11/05/2025
How are diabetes and mental health connected?
A diabetes diagnosis can feel like not just a threat to health, it can also seem like a threat to a person’s way of life, because managing diabetes means making changes to your day-to-day routine. Your doctor might instruct you to change your diet by eating certain kinds of foods, avoiding sugary beverages, or restricting alcohol intake which can be difficult for anyone regardless of a diabetes diagnosis. Added responsibilities like tracking blood glucose and insulin can be hard to remember at first, doctors’ appointments can cause time away from work, and the costs of appropriate care may be burdensome. These changes can be emotionally draining, and you might start to notice that you are feeling a bit off or have very little energy left to carry out important tasks to managing your condition.
* People living with type 1 or type 2 diabetes are at increased risk for depression, anxiety and eating disorders.
* Rates of depression across the lifespan are 2 times greater for people with diabetes than in the general population.
* People with type 1 diabetes are twice as likely to live with disordered eating.
* In women with type 1 diabetes, bulimia is most common eating disorder while women with type 2 diabetes are more likely to deal with binge eating.
The fear of blood sugar fluctuations can be very stressful. Changes in blood sugar can cause rapid changes in mood and other mental symptoms such as fatigue, trouble thinking clearly, and anxiety.
Having diabetes can cause a condition called diabetes distress which shares some traits of stress, depression and anxiety. Unlike depression, diabetes distress can be linked back to causal factors related to diabetes. For example – fear of hypoglycemia or a very low level of blood sugar, may cause significant worry. Diabetes distress can also be affected by external factors like family and societal support and health care services. It is estimated that 33 to 50 percent of people with diabetes will experience diabetes distress at some point. [3] While diabetes distress cannot typically be treated with medication, experts say that improving diabetes management to reduce stress, talk therapy and support groups can be helpful.