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Is Anxiety A Symptom Of Diabetes?

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 >>

Diabetes Symptoms - Social Anxiety Forum

Diabetes Symptoms - Social Anxiety Forum

Originally Posted by ManOnTheMOON View Post Have you been drinking alot of pop or sugar. If so you might have insulin resistance. I used to drink alot as a teenager. But when my mom got diabetes a few years ago, I drink it once in a while. All those symptoms can be attributed to anxiety disorder. I'm also a type 1 diabetic. Those are pretty much the problems I had when I was diagnosed, but like the poster above stated, they were VERY severe. Like I had to drink GALLONS of liquid every day, I lost about 25 pounds in 2 weeks, I lived in the bathroom. As my condition worsened, my vision was a COMPLETE blur, like almost completely blind, and I couldn't even make it up stairs without collapsing. I do not recall having itchy skin, but it was a long time ago. By the time I finally went to the hospital I couldn't even walk. For me it was constant...so the 'happens mainly on weekdays while you work' might suggest that it is something else. Do you have a high-stress job that boosts your anxiety? My blood sugar level was well over 700 and I had a DEADLY amount of ketones in my urine. So if it is diabetes, the blood and urine tests would have picked it up. If you suffer from General Anxiety Disorder, it is probably just a result of that, which would explain why others here have had the same symptoms. I know GAD causes excessive thirst, which would explain the excessive urination. Fatigue, blurred vision, and itchy skin are also symptoms. Wow! thats horrible. How long were you experiencing it befor you went to the hospital? I'm going to do some research on GAD. Thanks 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 >>

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 >>

Anxiety Symptoms In Adolescents With Type 1 Diabetes: Association With Blood Glucose Monitoring And Glycemic Control

Anxiety Symptoms In Adolescents With Type 1 Diabetes: Association With Blood Glucose Monitoring And Glycemic Control

Go to: Objective To examine the prevalence of anxiety symptoms and their association with blood glucose monitoring (BGM) and glycemic control in adolescents with type 1 diabetes. Methods 276 adolescents and their caregivers completed measures of anxiety symptoms. Adolescents completed a measure of depressive symptoms. Demographic and family characteristics were obtained from caregiver report. Diabetes duration, regimen type, BGM frequency, and glycemic control were also collected. Results Trait anxiety symptoms that suggest further clinical assessment is needed were present in 17% of adolescents; the rate was 13% for state anxiety symptoms. Higher levels of state anxiety symptoms were associated with less frequent BGM F(14, 261) = 6.35, p < .0001, R2 = .25, and suboptimal glycemic control, F(15, 260) = 7.97, p < .0001, R2 = .32. State anxiety symptoms were correlates of BGM frequency and glycemic control independent of depressive symptoms. Conclusions State anxiety symptoms are associated with less frequent BGM and suboptimal glycemic control in adolescents with type 1 diabetes. Adolescents with type 1 diabetes are at increased risk of problematic psychological functioning. Much of the work in this area has focused on depression (Grey, Whittemore, & Tamborlane, 2002; Hood et al., 2006; Kovacs, Obrosky, Goldston, & Drash, 1997; Whittemore et al., 2002) and highlights that up to 20% of adolescents with type 1 diabetes experience elevated levels of depressive symptoms; a rate two to three times that found in the general adolescent population (Lewinsohn, Clarke, Seeley, & Rohde, 1994). Depressive symptoms have been linked to poorer disease management and glycemic control in adolescents with type 1 diabetes (Helgeson, Siminerio, Escobar, & Becker, 2008; La Greca, Swales, Kle Continue reading >>

Common Symptoms Of Dogs And Cats With Diabetes

Common Symptoms Of Dogs And Cats With Diabetes

Pets with diabetes look unkempt and act lethargic. Because they lose sugar in the urine, and sugar pulls water molecules out with it, they urinate excessively. This causes them to drink excessively. These activities, excessive urination (polyuria) and excessive drinking (polydipsia), are termed PUPD. Pets with diabetes lose weight and lose muscle mass. They may have a lower body temperature than normal pets. Additional symptoms of diabetes in dogs and cats may include: Excessive drinking & urination (PUPD) Loss of appetite Vomiting Dehydration Depression & lethargy Unkempt haircoat & dandruff Loss of muscles & weakness Weight loss Cataracts Weakness of the back legs Diabetes is diagnosed with blood and urine tests. The normal blood sugar (blood glucose) for dogs is 60-125 mg/dl; for cats, 70-150 mg/dl. Diabetes is diagnosed when blood sugars are consistently elevated a significant amount. For example, 220 mg/dl in a dog or 400mg/dl in a cat. If your pet is anxious when it visits the veterinarian, his or her blood sugar will naturally rise, and the elevation may be as high as the sugar levels in a diabetic pet. To prevent this stress-related elevation of blood sugar, find a veterinarian and a clinic that calms your pet. Or, use a veterinarian who makes house calls. Remember that one or two blood tests showing elevated blood sugar doesn't prove that your pet has diabetes. Blood sugar levels must be consistently elevated, or your pet must have urine tests showing ketones to prove they have diabetes. There are two ways urine tests indicate diabetes: sugar in the urine or ketones in the urine. Sugar gets into the urine if your pet's blood carries so much sugar that it exceeds the kidneys' ability to hold onto sugar. This is called exceeding the renal glucose threshold. A uri Continue reading >>

Diabetes Patients With Depression, Anxiety Symptoms At Higher Risk Of Mortality

Diabetes Patients With Depression, Anxiety Symptoms At Higher Risk Of Mortality

When people with diabetes experience symptoms of depression and/or anxiety, their risk of mortality increases-particularly for men with only depressive symptoms. When people with diabetes experience symptoms of depression and/or anxiety, their risk of mortality increases—particularly for men with only depressive symptoms. Previous research has shown that depression is 5 times more prevalent in people with diabetes and is linked to a higher risk of death, but there have been few studies of how comorbid anxiety symptoms are potentially associated with mortality in diabetics. A group of researchers set out to assess the risk of death associated with type 2 diabetes and symptoms of depression or anxiety. Their findings were published in Diabetes Care. The study analyzed health survey responses from more than 64,000 adults in Norway. The primary dependent variables were type 2 diabetes status and levels of 2 affective symptoms, anxiety and depression, as determined by self-reported assessment tools. Data on age, sex, education, lifestyle factors, comorbid conditions, and other covariates were also collected. Over the 18-year study period, about 1 in 5 of the individuals without diabetes died, while two-thirds of the diabetes group died. Compared with the reference group without diabetes and without any symptoms of depression and anxiety, the risk of death increased, from smallest to largest in magnitude, for those with any affective symptoms, those with diabetes only at baseline, and those with affective symptoms comorbid with diabetes. These patterns were observed for exposure to either affective symptom or a combination of both depression and anxiety symptoms. Of the types of affective symptoms, depression symptoms were associated with the largest increase in the hazard 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 And Psychiatric Disorders

Diabetes And Psychiatric Disorders

Patterns of co-occurrence of diabetes and psychiatric disorders Comorbidity of diabetes and psychiatric disorders can present in different patterns. First, the two can present as independent conditions with no apparent direct connection. In such a scenario both are outcome of independent and parallel pathogenic pathways. Second, the course of diabetes can be complicated by emergence of psychiatric disorders. In such cases diabetes contributes to the pathogenesis of psychiatric disorders. Various biological and psychological factors mediate the emergence of psychiatric disorders in such context. Third, certain psychiatric disorders like depression and schizophrenia act as significant independent risk factors for development of diabetes. Fourth, there could be an overlap between the clinical presentation of hypoglycemic and ketoacidosis episodes and conditions such as panic attacks. Fifth, impaired glucose tolerance and diabetes could emerge as a side effect of the medications used for psychiatric disorders. Treatment of psychiatric disorders could influence diabetes care in other ways also as discussed in subsequent sections [Box 1]. Diabetes and psychiatric disorders interact in other ways as well. Certain substances of abuse such as tobacco and alcohol can alter the pharmacokinetics of the oral hypoglycemic agents. Moreover, the presence of a comorbid psychiatric disorder like depression could interfere with the management of diabetes by influencing treatment adherence. Similarly certain disorders such as phobia of needles and injections can present difficulties with investigations and treatment processes such as blood glucose testing and insulin injection. Also patients with psychiatric disorders are less likely to seek treatment. Such delays would postpone detection 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 >>

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 >>

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 >>

Original Research Anxiety Symptoms And The Risk Of Diabetes Mellitus In Australian Women: Evidence From 21-year Follow-up

Original Research Anxiety Symptoms And The Risk Of Diabetes Mellitus In Australian Women: Evidence From 21-year Follow-up

Highlights • We explored the link between transitions in anxiety symptoms & the risk of diabetes mellitus (DM) in women. • Modest evidence of increased risk of DM as a consequence of anxiety was detected. • Evidence is not strong enough to support a direct-effect of anxiety in causing DM. • However, anxiety can be served as prognostic marker of a future risk of DM. • Importance of anxiety in terms of women's psychological well-being is highlighted. Abstract This study aimed to explore the association between transitions in anxiety symptoms and the risk of diabetes in women, using longitudinal data. This longitudinal study measured diabetes, and transitions in anxiety symptoms, using validated instruments. Data obtained by the Mater-University of Queensland Study of Pregnancy were analysed. Anxiety was measured using the Delusion Symptoms States Inventory (DSSI). To examine possible transitions over different time periods, anxiety was grouped into four categories and assessed at different phases over a 21-year period. Three hundred and one women reported diabetes 21 years after the index pregnancy. Almost half of the women who reported anxiety symptoms continued to report these at a subsequent follow-up (FU) phase. About 1 in 10 women who had not reported anxiety symptoms at 5-year FU did so at the subsequent 14-year FU. In prospective analyses, we did not find significant association of diabetes with negative transition (no anxiety to anxiety at subsequent phase) or with positive history of anxiety symptom, but an increasing risk was evident. Women with persistent symptoms had a 1.85-fold greater risk of diabetes (95% CI: 1.18–2.90). The cross-sectional analysis did not produce significant results. Despite some limitations, this study provides insight into t 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 >>

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