Mental illness is one of the most common health challenges globally. According to the WHO, approximately one in four individuals will experience a diagnosable mental health issue at some point during their life.

While mental illness can have many contributing factors ranging from interpersonal relationships and environmental stressors to brain chemistry, researchers are now discovering that the physical effects of diabetes could possibly have a direct impact on mental health.

Coping with Diagnosis

Receiving a diabetes diagnosis can be daunting and overwhelming. Many people experience a sense of shock, disbelief and denial upon receiving a diabetes diagnosis. It can be mentally taxing to process the new reality of living with a new and unfamiliar chronic condition.

Adjusting to a life-changing condition and incorporating the new diabetes management tasks and responsibilities into a daily routine can lead to increased stress, anxiety and sometimes even depression.

This has long been an understood risk facing patients after a diabetes diagnosis, and its influence on mental health is not a newly discovered phenomenon.

Some ways to cope with a diabetes diagnosis include staying educated on the condition and building a good support system, perhaps with others who also have diabetes. Healthcare professionals also suggest establishing a consistent routine for meals, physical activity and medication in order to stabilize your blood sugar levels.

The necessary lifestyle modifications can be difficult for people diagnosed with the condition, especially if they use food as a coping mechanism to deal with other issues in their life. These types of changes can have a dramatic negative impact on mental health without the assistance of psychological health professionals and, in many cases, pharmaceuticals like anti-depressants and anxiety medication. 

Daily Struggle with Blood Sugar Management

Fluctuating blood sugar levels in individuals managing diabetes can also influence mood swings and other physiological and psychological factors. Since the brain relies on glucose as its primary energy source, variations in blood sugar can impact neurotransmitter activity. This includes serotonin and dopamine, which are crucial for mood regulation. When these neurotransmitters are unbalanced, people may experience an increase in mood swings and other negative emotions.

Moreover, the unpredictability of these fluctuations can create a sense of losing control, which also adds to anxiety and emotional distress.

Stress Hormone Release

Fluctuations in blood sugar levels trigger the release of stress hormones, particularly cortisol. These elevated cortisol levels are associated with the body's "fight or flight" response, which can cause an increase in stress and anxiety. Over time, chronic exposure to these stress hormones due to blood sugar fluctuations may contribute to mood disturbances.

In order to decrease stress levels, it’s important to address both the physical and psychological aspects of stress management. This includes things like getting regular exercise, eating a healthier diet, creating a healthier sleep schedule, practicing mindfulness techniques, meditation and limiting stimulants like caffeine and nicotine, which are known to spike cortisol levels.

In some cases, cognitive-behavioral therapy (CBT) may also help people better manage stress by reducing the frequency of negative thoughts and gaining a more positive mindset overall.

Energy Levels and Fatigue

When blood sugar drops, people often experience a lack of energy. This may cause feelings of fatigue and irritability. Likewise, when blood sugar goes too high, people may also experience a lack of energy and mental clarity. These energy fluctuations can contribute to mood swings and impact one's emotional state.

Here are some ways that individuals with diabetes can improve energy levels and fatigue:

• Eating Regular and Balanced Meals: Eat regular, balanced meals to maintain steady blood sugar levels throughout the day.

• Limit Refined Sugars and Processed Foods: Reduce the intake of refined sugars and processed foods, as they can cause rapid spikes and crashes in blood sugar levels.

• Moderate Carbohydrate Intake: Be mindful of carbohydrate intake, spacing them evenly throughout the day. This can help prevent sudden increases or decreases in blood sugar levels, providing a more consistent source of energy.

• Stay Hydrated: Dehydration can contribute to feelings of fatigue. Stay hydrated by drinking water throughout the day and limiting caffeine and alcohol intake.

• Regular Physical Activity: Engage in regular physical activity, as exercise has been shown to improve energy levels and reduce fatigue.

• Adequate Sleep: Prioritize quality sleep to support overall energy levels. This should consist of seven to nine hours of sleep per night.

• Mindful Snacking: Eat healthy snacks between meals to prevent drops in blood sugar levels. A carbohydrate paired with a healthy fat or source of protein will help promote energy and reduce fatigue.

• Blood Sugar Monitoring: Regularly monitor blood sugar levels to identify patterns and make informed decisions about dietary choices and medication adjustments. Consistent monitoring helps maintain optimal blood sugar control.

• Consult with Healthcare Professionals: Consult with healthcare professionals such as a registered dietitian in order to create a personalized meal plan and medication management strategy for your needs. A pharmacist can also provide advice on when to test your blood sugar and the proper times to administer insulin.

Learn More About Diabetes and Mental Health at St. Hope Pharmacy in Houston

Houston patients who are looking for a diabetes management partner can trust our team of pharmacists at St. Hope Pharmacy. They are always happy to answer your questions and concerns about diabetes and mental health.

Start by contacting a St. Hope pharmacy in Bellaire, Conroe, Houston, Sugar Land or Dickinson and schedule your free consultation today.