How do I stop fearing diabetic complications at 55?

Question

Hi doctor,

I am a 55-year-old diabetic patient, and recently I have felt like I worry all the time about developing complications from the disease. Each time I have some aches or pains, I wonder if that is causing any harm to my eyes, kidneys, or nervous system.

My blood glucose levels are now well controlled, and yet the fear still persists. How can one overcome the fear of the worst possible outcome each day?

Thank you for your help.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for asking this question.

Your concerns were thoroughly considered, and I can appreciate the stress and exhaustion that result from the worry about possible complications caused by diabetes. It is definitely not easy to handle diabetes as well as associated emotions, but there are ways to cope with them.

Individuals with diabetes are at increased risk of suffering from anxiety and depression. In cases of anxiety, there is an ongoing worry about future events, which turns all aches and pains into a possible complication. Although these concerns seem to be valid, they represent symptoms of anxiety disorders as well.

Taking into consideration the information you provided, there is a possibility that you suffer from some form of anxiety disorder, such as Illness anxiety disorder and generalized anxiety disorder (GAD). Excessive concern for one's health may also be a manifestation of depressive disorders.

To help me understand your case, it would be useful for you to tell me:

For how long have you had diabetes?
What kind of medication do you take for diabetes, as well as any other medical conditions?
How long have you had these problems?
Changes in your mood, sleep, appetite, and energy levels.
Medication you take for anxiety, depression, and other psychological problems.
The results of your blood glucose level test, hemoglobin A1C (HbA1C), and other lab tests.
Physical symptoms that bother you the most.

I must say the good news that both anxiety and depression are easily treated. The evidence-based treatment includes psychotherapy with emphasis on cognitive behavior therapy and, when needed, medication like SSRIs (selective serotonin reuptake inhibitors).

Taking care of your psychological well-being will also improve your diabetes. Constant stress increases the levels of the hormone called cortisol, which makes it harder to regulate your blood sugar level. In turn, alleviating anxiety and enhancing your mood will help you cope with diabetes.

Please provide me with the above-mentioned information.

I hope that I was able to answer your question.

I will be glad to help you.