Stress creates problems for anyone, and is even worse for people with diabetes because it can actually affect blood glucose control. Feeling overwhelmed or frustrated is not uncommon among people with diabetes. The lifelong responsibility of a structured program of care and treatment plus the risks of complications often lead to depression or stress.

Symptoms of depression include:

• feelings of apathy
• changes in sleep patterns, appetite, or work habits
• withdrawal from family and friends

Signs of stress include:

• anxiety
• irritability
• forgetfulness
• indecisiveness
• insomnia
• increased alcohol consumption

In addition to the suggestions for coping that we covered last week, two other mechanisms that others have found helpful are:

• Exercise - physical activity can help decrease stress and give you more energy.

• Relaxation techniques - meditation, breathing exercises, and biofeedback may help you to relax and reduce stress.

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