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				1
									 
													choices
													to
													health
													to
													aspects
													handle
													problem
													plan
											
							
		 
		
			
				
																	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
																	 
																		
												
																	.
									 
			 
		 
	
	
		
			
				2
									 
													worse
													affect
													worse
													feelings
													with
													body
													to
													health
													fortunately
													health
											
							
		 
		
			
				
																	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
																	.
									 
			 
		 
	
	
		
			
				3
									 
													interest
													risk
													damage
													complications
													sadness
													at
													aren
													of
													enjoy
													causes
													disease
													well
													illness
											
							
		 
		
			
				
																	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
																	 
																		
												
																	.
																	 
																	 
									 
			 
		 
	
	
		
			
				4
									 
													depression
													without
													diagnosed
													treatment
													times
													have
													with
													not
													without
													diabetes
													worse
											
							
		 
		
			
				
																	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
																	.
									 
			 
		 
	
	
		
			
				5
									 
													part
													such
													reaction
													heart
													traffic
													diabetes
													anger
													feel
											
							
		 
		
			
				
																	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
																	.
																	 
																	 
									 
			 
		 
	
	
		
			
				6
									 
													blood
													worse
													health
													stressed
													up
													usual
													blood
													take
													sugar
													from
													Being
													long
											
							
		 
		
			
				
																	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
																	 
																		
												
																	.
																	 
																	 
									 
			 
		 
	
	
		
			
				7
									 
													those
													worry
													on
													anxiety
													with
													term
													life
													major
													to
											
							
		 
		
			
				
																	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
																	.
									 
			 
		 
	
	
		
			
				8
									 
													always
													hard
													versa
													recognize
													low
													blood
													blood
													some
													doctor
													treat
													overwhelmed
													mental
													anxious
													like
											
							
		 
		
			
				
																	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
																	.
									 
			 
		 
	
	
		
			
				9
									 
													results
													of
													discouraged
													of
													developed
													with
													best
													controlling
													to
													hard
													sometimes
											
							
		 
		
			
				
																	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
																	.
																	 
																	 
									 
			 
		 
	
	
		
			
				10
									 
													period
													blood
													as
													of
													may
													most
													distress
													diabetes
													overwhelming
													unhealthy
													to
													people
											
							
		 
		
			
				
																	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
																	 
																		
												
																	.
									 
			 
		 
	
                    
                 
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