Depressed
     Or
 Stressed?




Kathleen
Graham RN
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/
Depression vs.
                   Diabetes Distress
        •   Depression          •   Diabetes Distress

•   Appetite changes        •   More difficult to
                                measure
•   Sleep changes
                            •   No clinical
•   Irritability                depression
•   Lack of focus           •   Feeling down,
•   Loss of pleasure            stressed or upset
                                about diabetes and
•   Feeling                     aspects of living with
    sad/worthless               diabetes
•   Thoughts of suicide
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
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
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
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.

Depressed or stressed

  • 1.
    Depressed Or Stressed? Kathleen Graham RN
  • 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 • Irritability depression • Lack of focus • Feeling down, • Loss of pleasure stressed or upset about diabetes and • Feeling aspects of living with sad/worthless diabetes • Thoughts of suicide
  • 4.
    Feelings About theDisease • 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.