焦虑与糖尿病之间的联系
患有2型糖尿病的人被诊断出患有2至四倍anxiety and depression比那些没有糖尿病的人一项在2016年4月至6月版本发表的研究Journal of Medicine and Life。
根据another study, published in February 2014 in the journal医学监测仪，有42％的2型糖尿病患者也患有焦虑症，28％的人患有抑郁症。
Women are also more likely than men to experience anxiety. And according to一项研究于2015年11月发表在美国公共卫生杂志在疾病的头两年中，女性可能更常见焦虑。
有趣的是，研究表明焦虑可能与2型糖尿病风险有关。根据2016年9月的一项研究发表在《期刊》上心理肌内分泌学它测量了血糖和IL-6的水平，IL-6是体内刺激免疫反应和愈合的蛋白质，发现患有低抑制作用或注意力控制的人更可能患有2型糖尿病。
RELATED:压力是您的血糖波的来源吗？
What Causes Anxiety in People With Type 2 Diabetes?
对于患有糖尿病的人焦虑的原因是多方面的。对于初学者来说，每天测试血糖水平，服用药物和试图治疗糖尿病的麻烦可能会带来压力。vwin app贝雷洛斯说：“您可以每周的每一天都做同样的事情，并且具有不同的血糖价值。”
People with diabetes may also worry about trying new foods; traveling;糖尿病并发症;病情造成了他们的家人；和医疗保健费用是没有糖尿病的人的2.3倍，解释了美国糖尿病协会（ADA）。
更重要的是，根据October 2019 survey commissioned by John Hancock(an investment, financial services, and life insurance company), nearly half of the more than 30 million people living with diabetes “worry they won't qualify for a life insurance policy because they have diabetes, and if they can secure coverage they’re worried that it's too expensive.”
贝雷洛斯说：“这总是在您的脑海中，因此您可以全神贯注，然后过度概括您的想法。”
RELATED:How to Help Prevent Kidney Disease When You Have Diabetes
当您患有2型糖尿病时，焦虑的症状是什么？
试图确定焦虑是心理还是由于血糖波动可能很难，因为两者都低血糖和高血糖症状模仿焦虑症状，贝雷洛斯说。
But unlike血糖波动，焦虑症的体征和症状持续存在。
根据2014年8月发表的一项研究卫生技术评估，焦虑症的症状包括：
- Restlessness or feeling on edge
- 困难集中或头脑空白
- 易怒
- 肌肉张力
- Problems with sleep
- Being easily fatigued
RELATED:如何稳定血糖
The one exception is恐慌症。Panic attacks are intense and short-lived — they usually last between 15 and 20 minutes, according to theNHS。
它们不是由特定的想法或事件触发的，而是出现在蓝色中。贝雷洛斯说，有些经历恐慌发作的人永远不知道自己的来源。过去的研究已将恐慌发作与特定情况相关联较高的A1C水平, increased diabetes complications, and disability.
根据美国国立卫生研究院（NIH）, symptoms of a panic disorder include:
- 感觉气促, smothering or choking
- Heart palpitations, a pounding or racing heart
- 出汗
- 颤抖或颤抖
- 觉得您正在心脏病发作或垂死
- 即将厄运的感觉
RELATED:帮助您管理焦虑的十大博客vwin app
How Is Anxiety Diagnosed in People With Type 2 Diabetes?
由于血糖波动和焦虑的症状可以互相模仿，因此先与医生交谈以排除血糖问题很重要，然后再转向心理健康提供者焦虑治疗, Bereolos advises.
If you believe you have an anxiety disorder, your primary care physician or a therapist can make the diagnosis by asking a series of questions or asking you to fill out a questionnaire.
RELATED:5 Surprising Foods That Have Little Impact on Blood Sugar
如何应对焦虑
在应对焦虑方面，找到应对压力的有效方法很重要。对于某些人来说，定期的冥想实践有助于进行压力管理。vwin app
根据梅奥诊所，寻找更好地管理自己的时间，练习良好的睡眠卫生，吃vwin app均衡的餐和锻炼方法的方法，这也是救济的其他方法。贝雷洛斯说：“您想使身体平静下来，以便每天更好地应对压力。”
Also, a diabetes or anxiety support group can help you cope with anxiety, especially if you think you’re the only one experiencing it. “It can help to rationalize your thinking, which in essence helps to treat the anxiety and depression going on,” Bereolos says.
How to Treat Anxiety
Although anxiety disorders respond well to treatment, only 36 percent of people are treated, according to the美国焦虑与抑郁协会（ADAA）。
If you have anxiety, there’s no reason to suffer in silence. Not only can it prevent you from living a happy, full life, buta study published in January 2017 in the journal糖尿病Carefound that people with both anxiety and depression have a higher risk for premature death.
RELATED:The Truth About How Type 2 Diabetes Affects Your Life Expectancy
认知行为疗法（CBT）与药物结合也可以帮助。CBT通过识别，理解和改变思想和行为来起作用。美国焦虑与抑郁协会。一些远程医疗应用, such asTalk Space和在线LiveHealth，如果您无法亲自见到专家，可以帮助您远程与治疗师建立联系。
作为您的治疗的积极参与者，在CBT中，您将在几周或几个月内进行作业和练习练习。Bereolos说：“这是一项新技能，您必须随着时间的流逝进行微调和发展，以将其纳入您的日常生活中。”
您可以采用几种不同类型的药物来管理焦虑，例如vwin app抗抑郁药和抗焦虑药。尽管它们通常与糖尿病药物兼容，但您应该始终告诉医生您要采取的措施，以确保您的安全。像任何药物一样焦虑的药物all carry side effects; they may also take up to six weeks to start working, says the梅奥诊所。
您的初级保健医生可以开药，但是如果您有严重的心理健康诊断，关心药物互动或找不到有效的药物，最好看到psychiatrist。
RELATED:10 Tips to Help You Take Your Diabetes Medication on Time
How to Help Someone With Anxiety and Diabetes
If you have a family member or a friend with type 2 diabetes and anxiety, be positive, and don’t assign blame, give advice, or try to fix it. People with anxiety, whether they have diabetes or not, simply want to be heard. “The best thing to do is be there as a sounding board,” Bereolos says.
For advice on coping with stressful situations, check outDiabetes Daily的文章“ 1型治疗师在艰难时期应对和悲伤的技巧”!
