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Antidepressant Medication As A Risk Factor For Type 2 Diabetes And Impaired Glucose Regulation

Antidepressant Medication as a Risk Factor for Type 2 Diabetes and Impaired Glucose Regulation

Antidepressant Medication as a Risk Factor for Type 2 Diabetes and Impaired Glucose Regulation

OBJECTIVE Antidepressant use has risen sharply over recent years. Recent concerns that antidepressants may adversely affect glucose metabolism require investigation. Our aim was to assess the risk of type 2 diabetes associated with antidepressants through a systematic review.
RESEARCH DESIGN AND METHODS Data sources were MEDLINE, Embase, PsycINFO, The Cochrane Library, Web of Science, meeting abstracts of the European Association for the Study of Diabetes, American Diabetes Association, and Diabetes UK, Current Controlled Trials, ClinicalTrials.gov, U.K. Clinical Research Network, scrutiny of bibliographies of retrieved articles, and contact with relevant experts. Relevant studies of antidepressant effects were included. Key outcomes were diabetes incidence and change in blood glucose (fasting and random).
RESULTS Three systemic reviews and 22 studies met the inclusion criteria. Research designs included 1 case series and 21 observational studies comprising 4 cross-sectional, 5 case-control, and 12 cohort studies. There was evidence that antidepressant use is associated with type 2 diabetes. Causality is not established, but rather, the picture is confused, with some antidepressants linked to worsening glucose control, particularly with higher doses and longer duration, others linked with improved control, and yet more with mixed results. The more recent, larger studies, however, suggest a modest effect. Study quality was variable.
CONCLUSIONS Although evidence exists that antidepressant use may be an independent risk factor for type 2 diabetes, long-term prospective studie Continue reading

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Antidepressants Increase Risk of Diabetes, Heart Attack, and Dementia

Antidepressants Increase Risk of Diabetes, Heart Attack, and Dementia

Extensive studies show that antidepressant medications increase the risk of diabetes. Other concerns like heart disease and dementia are also suspect. America is in a sea of prescription drug use and many individuals struggle with adverse effects. Oftentimes, the medications are prescribed with no cessation of use in sight. Long-term adverse effects may not be known, understood, or perhaps not even revealed by drug companies, yet the consumer faces a number of challenges that might be dismissed as aging, stress, or just bad luck. Information is the key to making informed choices. If you are on antidepressant medication, be aware!
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Antidepressants and New Onset Diabetes: A Disconcerting Trend
A 2012 study evaluated three groups of adult participants (total number of participants 168,435) who were free of diabetes, cardiovascular disease, and cancer at the baseline. Participants were followed for several years. After reviewing and adjusting for diabetes risk factors, high cholesterol, hypertension, and BMI/body mass index, it was found that the participants who used antidepressant medications had an increased risk of new onset diabetes compared to those who did not use antidepressant meds. Both selective serotonin reuptake inhibitors/SSRI’s (e.g. Prozac, Zoloft, etc) and tricyclic antidepressants were associated with the elevated risk of new onset diabetes.
Another 2012 study evaluated 44,715 adults. Researchers evaluated antidepressants (SSRI, SNRI, tricyclic antidepressants,) and benzodiazepines. During the eight-year study, 6.6 percent or 2, Continue reading

Diabetes And Depression - No One Should Ever Have To Filter Their Feelings

Diabetes And Depression - No One Should Ever Have To Filter Their Feelings

No one can ever prepare you for the day when you hear you're being diagnosed with Type 1 Diabetes.
You never think it will ever actually happen to you; that one day you'll just get ill and you'll never ever get better or cured.
That every day you'll be required to give insulin injections knowing full well that you need them to keep you alive but those same injections could also potentially kill you.
I mean, if someone told you that now, that you're a Type 1 Diabetic, how would you feel?
You're probably thinking 'Hey, it's no big deal!' and you'll just carry on your life as normal, right? But, have you ever thought about the mental aspect of it all? How would you feel then?
For me personally, when I got the news it was as if my whole world had been turned upside down. Especially because I had been diagnosed at the age of 30.
My whole life up until that point had been 'diabetes free' and then suddenly I was being told about injections, insulin, hypos, hypers, ratios, carb counting, adjusting, doses, corrections, bolus, basal etc. The list was endless and it was just so much to take in. Suddenly the realisation that my life was changing forever was pretty petrifying.
It really effected my mental health too and to be honest, when I got diagnosed, that wasn't something I had initially thought about; not really.
I already suffered from depression and anxiety previous to my diagnosis. Up until that point I had managed to get it under control to a degree and I was medication free. However, being given some news as life changing as that can have a traumatic effect on your mental sta Continue reading

4 Easy Ways to Take Control of Your Diabetes

4 Easy Ways to Take Control of Your Diabetes

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By Lori Zanini, RD
Receiving a diabetes diagnosis can be both difficult and surprising. However, type 2 diabetes is a chronic condition that can be self-managed successfully. This means that there are many factors in your control that you can improve upon daily in order to help lower your blood sugar and prevent complications from diabetes. With a few simple changes, you can start to see improvements in your blood sugar right away. Try these four easy strategies that will make an immediate difference.
1. Hydrate Properly
One of the first changes to make is to look at what you are drinking throughout the day. When you are properly hydrated, your blood is well-diluted and your blood sugar levels decrease. Reducing, and ideally eliminating sugar-sweetened beverages can make an instant improvement in your blood sugar. This includes avoiding sodas, fruit juices, and sports drinks and taking a close look at what you put in your coffee. Try to replace your sweetened beverages with healthier options. While water is always the number-one choice, you can also switch to flavored seltzer water; unsweetened almond milk; low-sodium, broth-based vegetable soups; herbal teas; and hydrating vegetables that contain more than 90 percent water such as cucumbers, radishes, green bell peppers, eggplants, and tomatoes.
2. Make a Move
There’s no need to run a marathon or hit the gym every day of the week. Slight improvements in your daily movement can start to improve blood sugar right away. Start with small, realistic changes, like taking 10- to 15- minute walks after one Continue reading

Amputations, depression and feeling judged: What it can be like to live with diabetes

Amputations, depression and feeling judged: What it can be like to live with diabetes

Every day last year, it is likely that someone with diabetes in Wales woke up in a hospital bed without a toe, foot or leg.
A total of 404 amputations were carried out in 2016, according to Diabetes UK.
Amputations result from nerve damage, ulcers and infections.
Only a small fraction of diabetes patients have to undergo such procedures but their impact is lifelong.
Gwyneth Price, of Swansea , was diagnosed with type 1 diabetes as a 10-year-old and has now had both lower legs amputated.
Gwyneth recalled bouts of extreme thirst before she was diagnosed many years ago.
“Then you start the journey — it was all glass syringes, steel needles and urine testing back then,” she said. “You had to be admitted to hospital to be stabilised.
“I did my insulin injections — one a day — myself, usually in my thighs, occasionally my arms. I went through a phase when I hated it, but you just to learn to cope with it.
“My parents kept me close. They wanted to shelter me, more than anything. But I wanted to take the bull by the horns!”
Gwyneth’s complications surfaced in 2008, with a lack of feeling in foot nerve detector tests. Her fourth toe in her right foot became gangrenous and was amputated.
The following year she noticed her right foot had started shrivelling.
“The surgeon said they were going to have to do a lower leg amputation,” said Gwyneth, who lives with her partner in Wallace Road, St Thomas .
“It was that, or not living much longer — you don’t really have a choice at the time.”
Six weeks later Gwyneth was wearing a prosthetic leg and was back at h Continue reading

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