March 12 2019

Diabetes Info

http://www.diabetes.org/living-with-diabetes/complications/mental-health/depression.html

Depression

Feeling down once in a while is normal. But some people feel a sadness that just won’t go away. Life seems hopeless. Feeling this way most of the day for two weeks or more is a sign of serious depression.

Does Diabetes Cause Depression?

At any given time, most people with diabetes do not have depression. But studies show that people with diabetes have a greater risk of depression than people without diabetes. There are no easy answers about why this is true.

The stress of daily diabetes management can build. You may feel alone or set apart from your friends and family because of all this extra work.

If you face diabetes complications such as nerve damage, or if you are having trouble keeping your blood sugar levels where you’d like, you may feel like you’re losing control of your diabetes. Even tension between you and your doctor may make you feel frustrated and sad.

Just like denial, depression can get you into a vicious cycle. It can block good diabetes self-care. If you are depressed and have no energy, chances are you will find such tasks as regular blood sugar testing too much. If you feel so anxious that you can’t think straight, it will be hard to keep up with a good diet. You may not feel like eating at all. Of course, this will affect your blood sugar levels.

Spotting Depression

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 patterns — 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.

Getting Help

If you are feeling symptoms of depression, don’t keep them to yourself. First, talk them over with your doctor. There may a physical cause for your depression.

Poor control of diabetes can cause symptoms that look like depression. During the day, high or low blood sugar may make you feel tired or anxious. Low blood sugar levels can also lead to hunger and eating too much. If you have low blood sugar at night, it could disturb your sleep. If you have high blood sugar at night, you may get up often to urinate and then feel tired during the day.

Other physical causes of depression can include the following:

  • Alcohol or drug abuse
  • Thyroid problems
  • Side effects from some medications

Do not stop taking a medication without telling your doctor. Your doctor will be able to help you discover if a physical problem is at the root of your sad feelings.

Mental Health Treatment

If you and your doctor rule out physical causes, your doctor will most likely refer you to a specialist. You might talk with a psychiatrist, psychologist, psychiatric nurse, licensed clinical social worker, or professional counselor. In fact, your doctor may already work with mental health professionals on a diabetes treatment team.

All of these mental health professionals can guide you through the rough waters of depression. In general, there are two types of treatment:

  • Psychotherapy, or counseling
  • Antidepressant medication

Psychotherapy

Psychotherapy with a well-trained therapist can help you look at the problems that bring on depression. It can also help you find ways to relieve the problem. Therapy can be short term or long term. You should be sure you feel at ease with the therapist you choose.

Medication

If medication is advised, you will need to consult with a psychiatrist (a medical doctor with special training in diagnosing and treating mental or emotional disorders). Psychiatrists are the only mental health professionals who can prescribe medication and treat physical causes of depression.

If you opt for trying an antidepressant drug, talk to the psychiatrist and your primary care provider about side effects, including how it might affect your blood sugar levels. Make sure that the doctors will consult about your care when needed. Many people do well with a combination of medication and psychotherapy.

If you have symptoms of depression, don’t wait too long to get help. If your health care provider cannot refer you to a mental health professional, contact your local psychiatric society or psychiatry department of a medical school, or the local branch of organizations for psychiatric social workers, psychologists, or mental health counselors. Your local American Diabetes Association may also be a good resource for counselors who have worked with people with diabetes.

Personal Story from the The Type 1 Diabetes Self-Care Manual by Jamie Wood, MD and Anne Peters, MD

Type 1 Diabetesa condition characterized by high blood glucose levels caused by a total lack of insulin. Occurs when the body’s immune system attacks the insulin-producing beta cells in the pancreas and destroys them. The pancreas then produces little or no insulin. Type 1 diabetes develops most often in young people but can appear in adults.X Self-Care Manual”/>

Happy Hour

Living with type 1 diabetes became much easier—and I dare say even fun—once I started connecting in person with other people who had type 1 diabetes. Being able to sit at a happy hour with a dozen other people going through the same things every day that you’re going through helps to disconnect from the bad days. You’ll no longer feel like you did something wrong; you’ll realize that bad days happen to everyone, so it can’t just be because of you. Having people you can commiserate with when you’re having a rough day will show you that even though you’re the one managing your diabetes, you’re not alone in the struggle.

—Craig Stubing

  • Last Reviewed: June 27, 2013
  • Last Edited: December 7, 2018
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March 8 2019

Lemon Rose Shortbread Cookies

Lemon Rose Shortbread Cookies

The sweetest Lemon Rose Shortbread Cookies. Lightly sweetened, buttery shortbread cookies hinted with lemon and vanilla, and finished generously with a sweet lemony glaze. These are easy, fun, so pretty, and so very delicious! 

Prep Time 15 minutes Cook Time 15 minutes Total Time 30 minutes

Servings about 20 cookies Calories 124 kcal

Lemon Rose Shortbread Cookie dough
side angle close up photo of Lemon Rose Shortbread Cookies

Ingredients

  • 2 sticks (1 cup) salted butter
  • 1/2 cup granulated sugar
  • 1 tablespoon lemon zest
  • 1 teaspoon dried rose petals, finely crushed (optional)
  • 1 teaspoon vanilla extract
  • 2 1/2 cups all purpose flour

Lemon Glaze

  • 2 cups powdered sugar
  • 2 tablespoons Meyer (or regular) lemon juice
  • 1-2 drops blood orange juice (optional)

Instructions

  1. 1. In a large mixing bowl, cream together the butter, sugar, lemon zest, dried roses, if using, and vanilla until light and fluffy, about 3-5 minutes. Add the flour and beat until combined, and the dough forms a ball.
  2. Roll out the dough between 2 sheets of lightly floured parchment to 1/4 inch thickness. Make sure you’re using enough flour or your dough will stick. Cut out the cookies using a heart-shaped cookie cutter or your favorite shape. Carefully transfer the cookies to a parchment lined baking sheet. Cover the baking sheet with plastic wrap and place in the freezer, freeze until firm, about 10-20 minutes. Roll out the leftover scraps, and repeat with the dough.
  3. Preheat the oven to 350 degrees. Bake the cookies on the middle rack of the oven for 12-14 minutes or until just lightly golden. Cool on the baking sheet 5 minutes and then transfer to a wire cooling rack to cool completely.
  4. To make the glaze. In a medium bowl, beat together the powdered sugar, lemon juice, and 1 tablespoon water until smooth and drizzly. If needed, thin the glaze by adding water, 1 tablespoon at a time, until drizzly. Stir 1-2 drops blood orange juice if a pink color is desired.
  5. Dip the tops of cookies into the glaze, letting the excess drip off. Transfer to a wire rack and decorate as desired with fresh roses. Cookies can be stored in an airtight container for up to 4 days
March 6 2019

Poem

Things They Would Say

Send her out alone

To do this on her own

Must had been the message they discussed

Not like they felt for her that much

If she survives, well, let it be

If she can’t, she can’t blame me.

Was possibly their motive all along.

Supplying food and water

Was more than adequate for her

She has friends that will give her something

At least that is how they justified, their nothing.

Take her to church, let others see

That the good book is being taught

No one will suspect , in our home it is not.

Make her pay rent for lingering at the house to long

After all she needs to grow up, she don’t belong.

Trouble maker is what she is,

Spending too much of our energy, on this.

Look at her lies, her betray and denials

She is not normal and needs a judge and a trial.

Yeah , we adopted her, but so what

We also took a tree from a Christmas lot.

Nothing special, no, not anymore

We’d rather her be behind someone else’s door.

Gave all we had to give

Now we just want to forget she ever exists.

A pity she turned out the way she did

It wasn’t our fault, it was not our bid.

Hope she still has a good life and all

Not with us in it though, you all.


March 4 2019

Fascinating Photo


Tiger & Turtle, Magic Mountain (Duisburg, Germany)
What may appear from afar as the most thrilling roller coaster of your life is actually an intricate walkable staircase. German designers Heike Mutter and Ulrich Genth unveiled their 249-step masterpiece late last year in Duisburg, Germany, and it’s been a local hit ever since. While the upside down loops are blocked off, the curvy staircase offers visitors captivating views of the Rhine, with the highest stair rising to 49 yards above sea level. The sculpture is also open at night and illuminated by led-lights strategically built into the handrails for better visibility. Photo credit: Eichental via Flickr.

https://www.huffpost.com/entry/amazing-staircases-photos_n_2325734

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