Abstract

Treatment for diabetes and mental health

Author(s): Carol Green

Diabetes is widely acknowledged to be a mentally taxing chronic condition, not the least because it necessitates constant behavioural selfregulation. Diabetes self-management is persistent and goes beyond attempting to maintain normal glucose levels. Living with a chronic condition entails "three lines of work," according to sociologists Corbin and Strauss: illness work, daily life work, and biographical work. In fact, the person with diabetes must perform numerous adaptation tasks in addition to monitoring their blood sugar, including interacting with the medical system, managing stress, maintaining emotional stability, adjusting to physical constraints, and maintaining their role functioning. Others, even professionals whose focus is frequently on "the numbers" rather than the person, are usually unaware of most of that work. Although the vast majority of people. A third of diabetics experience clinically significant emotional distress at some point, ranging from 'normal' adjustment issues to more pervasive psychological issues like anxiety, depression, and eating disorders. Although most people with diabetes learn to adapt over time and lead productive lives, some individuals do experience emotional distress. Clinical depression is two times more likely to occur in patients with type 1 and type 2 diabetes than in the general population, where the point prevalence is between 5 and 7%, according to epidemiological study. There are still many unanswered questions regarding the cause of depression in diabetes, but other chronic medical diseases have also been reported to have greater rates of depression, supporting the "hardship" idea. This hypothesis states thatPeople with chronic medical conditions tend to have poor mental health, which is mostly caused by the emotional and financial strain of having a sickness. Alternately, common biological processes (such as inflammation) may be involved. Irrespective of etiology, common mental health disorders such as anxiety and depression, can be effectively treated, although effects on glycemic outcomes are modest. There is general agreement that health care practitioners have a duty to monitor and attend to the emotional needs of individuals with diabetes. However, a sizable amount of severe psychological anguish goes undetected and untreated. We shouldn't be surprised by this result considering how little time diabetic doctors have in crowded clinics. While most patients do want to talk to their diabetes care provider about their emotional health, some patients may be reluctant to do so and instead prefer to talk to their friends, family, or a professional outside of the diabetes clinic. Making mental health a central component of the "system" is necessary to improve the identification and management of mental health in diabetes. Guidelines suggest routine psychological testing and observation as part of employing standardised questionnaires, clinical practise.