Mental health and diabetes have a bidirectional relationship - they both seem to influence each other. This video covers how mental health conditions can increase the risk of developing diabetes, and how diabetes may contribute to new mental health challenges. Steps that friends, family members, and the people affected by these health conditions can take are also covered.

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Timecodes:

0:00 - Intro

0:23 - Relationship between mental health and diabetes

1:17 - Medications and insulin resistance and impaired glucose tolerance

1:27 - Insulin resistance, depression, anxiety, diabetes, and dopamine

2:39 - Changes that occur with a diabetes diagnosis (cortisol, stress, insulin shots)

3:33 - What family and friends can do

4:55 - What people with diabetes and mental health challenges can do (services, diabetes management, exercise)

5:48 - Mental health trends (stigma, @RenMakesMusic )

6:24 - Peer support groups

6:48 - Practice self-care

7:03 - Exercise (cardio, strength training)

Sources used.

1. Balhara YP. Diabetes and psychiatric disorders. Indian J Endocrinol Metab. 2011 Oct;15(4):274-83.

2. Akhaury K, Chaware S. Relation Between Diabetes and Psychiatric Disorders. Cureus. 2022 Oct 26;14(10):e30733.

3. Aucoin M, Bhardwaj S. Generalized Anxiety Disorder and Hypoglycemia Symptoms Improved with Diet Modification. Case Rep Psychiatry. 2016;2016:7165425.

4. Liu et al. Prevalence of type 2 diabetes mellitus, impaired fasting glucose, general obesity, and abdominal obesity in patients with bipolar disorder: A systematic review and meta-analysis. J Affect Disord. 2022 Mar 1;300:449-461.

5. Lyra E Silva NM, Lam MP, Soares CN, Munoz DP, Milev R, De Felice FG. Insulin Resistance as a Shared Pathogenic Mechanism Between Depression and Type 2 Diabetes. Front Psychiatry. 2019 Feb 14;10:57.

6. Costa et al. Prevalence of subclinical hypercortisolism in type 2 diabetic patients from the Rio de Janeiro Type 2 Diabetes Cohort Study. J Diabetes Complications. 2016 Aug;30(6):1032-8. doi: 10.1016/j.jdiacomp.2016.05.006. Epub 2016 May 7.

7. Kalra et al. Hypoglycemia: The neglected complication. Indian J Endocrinol Metab. 2013 Sep;17(5):819-34.

8. Ismail L, Materwala H, Al Kaabi J. Association of risk factors with type 2 diabetes: A systematic review. Comput Struct Biotechnol J. 2021 Mar 10;19:1759-1785.

9. Rosland et al. When is social support important? The association of family support and professional support with specific diabetes self-management behaviors. J Gen Intern Med. 2008 Dec;23(12):1992-9. doi: 10.1007/s11606-008-0814-7. Epub 2008 Oct 15.

10. Pescosolido BA, Halpern-Manners A, Luo L, Perry B. Trends in Public Stigma of Mental Illness in the US, 1996-2018. JAMA Netw Open. 2021 Dec 1;4(12):e2140202.

11. Brown, E. C., Franklin, B. A., Regensteiner, J. G., & Stewart, K. J. (2020). Effects of single bout resistance exercise on glucose levels, insulin action, and cardiovascular risk in type 2 diabetes: A narrative review. Journal of diabetes and its complications, 34(8), 107610.

12. Arent, S.M., Walker, A.J. and Arent, M.A. (2020). The Effects of Exercise on Anxiety and Depression. In Handbook of Sport Psychology (eds G. Tenenbaum and R.C. Eklund). https://doi.org/10.1002/9781119568124...

13. Miller TA, Dimatteo MR. Importance of family/social support and impact on adherence to diabetic therapy. Diabetes Metab Syndr Obes. 2013 Nov 6;6:421-6.

14. Yu L, Wu S, Deng Y, Lei J, Yu L, Li W. Insulin resistance induced by olanzapine and other second-generation antipsychotics in Chinese patients with schizophrenia: a comparative review and meta-analysis. Eur J Clin Pharmacol. 2019 Dec;75(12):1621-1629.

15. Cai W, Xue C, Sakaguchi M, Konishi M, Shirazian A, Ferris HA, Li ME, Yu R, Kleinridders A, Pothos EN, Kahn CR. Insulin regulates astrocyte gliotransmission and modulates behavior. J Clin Invest. 2018 Jul 2;128(7):2914-2926. doi: 10.1172/JCI99366. Epub 2018 Jun 4.

Photos:

1. Thomas Willis (CC). See page for author, CC BY 4.0 https://creativecommons.org/licenses/..., via Wikimedia Commons

2. Insulin glucose metabolism (CC). User Meiquer, CC BY-SA 3.0 http://creativecommons.org/licenses/b..., via Wikimedia Commons. https://commons.wikimedia.org/wiki/Fi...

3. Dopamine (CC). BruceBlaus, CC BY-SA 4.0 https://creativecommons.org/licenses/..., via Wikimedia Commons. https://commons.wikimedia.org/wiki/Fi...

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