First, diabetes triggers the incidence of mood disorders.
Diabetic patients need to bear the long-term stress caused by lifelong illness, repeated blood glucose tests, long-term insulin injections, food restrictions, and serious complications, and are prone to negative emotions; negative emotions such as depression and anxiety can aggravate endocrine disorders, insomnia, and poor coping behaviors in diabetic patients, thus aggravating their diabetes. Elderly patients also have special cognitive deficits and are more dependent on their families.
Psychological disorders are more prevalent in patients with new onset diabetes, long duration of disease, poor glycemic control, concomitant organic complications and the need for insulin therapy, and are more prevalent in older female patients. Younger patients are prone to a sense of stigma, appear more isolated, more afraid of intimacy, and more inclined to inhibit the development of intimate relationships. Statistically, fewer of these patients have children, and they fear that diabetes will affect their marriage and future parenthood. Studies have shown that the incidence of moderate and mild psychological disorders in diabetic patients is 23.6%, and the incidence of moderate and severe psychological disorders is 19.5%. The incidence of depression in hospitalized diabetic patients was 22.5% and the incidence of anxiety was 35%, both of which were significantly higher than the normal population.
Second, from the mental health care of diabetes patients 5 types of emotions.
1, irritable mood. Patients do not know much about diabetes, lack of proper understanding of the disease, hoping to get rid of the disease. But “blood sugar has been high”, there is impatience in the heart – “like this day, when is the end”, so into the distress and boredom. But this is not good for the treatment of the disease.
2. The emotion of not being able to accept reality. After getting diabetes, the patient could not accept the reality of “having to insist on measuring blood sugar and taking insulin every day”. He failed to actively change his lifestyle or habits in order to adapt to his condition. Instead, the patient “can’t help but lose his temper”, impatient and irritable, and easy to get angry when dealing with others.
3. Mental imbalance. The patient may think that he or she is just 50 years old and has this disease and must control the diet for life afterwards, and lose confidence in life and future. At the same time, because of the bad state of mind, it is difficult to actively cooperate with the treatment.
4.Anxiety and fear psychology. Diabetes is a lifelong disease that is difficult to cure and may have a variety of complications. In addition, the patient has little knowledge about diabetes and has some misunderstandings, so he has anxiety and fear psychology, high mental tension, fear that the disease will affect his future, and fear of death.
5. Self-blame psychology. The patient “look at the family worry about my condition”, they feel sorry for themselves. Long years of treatment and the need for a lot of money, thus feeling self-blame and guilt, that they have become a burden on the family.
Three, diabetes mental health care nine elements.
1, clear diabetes is a disease that can be controlled, as long as the face of reality to face it, scientific treatment of it, blood sugar will be better control, to avoid or delay the occurrence and development of complications of diabetes
2, mental relaxation. Many diabetic patients often ask their doctors, “Is my condition serious?” We can answer in the affirmative: no matter how serious the disease is, as long as it is treated scientifically and blood sugar is brought down by all means, the disease will not develop in the direction of seriousness. No matter how light the disease is, if you listen to it and do not treat it seriously and standardized, the complications of diabetes will become more and more serious and heavy, and finally there will be serious and irreversible consequences.
3, do not exist misconceptions. “This is a misconception, diabetes is the ability to eat and drink, eating out, drinking out of a serious health hazard. Although the first three or five years of diabetes is rarely disabling or life-threatening, but it must be understood: from the first day of elevated blood sugar, the complications of diabetes began, once the clinical manifestations, functional disorders, treatment is very difficult.
4. Develop a regular rhythm of life and establish a new routine. Diabetic patients cannot adapt to the various changes in life due to their own insufficient insulin secretion, and thus, their blood sugar will be high and low. If you arrange your life, diet and exercise in a very rhythmic and regular way, your blood sugar will not change drastically.
5.Strengthen physical exercise and self-management. Diabetic patients should strengthen physical exercise, on the one hand, to improve the body’s resistance, while developing their own self-control ability. It is completely understandable that people often behave in a rebellious manner after being restricted, for example, usually may not remember to eat fruit, now have diabetes to restrict the eating of fruit, but especially want to eat, control the diet, avoid smoking and alcohol is an important aspect of the treatment of diabetes, so do not exist “it is okay to smoke a cigarette once in a while”, “it is okay to eat once more”. The “it’s okay to eat more than once” fluke mentality, there is often a second and third time to appear.
6. Keep your emotions stable. Mood swings can also cause blood sugar to rise. Emotional self-control is also very important and requires long-term training. As long as there is this “self-control awareness” at all times, there will definitely be gains. To avoid family conflicts, don’t get angry about big things and small things, be open-minded, discuss big things more, and don’t take care of small things. Anyone at work or in life will not be smooth sailing, there will always be things that do not go well, especially in the evaluation of titles, salary increases, job transfer is not smooth when more likely to cause mood swings, and mood swings will cause blood sugar fluctuations, making diabetes worse. Put “health” on top of these issues, put aside the unpleasant things, “fame and fortune” indifferent, can reduce the adverse factors to health to a minimum.
7, overcome paralysis. With the prolongation of the disease, the degree of attention to the disease gradually indifferent, diet control is not strict, self-monitoring is not serious, “three days to fish and two days to sunbathe”, medicine is not eaten on time, blood glucose is not checked, and even like when you do not have diabetes, all go with the flow and do not care, this can only lead to fluctuations or rise in blood glucose, accelerating the This will only lead to fluctuations or increases in blood sugar and accelerate the occurrence of diabetes complications.
8. Live a colorful life. Diabetic patients should interact with more people and participate in beneficial activities. A colorful life will make people feel relaxed and happy, and release the tension and worry about the disease, which is conducive to blood sugar control. Interact with more people, especially with diabetic patients, you can discuss the experience and experience of controlling diabetes, encourage each other and help each other.
9, “trouble” is the need of the disease. Diabetes has to control diet, strengthen exercise, take medication on time, and monitor blood sugar and urine sugar, which is indeed very “troublesome”. But because of these “troubles” to ensure the stability of the disease. These “troubles” are necessary to control the disease. People with diabetes should overcome the “hassle” mentality and not see some of the means and methods of treating diabetes as an “extra burden”. If the blood sugar is not well controlled, once the complications arise, it will cause dysfunction, blindness and disability. At that time, the pain brought to oneself and the burden brought to the family, compared with what needs to be done now, the “trouble” now is insignificant.
Fourth, seek professional antidepressant treatment.
1. Type 2 diabetes combined with depression has a negative impact on the progress of the disease.
2. Early treatment of diabetes is not only better the earlier insulin is applied, but also the earlier psychological support is provided, and the organic combination of insulin and psychological support should be the basic principle of diabetes treatment.
3, antidepressant treatment can not only reduce the negative emotions of diabetic painful neuropathy with depression and anxiety, but also improve blood sugar and relieve the pain of neuropathy.