How does diabetes affect mental and emotional health?

Question

Hello doctor,

My friend was diagnosed with type 1 diabetes two years ago and is experiencing significant emotional and psychological challenges related to her condition. Her recent psychological assessment revealed mild depression and anxiety associated with diabetes management. She is struggling with body image, peer relationships, and the constant need for medical monitoring. Her continuous glucose monitor shows frequent glycemic variability, with HbA1c fluctuating between 8.1 percent and 8.7 percent. We are seeking some support strategies to address both her medical and psychological needs during this developmental stage. Can you please guide this doctor?

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Type 1 diabetes is insulin-dependent diabetes it often develops in children and adults. It is less common as compared to type 2 diabetes. The symptoms are

Diabetic ketoacidosis
Diabetic nephropathy
Diabetic retinopathy

Management includes:

MDTA multidisciplinary team advises, consulting an endocrinologist, dietician, and psychiatrist for anxiety and depression.
HbA1C should be maintained
Treatment should be started, Increase the insulin dose. Take the tablet Metformin 500 mg, twice daily.
Take a protein-rich diet plan, with fewer carbohydrates, and less fats.

I hope this helps.

Thank you