Diabetics include chronic diseases that not only affect physical conditions, but also have an impact on mental health. In contrast, mental disorders such as depression, anxiety, and chronic stress can worsen the condition of diabetic patients.

Based on data from the International Diabetes Federation (IDF), three of the four diabetics experienced anxiety and depression after the diagnosis, while four out of five patients felt burned out due to these conditions.

A reciprocal relationship between mental health and diabetes is a major challenge in managing diabetes, which requires a holistic approach so that patients can achieve optimal quality and life expectancy.

"Of course, this mental health condition greatly affects diabetic patients. There are many factors, such as long-term treatment which may make patients feel tired to despair. If not managed properly, patients can experience mental disorders which in turn worsen the diabetes condition experienced".

Thus, said an internal medicine specialist, endocrine and metabolic consultant, Rulli Rosandi, in a media discussion "Diabetes and Well-being" held by Novo Nordisk Indonesia in Jakarta, recently.

Doctor Rully explained that diabetics, both type 1 and type 2, often face emotional burdens due to lifestyle changes, dependence on treatment, and health complications that may arise.

This pressure increases the risk of mental disorders, especially depression. According to research, the prevalence of depression in diabetic patients is two to three times higher than in the general population.

On the other hand, mental disorders can also worsen blood sugar control. When a person experiences depression or anxiety, they tend to ignore diabetes treatment routines, such as maintaining a diet, exercising, and complying with a treatment schedule.

This mental disorder can also trigger inflammation and increase stress hormone levels such as cortisol, which contributes to insulin resistance and increased blood sugar levels.

"This mental illness and diabetes are closely related to each other which can worsen the patient's health. Therefore, a holistic approach that includes physical and mental care is very important in diabetes management," he explained.


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