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Depression and diabetes often go together
People with diabetes experience depression much more than those who don't have diabetes. One analysis of 25 years of data showed that people with diabetes are twice as likely to suffer from depression. And women have a higher rate than men.
It's not clear why depression and diabetes often go together. But theories like these point out possibilities:
- Diabetes + Stress = Depression? - After finding out they have diabetes, people often need to change their way of life. They have to pay more attention to the types and amounts of food they eat, monitor blood sugar, take exercise seriously, etc. They may worry how their diabetes will affect relationships at home and at work. All of this change and worry can cause stress -- and depression.
- Depression = A diabetes risk? - There's some evidence that depression itself may cause a higher rate of diabetes, although no studies have proven this for sure. One thought is that people who are depressed are more likely to be inactive and to overeat. This can lead to obesity. And obesity can lead to type 2 diabetes.
Similar symptoms
The signs of depression sometimes mirror those of diabetes. So people with diabetes may be experiencing depression but don't realize it.
It might not just be diabetes if you feel tired all the time, can't concentrate, are having trouble controlling your weight or are experiencing any of these symptoms:
- sad, down mood for most of the day
- decreased interest in activities that used to be pleasurable
- difficulty sleeping or need for increased sleep
- feelings of guilt or worthlessness
- low energy level
- thoughts of suicide
If you think you could be suffering from depression, your doctor can help you find a mental health professional who can sort out whether your symptoms are caused by diabetes, depression or both. If you have depression, it's important for your mental health clinician to work with the rest of your health care team to coordinate your treatment plan.
Why treat depression?
Treating depression in people with diabetes has been shown to help with blood sugar control. So getting help for one condition will help you deal with the other.
Treatment for depression often involves medication, psychotherapy or both.
- Antidepressant medications can help your body regulate chemical imbalances caused by depression and help you control how you feel. But you may have to try several kinds before you find the one that's right for you.
- Psychotherapy, or "talk" therapy, can help you recognize and address problems that may bring on your depression. Talk therapy can also help people with diabetes who don't have depression.
People with depression and diabetes can also benefit from aerobic exercise and strength training. To learn more, read our tip on diabetes, depression and fitness.
Related Links
Source: American Diabetes Association; American Psychiatric Association; Diabetes Care, June 2001; United States Centers for Disease Control and Prevention's National Center for Chronic Disease Prevention and Health Promotion
First published: 11/06/2001
Last updated: 11/04/2004
Reviewed by: Paul Kleeberg, MD, medical director, Internet/Intranet Services, Allina Hospitals & Clinics