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Depressed or stressed
Depressed or stressed
Depressed or stressed
Depressed or stressed
Depressed or stressed
Depressed or stressed
Depressed or stressed
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Depressed or stressed

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  • 1. Depressed OrStressed?Kathleen Graham RNTeacher’s College,Columbia University
  • 2. DAWN Study•  Diabetes Attitudes Wishes and Needs•  The first time people who live with diabetes were asked what it is like•  An international project•  http://www.dawnstudy.com/
  • 3. Depression vs. Diabetes Distress Depression Diabetes Distress•  Appetite changes •  More difficult to measure•  Sleep changes •  No clinical depression•  Irritability •  Feeling down, stressed•  Lack of focus or upset about diabetes and aspects•  Loss of pleasure of living with diabetes•  Feeling sad/worthless•  Thoughts of suicide
  • 4. Feelings About the Disease•  I feel overwhelmed by my diabetes•  I worry about the future and possible complications•  Diabetes takes up too much of my energy every day•  I worry about low blood sugar
  • 5. Feelings About Support•  I feel uncomfortable in social situations regarding my diabetes care (e.g. people telling me what to eat)•  I feel alone with my diabetes•  I feel that my family and friends are not supportive of my diabetes
  • 6. Feelings About Treatment•  I don’t feel I have clear and concrete goals for my diabetes care•  I feel discouraged with my treatment plan•  I’m not satisfied with my diabetes physician•  I’m having trouble paying for my meds and supplies
  • 7. What To Do?•  Realize you aren’t alone•  Enlist the support of family friend•  Seek a support group•  Talk to your doc/endo/CDE about your needs•  Learn more about the aspects of diabetes that make you feel uncertain•  Become creative in your approach to your management.

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