Down but not out. The link between depression and diabetes.

摘要

IT'S HARD TO IMAGINE what could be worse than an affliction that takes the joy out of living, and yet depression is achingly common, affecting 1 in 6 American adults. The rate is even higher among people with diabetes. Recent research has discovered that diabetes may serve as both a trigger and a consequence of depression, a destructive cycle that isn't fully understood. Other studies have found that people who are depressed are less likely to take good care of themselves, which can lead to worsening blood glucose control and diabetes complications like diseases of the heart, kidneys, eyes, and nerves. This is why it is so important to be able to recognize the symptoms of depression (sidebar, p. 31) and seek help when it's needed.