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SUICIDE RISKS AND TYPE 1 DIABETES

12/25/2019

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Everyone who lives with Type 1 diabetes (T1D) knows that chronic disease can take a toll on your mental well-being, as well as physical health. We’re constantly monitoring, calculating, dosing and troubleshooting, and we never get a day off. Feelings of frustration, exhaustion, and even hopelessness can build up, and if they go unaddressed they potentially can lead to more serious mental health concerns.
A 2014 review of 20 studies that looked at the relationship between T1D and suicide, found that people with T1D also have a higher risk of suicide than the general population.
Are you (or is someone you know) at risk?
Depression is the most common mental health condition associated with suicide and suicidal ideation, or thoughts about suicide, is a symptom of Major Depressive Disorder. We know that people with diabetes are more likely to experience symptoms of depression than people who do not have diabetes. In fact, research shows that people living with T1D are almost twice as likely to develop Major Depressive Disorder compared to the general population.

If you think you’re experiencing symptoms of depression or thoughts of hurting yourself, let your health care team know right away. Symptoms of depression include:
  • Depressed mood
  • Loss of energy
  • Loss of interest or pleasure in activities
  • Difficulty sleeping, or sleeping too much
  • Difficulty focusing and making decisions
  • Loss of appetite, or eating too much
  • Feelings of hopelessness
  • Thoughts of suicide
What are the warning signs of suicide?
People’s behavior can often give clues that they maybe thinking about suicide. According to the US Department of Health and Human Services, warning signs may include:

  • Talking about wanting to die or to kill oneself
  • Looking for a way to kill oneself
  • Talking about feeling hopeless or having no reason to live
  • Talking about feeling trapped or in unbearable pain
  • Talking about being a burden to others
  • Increasing the use of alcohol or drugs
  • Acting anxious or agitated; behaving recklessly
  • Sleeping too little or too much
  • Withdrawing or feeling isolated
  • Showing rage or talking about seeking revenge
  • Displaying extreme mood swings
If you or someone you know shows any of these warning signs, do not ignore them. Seek help immediately.
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Metformin and Your Mind

12/24/2019

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For African Americans with type 2 diabetes, the glucose-lowering drug metformin may also cut the risk for dementia. The finding comes from a study of 63,202 white people and 10,559 African Americans ages 50 and older who received care from the Veterans Health Administration. The participants, who were mostly male, used at least one medication to treat type 2 diabetes during 2000–2015. Among black patients, the risk for developing dementia was 27 percent lower for those taking metformin than for those using a sulfonylurea. The greatest effect (a 40 percent reduction) was seen in black (but not white) participants between the ages of 50 and 64, though a link between metformin use and lower dementia risk appeared in both black and white people ages 65 to 74. Metformin use wasn’t associated with a reduced dementia risk in people of either race who were age 75 or older. While this study shows an association, it does not prove that taking metformin caused the reduced dementia risk.
​
Source: Annals of Family Medicine, published online July 10, 2019
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"Triple Therapy" Shows Promise for Type 2

12/23/2019

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CELEBRATE WORLD DIABETES DAY 2019

12/18/2019

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World Diabetes Day activity was organized by Alliance for Diabetes and Liver Diseases in collaboration with Dr Akbar Niazi Teaching Hospital at Bara Kahu. The activity was attended by large number of school children who enthusiastically participated in activities. The activities included  height & weight checking of children and awareness session on nutrition through nutritional games and activities  by Nn. Samra Jamil. An interesting interactive session on anger and development of mental  wellbeing of school children was conducted by Ms Semra Salik and Ms Wajiha Kanwal. A large number of patients were screened free for blood  sugar, Hepatitis B and C, Cholesterol, Uric acid. BMI, BMD and Biothesiometer tests were also performed. Attendees and patients appreciated the live cooking by Chef Zahid and his Colleague along with display of health and un healthy food arranged by Ms kinza and Ms Ayesha.
​
Blue Circle ceremony was performed with release of 2000 blue balloons with managing director of Dr Akbar Niazi Teaching Hospital, Dr. Saleem Qureshi, Dr. Baber Saeed along  with senior management. The scientific session started with recitation of Holy Quran. Dr Musarrat Iqbal Co-chair of Alliance for Diabetes and Liver Diseases gave a brief introduction about the significance of the World Diabetes Day. Dr Saleem Qureshi chairman of Alliance for Diabetes and Liver Diseases gave a very informative  overview about diabetes. Dr Usman From ANH highlighted the importance of advocacy in diabetes. Managing Director Hospital Mr. Yasir Niazi appreciated the efforts of the Alliance for Diabetes and Liver Diseases team instructed  his faculty to arrange a conference on diabetes research, prevention and advocacy.

This was followed by workshops conducted on important aspects of diabetes management. Injection techniques and SMBG workshops was conducted by Dr Shehzad of PAFA, Hypoglycemia by Dr Iqbal of PAFP and Foot Care by Dr Azeem Lodhi from TDC. Diabetes Depression workshop was conducted by Ms Semra Salik and Healthy Nutrition by Nn. Samra Jamil. The management of ANH had arranged a delicious lunch for the organizers and faculty members.
lick here to edit.
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Diabetic Leg Exercises

12/7/2019

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Mental Health: Living with Type 1

12/7/2019

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People with type 1 diabetes are at a heightened risk for mental health issues, including diabetes distress, depression, anxiety, and disordered eating. However, these are all treatable disorders. It is important to pay attention to your feelings about having diabetes or taking care of someone who has diabetes. Talk to your physician, or your diabetes educator, or anyone you feel comfortable with on your diabetes care team. They can help you connect to mental health care, whether it is with a counselor, a therapist, a psychiatrist, or a social worker. Having support to live with diabetes is essential. Sometimes talking to a friend with diabetes can also be helpful.

Support Emotional support, while not often initially considered, plays a key role in diabetes care. Connecting with other people living with diabetes that understand the daily grind of counting carbohydrates, testing blood glucose multiple times each day and dealing with the various highs and lows (both physical and emotional) of life with diabetes can make all the difference. Talking with people who "get it" is important, and our Online Community offers a place for people living with and affected by diabetes to find that support. Our Family Link program connects parents of children with type 1 diabetes.

Taking care of your mental health
Tracking blood glucose levels, dosing insulins, planning your meals, and taking care of your physical needs are vital. It’s a lot of work and it can be emotionally draining. It is normal to be bummed out or tired of managing diabetes. It is a sign of strength to ask for help.

Maintaining your mental and emotional health is necessary for good diabetes management. Feeling physically good is more than half the battle—feeling good about yourself allows you to take care of yourself. 

Deal with natural emotions like stress, sadness, anger, and denial before they lead to depression.

Featured book: Diabetes Burnout: What to Do When You Can't Take It Anymore is an interactive book that addresses the emotional issues that contribute to poor glycemic control and provides guidance to overcoming the barriers to good self-care.

Anger—Diabetes is the perfect breeding ground for anger.

Denial—Denial is that voice inside repeating: "Not me." Most people go through this when first diagnosed.

Depression—Studies show that people with diabetes have a greater risk of depression than people without diabetes.

Spotting depression— is the first step. Getting help is the second.

If you have been feeling really sad, blue, or down in the dumps, check for these symptoms:

Loss of pleasure—You no longer take interest in doing things you used to enjoy.

Change in sleep pattern—You have trouble falling asleep, you wake often during the night, or you want to sleep more than usual, including during the day.

Early to rise—You wake up earlier than usual and cannot to get back to sleep.

Change in appetite—You eat more or less than you used to, resulting in a quick weight gain or weight loss.

Trouble concentrating—You can't watch a TV program or read an article because other thoughts or feelings get in the way.

Loss of energy—You feel tired all the time.

Nervousness—You always feel so anxious you can't sit still.

Guilt—You feel you "never do anything right" and worry that you are a burden to others.

Morning sadness—You feel worse in the morning than you do the rest of the day.

Suicidal thoughts—You feel you want to die or are thinking about ways to hurt yourself.

If you have three or more of these symptoms, or if you have just one or two but have been feeling bad for two weeks or more, it's time to get help.

​Depression can look different in a teenager. Teenagers who are depressed can have:

Declining school performance Withdrawal from friends and activities Anger, agitation, and/or irritability. 
Also note, depression can be related to age and life events such as loss of a job or a loved one. A family history of depression increases the risk, as does having low self-esteem and low social support.

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7 Self-Care Strategies for Managing Diabetes

12/5/2019

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Healthy Eating
Go ahead: Savor small bites of rich holiday favorites. But steer clear of excess calories at festive gatherings by first filling half your plate with nonstarchy veggies, such as green beans, broccoli, and spinach. That way, there will be less room for overly rich picks.

Being Active
Ask everyone who’ll be sitting at your table on Thanksgiving to bring along a pair of comfortable walking shoes so you can all go for a walk after the feast. Reducing Risks
If you drink alcohol, avoid doing so on an empty stomach or when your blood glucose is low. Your risk of going low increases after drinking.

Taking Medication
Take time to notice the expiration date on your insulin pen. Use a permanent marker to note the date the pen is first accessed. Problem-Solving
Know the signs of the flu, including fever, chills, and body aches. The sooner you can begin taking antiviral medications, the better your chances of lessening the symptoms and duration.

Monitoring
When you’re outdoors for an extended period on cold days, keep devices such as insulin pumps and meters close to your body so they stay warm. Meters may not function properly below certain temps, and insulin in pumps can freeze if it gets too cold.

Healthy Coping
Set aside time every day for a stress-reducing activity, whether it’s five minutes of deep breathing, a yoga or tai chi class, or calling the person in your life who always makes you laugh.

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Cholesterol Drug Benefits High-Risk Heart Patients

12/5/2019

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A cholesterol-lowering injection given every two weeks may help prevent heart attacks in certain people with diabetes who have an especially high risk for heart problems. A study compared the drug alirocumab (Praluent) with a placebo in nearly 19,000 people who had experienced a heart attack or heart-related chest pains within the past year, including 5,444 with diabetes and 8,246 with prediabetes. All participants were taking statins, which also lower cholesterol. Those with diabetes in the alirocumab group experienced 2.3 percent fewer heart events (including heart attacks, strokes, and heart-related deaths) over about three years compared with the placebo group. Alirocumab is expensive (about $700 to $1,400 a month without insurance), so you and your doctor will need to weigh the pros and cons. And you’ll want to check whether your insurance covers it.
Source: The Lancet Diabetes & Endocrinology, published online July 1, 2019

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