Last night’s DSMA chat on twitter was about dealing with other chronic conditions related or not to diabetes. At the end of the hour everyone was talking about depression and how difficult it makes to manage any condition that requires us to care about ourselves and keep some kind of discipline. The biggest question was if we thought mental treatment should be required for people who have to live with a chronic disease like diabetes. And this is what I think…
While I don’t think mental help should be required for people who have diabetes (and other chronic conditions), it should be greatly encouraged by health professionals. I understand that not everyone wants to be open about depression because it’s so stigmatized, but in my personal case I thank my endocrinologist for making treating my depression a priority. Let’s go back to November and we can see a big 8.6 A1C result because I was in such a rut I just didn’t have the will to live. Forward to now, after I listened to my doctor and went to seek for help (again… because my depression is recurrent) and my A1C last week was 6.4.
We all need motivation to accomplish things in life. Now add to that the fact that you have to live and deal with an illness every single day… you tend to fall off the wagon quite often (at least I do). Imagine all your motivation just goes down the drain and it’s so much more than just a bad day. Weeks pass and you don’t feel better, your whole body aches, all you want to do is crawl on the floor and you feel like you simply don’t belong. Imagine the impact that kind of episode can have in the management of a condition like diabetes that requires so much discipline?
I for one I’m glad I listen to my doctor. And I’m glad that my psychiatrist told me my antidepressants are just another medication for diabetes. I’m glad that I started doing something for myself because now I have the energy and the motivation to do what I’m supposed to do every single day. And the most important thing is that I have a clear head to understand that I don’t have to be perfect to take care of myself.
So if you’re dealing with depression, please share it with someone who can shed some light so you’re not so lost in the dark. More often than not other people will tell you they’re going through the same thing. If you are capable of being outspoken about depression and chronic diseases, then speak out loud for other people to understand they’re not alone. And if your doctor recommends you to look for help, just do it… you’ll be grateful.