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Coping and support
By Mayo Clinic staffLiving with type 1 diabetes isn't easy. Good diabetes management requires a lot of time and effort, especially in the beginning.
Diabetes can affect your emotions both directly and indirectly. Poorly controlled blood sugar can directly affect your emotions by causing behavior changes, such as irritability. Diabetes may also make you feel different from other people, and there may be times you feel resentful that you always have to incorporate diabetes planning in everything you do.
People with diabetes have an increased risk of depression and anxiety, which may be why many diabetes specialists regularly include a social worker or psychologist as part of their diabetes care team.
You may find that talking to other people with type 1 diabetes is helpful. There are support groups available both online and in person. Although support groups aren't for everyone, they can be good sources of information. Group members often know about the latest treatments and tend to share their own experiences or helpful information, such as where to find carbohydrate counts for your favorite takeout restaurant. If you're interested, your doctor may be able to recommend a group in your area.
Or you can visit the websites of the American Diabetes Association (ADA) or the Juvenile Diabetes Research Foundation (JDRF) for support group information and to check out local activities for people with type 1 diabetes. You can also reach the ADA at 800-DIABETES (800-342-2383) or JDRF at 800-533-CURE (800-533-2873).
- Diabetes mellitus (DM). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec12/ch158/ch158b.html#sec12-ch158-ch158b-1105. Accessed Feb. 22, 2011.
- Standards of medical care in diabetes — 2011. Diabetes Care. 2011:34:S11.
- Eisenbarth GS, et al. Pathogenesis of type 1 diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Feb. 18, 2011.
- Heart disease and stroke statistics — 2009 update. American Heart Association. http://www.americanheart.org/downloadable/heart/123565990943909Heart%20and%20Stroke%20Update.pdf. Accessed Feb. 22, 2011.
- Roberts AW. Cardiovascular risk and prevention in diabetes mellitus. Clinical Medicine. 2010;10:495.
- Your guide to diabetes: Type 1 and type 2. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/type1and2/index.htm. Accessed Feb. 22, 2011.
- What people with diabetes need to know about osteoporosis. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Bone/Osteoporosis/Conditions_Behaviors/diabetes.asp. Accessed Feb. 22, 2011.
- Bergenstal RM, et al. Effectiveness of sensor-augmented insulin pump therapy in type 1 diabetes. New England Journal of Medicine. 2010;363:311.
- Wahabi HA, et al. Preconception care for diabetic women for improving maternal and fetal outcomes: A systematic review and meta-analysis. BMC Pregnancy and Childbirth. 2010;10:63.
- Tieu J, et al. Preconception care for diabetic women for improving maternal and infant health (review). The Cochrane Collection. 2010;12.
- Robertson RP. Pancreas and islet transplantation in diabetes mellitus. http://www.uptodate.com/home.index.html. Accessed Feb. 22, 2011.
- Stem cell information. National Institutes of Health. http://stemcells.nih.gov/info/scireport/chapter7.asp. Accessed Feb. 24, 2011.
- National diabetes statistics, 2011. National Diabetes Information Clearinghouse. diabetes.niddk.nih.gov/DM/PUBS/statistics/DM_Statistics.pdf. Accessed Feb. 24. 2011.
- Hypoglycemia. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/hypoglycemia/index.htm. Accessed Feb. 22, 2011.
- Diabetic ketoacidosis. National Center for Biotechnology Information. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001363. Accessed Feb. 24, 2011.
- Centers for Disease Control and Prevention, et al. Use of hepatitis B vaccine for adults with diabetes mellitus: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and Reports. 2011:60;1709.
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