NEW DELHI:

A groundbreaking report by The Lancet has unveiled alarming statistics regarding the psychological and emotional challenges faced by individuals living with diabetes. The findings indicate that individuals managing both type 1 and type 2 diabetes are not only grappling with their physical health but are also significantly more prone to mental health issues. They are two to three times more likely to develop depression and 20% more likely to suffer from anxiety compared to those without the chronic condition.

One particularly concerning insight from the report is that a staggering 36% of people with diabetes experience "diabetes distress." This term encompasses a range of negative emotional reactions, including feelings of anger, denial, guilt, shame, fear, and sadness, which can exacerbate the already complex nature of managing diabetes.

Moreover, the study reveals that disordered eating patterns are particularly common among those with type 1 diabetes. For women specifically, the practice of diabulimia—intentionally omitting insulin to facilitate weight loss—is alarmingly prevalent, while binge eating tends to be more common among women diagnosed with type 2 diabetes.

The report also highlights that as many as 63% of those living with diabetes report that their overall wellbeing is dramatically impacted by the fear of developing diabetes-related complications. Alongside this, 28% of respondents find it challenging to maintain a positive outlook on their condition.

Managing diabetes is no small feat; it involves diligent monitoring of blood glucose levels, regular insulin injections, and adherence to medication, all while ensuring a balanced diet and consistent physical activity. However, these responsibilities become increasingly overwhelming, particularly for individuals facing mental health challenges.

To combat these pressing issues, the American Diabetes Association (ADA) advocates for the integration of psychosocial care into diabetes management. This includes regular screening for diabetes distress and related mental health conditions during initial consultations and at periodic follow-ups. However, a troubling shortage of mental health professionals within diabetes care teams often leaves these recommendations unaddressed in practice.

One innovative approach suggested to better identify mental health issues among diabetics involves shifting from routine screenings to specifically targeting at-risk individuals. By understanding the diverse nature of diabetes, healthcare providers can pinpoint those most vulnerable to mental health struggles, paving the way for tailored treatments.

Diabetes is not solely a physical ailment; it influences every facet of life and has profound implications for wellbeing. Therefore, a comprehensive approach—one that recognizes the interconnectedness of mental and physical health—is critical for enhancing the quality of life for those managing this condition. "Only by treating the body and mind as inseparable entities," the report states, "can we prioritize the wellbeing of people with diabetes."

As we approach World Diabetes Day on November 14, it is vital to shine a light on the estimated 537 million individuals globally living with diabetes and those unknowingly suffering from the disease. The World Health Organization (WHO) and the NCD Risk Factor Collaboration (NCD-RisC) report that India has the highest number of diabetes cases in the world, with over 212 million diagnosed individuals—nearly 23.7% of the population—notably, over 62% of diabetics in India are not receiving any treatment.

With 2024 marking the launch of a three-year campaign focused on diabetes and wellbeing, the call for comprehensive support in diabetes care has never been louder. As the conversation continues, the importance of addressing both the physical and emotional dimensions of living with diabetes is crucial for a healthier future.