In recent years, the prevalence of diabetes has increased rapidly, from 0.8% in 1980 to 4.5% in 2002 and 9.7% in 2007-2008 in a survey conducted in 14 provinces and cities across the country, and a recent survey in 2013 found that the overall prevalence of diabetes among Chinese adults was 11.6%; at the same time, the prevalence of pre-diabetes, the reserve of diabetes, was 50.1%: if no more If strong interventions are not taken, there will be a pandemic of diabetes-related complications in the near future, including cardiovascular disease, stroke, and chronic kidney disease, which will place a considerable burden on the country, society, and individuals. Why the prevalence of diabetes will increase rapidly in such a short period of time is due to the increase in total calorie intake caused by the change in diet structure, the decrease in physical activity brought about by urbanization, aging and obesity, but one factor cannot be ignored, that is, psychological factors play a very important role in the occurrence of diabetes and even the development of complications. First, psychological factors and human health. Do you still remember the “China’s Got Talent” there is a group of four old swans, they are all advanced tumor patients, but optimistic mentality allows them to laugh at life, they have physical disease, but they are healthy; in contrast, we can often see those so-called public figures, their appearance is bright, but the news of drug use, drunk driving, nude photos, cheating is incessant, they do not lack of material In the Alma-Ata Declaration, WHO reiterated that “health is not only the absence of disease or infirmity, but a perfect state of physical, mental health and social well-being”. Second, psychological factors and blood sugar control. Many diabetic patients may have the experience that if they lost sleep last night, their blood glucose will be higher than usual when they go to test today; if they are nervous at work or have something bad in their life, their blood glucose will not be controlled well. There is a sophisticated neuroendocrine regulation system in human body, and human emotion is mainly regulated by the limbic system of the brain, which also regulates the function of endocrine and vegetative nerves, thus affecting blood sugar control. When people are in a bad emotional state such as tension and anxiety, the sympathetic nerves are excited and the secretion of stress hormones (such as adrenaline and glucocorticoids) in the body increases, these hormones will inhibit the secretion of insulin and aggravate insulin resistance, thus making blood sugar unstable. Third, what psychological problems are likely to occur in diabetic patients? (a) Anxiety: diabetes is a chronic disease, at the beginning of the diabetes or drug treatment is not effective, the disease repeated, easy to appear anxiety, and even pessimistic and desperate psychological state, often manifested as insomnia, irritability, depressed mood and other negative emotions. (2) Give up psychology: Some diabetic patients do not adhere to diet and exercise therapy due to lack of knowledge about diabetes, and some patients no longer adhere to medication or diet control when their treatment has just improved. These patients lack the psychology of actively cooperating with treatment, and may be resistant to the treatment plan proposed by the doctor. (3) Depression: Longer duration of diabetes patients due to heart, brain, kidney, eye and other related chronic complications, will make a significant negative emotions, which in the long run will lead to depression, pessimism. And long-term depression psychology will cause the neuroendocrine system dysfunction, stress hormone secretion increase, on blood glucose control has a negative impact. Fourth, how can diabetic patients adjust their psychology? First, face the reality: Since diabetes occurs, you should face the reality, cooperate actively with your doctor, develop your own diet, exercise and drug treatment plan, read more related science books and actively participate in diabetes health education, only if you know more about your disease, you will not be afraid or scared. Second, reasonable catharsis: negative emotions can cause great harm to the body and mind, if we can take a reasonable catharsis to release them, like the flooding of a reservoir, it will be beneficial to our health. Therefore, while facing the reality, consciously looking for a close friend to complain, participate in group activities, dancing is a good way to vent emotions. Third, learn to give up: as the old saying goes: a gentleman does something and does not do anything. The cornerstone of diabetes treatment is diet control plus physical exercise, which means that you must say goodbye to your original lifestyle, give up the food, give up smoking and alcohol and other hobbies, increase the amount of exercise, there is a give and take. Fourth, establish confidence: diabetes is a chronic disease, now although not curable, but preventable and controllable, diabetic patients should establish the courage to overcome the disease, be prepared for a long-term struggle with the disease, no matter what the situation, we must actively cooperate with the doctor. We often say that long-term control of blood glucose in diabetic patients requires five carriages (diet, exercise, drugs, monitoring, education) to work together, but never forget psychotherapy, which runs through all aspects of diabetes prevention, treatment and control, and is the “sixth carriage” of our blood glucose control. “Healthy living starts from the heart.