How can you manage Diabtes and depression.

According to the International Diabetes Federation “diabetes is one of the largest global health emergencies of the 21st century”  In 2015, the prevalence of diabetes worldwide was of one in 11 adults and the estimated prevalence of the impaired glucose toleration was of one in 15 adults. These numbers are expected to further increase, especially in the urban population, leading to more medical and economic challenges, added on top of the 12% global health expenditure currently spent on diabetes  A recent study conducted in the Romanian population showed that diabetes is one of the major health care problems for our medical system, as its prevalence is of 11.6% and the prediabete’s one is of 16.5% 

Depression is a common and very serious medical disease with a lifetime prevalence ranging from approximately 11% in low-income countries to 15% in high-income countries The risk of having a mental health problem in life is of about 50% and this leads to a drop in employment, productivity and wages Depression and anxiety are the 4th cause, while diabetes is the 8th cause of disability adjusted life years (DALYS) in developed countries 

As it is defined by the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM-5), diabetes is a mood disorder that reunites several symptoms that alter the functionality of an individual Depression disturbs emotions, cognition, and behaviors [According to DSM–5, the diagnostic criteria for a major depressive disorder consist of a core symptom – either a diminished/ irritable mood or decreased interest/ pleasure (anhedonia) – or both, and at least four of the following symptoms: feelings of guilt or worthlessness, fatigue or loss of energy, concentration problems, suicidal thoughts or thoughts about death, weight loss or weight gain (5% change in weight), psychomotor retardation or activation (change in activity), hypersomnia or insomnia (change in sleep) lasting for at least 2 weeks ]. Depression could be described as a first episode, a recurrent or chronic episode; could be mild, moderate or severe, with or without psychotic features 

There is evidence that the prevalence of depression is moderately increased in prediabetic patients and in undiagnosed diabetic patients, and markedly increased in the previously diagnosed diabetic patients compared to normal glucose metabolism individuals [7]. The prevalence 

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