Jamaica Gleaner

Does diabetes cause depression or vice versa?

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Dear Dr Phillips,

I am a 32-year-old mom of three and a diabetic. I was diagnosed with the disease some time last year after starting a new job and being asked to perform a medical.

Initially, with family support and an improved diet, I thought this was something I could manage, but of late, I have been feeling very much ‘out of it’.

I am unusually sad for extended periods of time, sometimes I am unable to sleep and I have no interest in doing even the things I used to enjoy most. It is almost as if I am mentally throwing in the towel and my fear is that this will begin to take a toll on me physically. Is this normal for people with my condition? If so, how can I manage this?

Sincerely, – Sad Mom

Dear Sad Mom,

Thank you for sharing your story. Based on the symptoms you describe, you should be screened by a doctor for depression. I note that you were recently diagnosed with diabetes, which in itself can be quite challengin­g for anyone to deal with.

It is important to note that a significan­t number of persons with diabetes suffer from depression. There are many reasons for this, and it is not always clear if it is the diabetes itself causing depression or vice versa.

Either way, you need to seek medical

attention for this. It is also important that you ensure your diabetes is well evaluated and controlled. Diet and exercise are extremely important in this regard, and exercise itself has been shown to improve mood.

It is good that you have a strong family support as this also has been shown to help in challengin­g times like this.

I wish you all the best and would like to encourage you to take care of yourself because with good management diabetics can live a long and healthy life. – Doc

Dr Karen Phillips is the endocrinol­ogist and specialist consultant administer­ing at the Medical Associates Hospital and Health Centre. Let the profession­als advise you! Call in for your check-up by sending an email to: medicalass­ociatesonc­all@gmail.com

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