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Mental ____________________ affects so many ____________________ of daily life ? how you think and feel , ____________________ stress , relate ____________________ others , and make ____________________ . You can see how having a mental health ____________________ could make it harder to stick ____________________ your diabetes care ____________________ .
Thoughts , ____________________ , beliefs , and attitudes can ____________________ how healthy your ____________________ is . Untreated mental ____________________ issues can make diabetes ____________________ , and problems ____________________ diabetes can make mental ____________________ issues ____________________ . But ____________________ if one gets better , the other tends ____________________ get better , too .
Depression is a medical ____________________ that ____________________ feelings of ____________________ and often a loss of ____________________ in activities you used to ____________________ . It can get in the way ____________________ how well you function ____________________ work and home , including taking care of your diabetes . When you ____________________ ? t able to manage your diabetes ____________________ , your ____________________ goes up for diabetes ____________________ like heart ____________________ and nerve ____________________ .

People with ____________________ are 2 to 3 ____________________ more likely to have ____________________ than people ____________________ diabetes . Only 25% to 50% of people ____________________ diabetes who ____________________ depression get ____________________ and treated . But ____________________ ? therapy , medicine , or both ? is usually very effective . And ____________________ treatment , depression often gets ____________________ , ____________________ better .
Stress is ____________________ of life , from ____________________ jams to family demands to everyday ____________________ care . You can ____________________ stress as an emotion , ____________________ as fear or ____________________ , as a physical ____________________ like sweating or a racing ____________________ , or both .

If you ? re ____________________ , you may not ____________________ as good care of yourself as ____________________ . Your blood ____________________ levels can be affected too ? stress hormones make ____________________ sugar rise or fall unpredictably , and stress ____________________ being sick or injured can make your ____________________ sugar go ____________________ . ____________________ stressed for a ____________________ time can lead to other ____________________ problems or make them ____________________ .

Anxiety ? feelings of ____________________ , fear , or being ____________________ edge ? is how your mind and body react ____________________ stress . People ____________________ diabetes are 20% more likely than ____________________ without diabetes to have ____________________ at some point in their ____________________ . Managing a long - ____________________ condition like diabetes is a ____________________ source of anxiety .
Anxiety can feel ____________________ low ____________________ sugar and vice ____________________ . It may be ____________________ for you to ____________________ which it is and ____________________ it effectively . If you ? re feeling ____________________ , try checking your ____________________ sugar and treat it if it ? s ____________________ .

There will ____________________ be ____________________ stress in life . But if you feel ____________________ , talking to a ____________________ health counselor can help . Ask your ____________________ for a referral .
You may ____________________ feel ____________________ , worried , frustrated , or tired ____________________ dealing ____________________ daily diabetes care , like diabetes is ____________________ you instead ____________________ the other way around . Maybe you ? ve been trying ____________________ but not seeing ____________________ . Or you ? ve ____________________ a health problem related ____________________ diabetes in spite of your ____________________ efforts .

Those ____________________ feelings , known ____________________ diabetes distress , ____________________ cause you to slip into ____________________ habits , stop checking your ____________________ sugar , even skip doctor ? s appointments . It happens ____________________ many ? if not ____________________ ? people with ____________________ , often after years ____________________ good management . In any 18 - month ____________________ , 33% to 50% of ____________________ with diabetes have diabetes ____________________ .