Diabetes - Getting started - Taking Control


Overview of the Management of Diabetes

Emotional Health and Diabetes

Depression

Depression is not just a low mood but a serious illness. Despite what many people believe, it has nothing to do with willpower or strength of character. Depression is an extremely common condition in today’s society. Depression has serious side effects on physical as well as mental health.

A person may be depressed if for more than two weeks they have:

  • felt sad, down or miserable most of the time or
  • lost interest or pleasure in most of their usual activities and
  • experienced symptoms in at least three of the following four categories

Behavior

  • stopped going out
  • not getting things done at work
  • withdrawn from family and friends
  • relying on alcohol and drugs
  • stopped things they enjoyed
  • unable to concentrate

Thoughts

  • “I‘m a failure”
  • “It’s my fault”
  • “Nothing good ever happens to me”
  • “I’m worthless”
  • “Life is not worth living”

Feelings

  • Overwhelmed
  • Guilty
  • Irritable
  • Frustrated
  • Unhappy
  • Indecisive
  • Disappointed
  • Miserable
  • Sad/Tearful

Physical

  • Tired all the time
  • Sick and run down
  • Headaches and muscle pains
  • Churning gut
  • Sleep disturbance
  • Poor appetite/weight loss

Frustration and Anger

For many people with diabetes there is the inevitable question 'why me’ and all the emotions that go with such a question: anger, frustration, sadness, bitterness etc, all of which are perfectly normal reactions to an unpleasant situation. Anger and frustration can build up if you don’t have a good 'emotional shoulder' to lean on. From time to time, you may feel the need to ‘let it all out' and feel better as a result. However, if the anger and frustration are not dealt with they can build up and cause difficulties in your life.

If you are feeling depressed, anxious or frustrated and there isn’t someone to talk to, you need to contact a qualified counsellor and make an appointment. Your local GP is best placed to advise on locating an appropriate allied health professional to assist you. Although it cannot replace the involvement of structure therapy, various telephone support lines are available and may provide assistance until you are able to access help through your physician.

To ensure that you are doing what you can to help yourself, try:

  • Going to your doctor or health professional to discuss things
  • Getting involved in social activities
  • Engaging in regular moderate physical activity
  • Learning about depression and diabetes
  • Following a healthy, balanced diet
  • Achieving and maintaining a healthy weight
  • Limiting your alcohol intake
  • Getting help, support and encouragement from your family and friends
  • Asking your doctor to check your blood pressure, cholesterol and blood glucose levels.
  • Making time for a primary relationship (spouse, friend, parent etc)
  • Making time to belong to a supportive group and
  • Seeking professional help in good time

For a list of local psychologists please consult with your GP.

Complementary Therapy

The use of complementary therapy is increasing in Western cultures and is used by over fifty percent of the population. These treatments should not be used as an alternative to usual therapy – especially in the case of insulin in type 1 diabetes, but may be considered alongside conventional treatments.

Examples of complementary treatment are meditation, yoga, Tai Chi, reflexology, Reiki, massage, touch healing, aromatherapy and acupuncture. Remember to check with your doctor that these are suitable for you.