemic episodes where levels spike higher than 250 mg/dL may cause confusion in people with type 1 diabetes, but are much less likely to in those with type 2 diabetes. When a pe Continue reading >>

Stress And Type 1 Diabetes

Stress And Type 1 Diabetes

Stress can be a challenge to deal with, and when you have type 1 diabetes, coping with it is even more important because of the serious effect it can have on your health. Stress is your physical and emotional reaction to difficult situations. Stress-inducing situations can include positive events, such as the birth of a baby, and negative ones, like divorce. In most people, stress can cause symptoms like headaches, upset stomach, fatigue, and anxiety. And in people with type 1 diabetes, stress can also have yet another unwanted effect: elevated blood sugar. The blood sugar of type 1 diabetics can increase when they’re stressed because of the production of the stress hormones adrenaline and cortisol. In most people, these hormones help improve the body’s stress response by prompting the liver to release more glucose, or blood sugar, for additional energy. For diabetics, however, this extra glucose can result in a dangerously high blood sugar level. There are no hard and fast rules on how much to increase your insulin when you’re stressed, so the best thing to do is keep a closer eye on yourself. When you’re in a stressful situation, check your blood sugar levels more frequently. You may even want to write down your stress level on a scale of 1 to 10, along with your glucose level, every time you test. This can help you gauge what effect, if any, stress has on your blood sugar. Stress Relief Strategies The best way to avoid stress-induced blood sugar problems is, of course, to prevent the stress in the first place. Try reducing your exposure to controllable stressors, like traffic jams, by avoiding them whenever you can. If you feel overwhelmed by your personal responsibilities, it might be wise to reduce the time you spend on volunteer work or other non-essential Continue reading >>

Prediabetes Warning: Hypoglycemia Vs Diabetes

Prediabetes Warning: Hypoglycemia Vs Diabetes

A prediabetes warning can be characterized by low blood sugar symptoms like fatigue, weakness, tiredness, and more. This phenomenon, despite how common it is, is not normal, nor is it healthy. It’s the classic sign of what is known as reactive hypoglycemia and an early symptom of the prediabetes-related condition known as insulin resistance. Refined Carbs Can Cause Wild Mood Swings If you eat a meal loaded with sugar and refined carbs, you will experience wild swings in blood sugar that make you feel tired, anxious, irritable, and hungry for more quickly absorbed sugars. When you repeat this process day in and day out, eating a diet full of empty calories, refined carbohydrates (bread, pasta, rice, potatoes), sugars, and sweetened beverages (sodas, juices, sports drinks), your cells start to become resistant or numb to insulin. You end up needing more and more insulin to keep your blood sugars down. This is insulin resistance, a pre-diabetic condition that has become an epidemic. What is Reactive Hypoglycemia? Reactive hypoglycemia is characterized by low blood sugar symptoms like fatigue, weakness, tiredness, dizziness, sweating, shakiness, palpitations, anxiety, nausea, a sensation of hunger, and difficulty with concentration which occur after eating an abundance of sugar or refined carbs. These reactive hypoglycemia symptoms occur in the early stages of insulin resistance. Take a typical breakfast these days: swigging a large sweetened coffee drink and grabbing something from the Starbucks pastry case will give you a big energy surge as your sugar and insulin levels spike. What follows, however, are inevitable sugar crash symptoms as your blood sugar plummets. With this comes the low blood sugar fatigue. Insulin Levels May Be the First Sign That Something is Wrong Continue reading >>

More in blood sugar