Not surprisingly, health problems associated with uncontrolled Type 2 diabetes can determine the depression that often accompanies the condition. A study of the relationship was published this month in the Indian Journal of Medical Research.
Researchers in the Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research in Punjab, India, studied depression in 300 volunteers with Type 2 diabetes
- 23% cent were diagnosed with major depression
- 18% were diagnosed with moderate depression and
- 59% had no clinically diagnosed depression
Depression was associated with:
- age over 54
- abdominal fat
- nerve damage
- kidney disease
- blood vessel disease
- diabetic foot disease and
- taking more than four pills each day
Of the seven factors above, only one, aging, cannot be prevented or treated. Or can it? In the United States, physicians note the age of patients on their medical records, and also typically record whether the patient appears his or her stated age, or appears older or younger than his or her stated age. While chronological age cannot be tampered with, effective age often can. If 75 is the average lifespan for a person in a given society, then someone who lives to 100 is effectively only 75.
Staying active, not smoking, and eating a healthy diet are all action that lower our effective age.
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These problems were found to lead to depression:
1. Abdominal fat interferes with controlling Type 2 diabetes and makes people tired and self-conscious about their appearance. The Centers for Disease Control and Prevention in Atlanta, USA, recommends abdominal curls for strengthening abdominal muscles. Instructions can be found at the website: http://www.tcdc.gov/physicalactivity.com. Eating a diet rich in fiber and low in calories can be helpful too, so prepare lots of fruits and vegetables to include in your eating plan.
2. Peripheral nerve damage makes for pain and numbness in your feet and hands, and can make walking and manual activities dangerous and frustrating. Keeping blood sugar levels under control and taking a walk daily can help prevent and treat the nerve damage that can come with uncontrolled Type 2 diabetes.
3. Kidney disease can be a serious complication of diabetes, so again, keep your blood sugars under control so the blood vessels going through your kidneys are not damaged. Blood pressure is important to keep under control as well, so visit your physician for regular checkups and be faithful with any blood pressure medication that is prescribed.
4. Heart and blood vessel diseases are another serious complication that can be prevented and treated with a healthy diet and physical exercise. Eat a salad for lunch instead of the hamburger and fries and take a walk in the park.
Depression is twice as common in people with Type 2 diabetes, and can last longer than in people without diabetes. People who are depressed are more likely to engage in unhealthy behaviors such as overeating, not exercising, and not taking care of their Type 2 diabetes… these also increase your effective age. Controlling blood sugar levels though can lead to improvement in this depression, anxiety and other health problems associated with Type 2 diabetes.