Type 2 patients who use only a sulfonylurea are less likely to take anti-depressant drugs than diabetes patients on other medications. That's the conclusion of a report delivered recently in Honolulu at the annual meeting of the American Psychiatric Association.
Swimsuit season lasts for at least five months in the South. The good news is that we live close to the beach, but the bad news is that after 25 years of living with diabetes (and three Caesareans), my body is starting to read like a map of my medical journey.
A 10-year study by Harvard University scientists found that diabetes puts people at risk for depression and that depression puts people at risk for type 2 diabetes. The two-way connection between the diseases was discovered in 55,000 nurses surveyed over the decade.
When I was first diagnosed with type 1 diabetes, someone said brightly to me, "Well, at least you don't have cancer!" Others told me with naïve confidence, "You can beat this thing!" Another person remarked to my mother, "If anyone could do a good job with diabetes, it's Rachel! I'm too scared of needles." Not one of these comments, nor about ninety percent of the others I received, was helpful, encouraging, or beneficial.
A university survey of 92 doctors and their 1,200 patients who have diabetes and hypertension shows that the two groups don't always agree on which conditions are the most important to manage. The survey, conducted by the University of Michigan Medical School, asked doctors and patients to rank their top treatment priorities. While 38 percent of the doctors ranked treating hypertension as the most important, only 18 percent of their diabetes patients gave it the same ranking. Instead, diabetes patients are more likely to list pain and depression as the most important targets for treatment. In fact, the patients suffering the most from those conditions were the most likely to list them as priorities.
A ten-year study that tracked 652 women with type 1 diabetes found that 35 percent of them reported some sort of sexual problem, including loss of desire (57 percent of those reporting problems), problems experiencing orgasm (51 percent), pain during intercourse (21 percent), reduced arousal (38 percent), or decreased vaginal lubrication (47 percent).
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