Sometimes the diabetes is developing slowly and a person is unaware of it, or, it can be short amount of time causing symptoms such as frequent urination, unusual thirst, significant weight gain or weight loss, fatigue or irritability (5). Most common way to get an actual diagnoses is with a blood test that is reading the sugar levels in our bodies. Being diagnosed with diabetes can be life changing. The presence of any chronic or sever illnesses, increases an individual's risk for development of depressive disorder. Being in the depressed state will in turn have an impact on the person's immunity and interfere with the individual's ability and motivation to engage in healthy self-care practices and manage treatment regimens. Research has shown that people with diabetes are up to twice as likely to as those without to suffer from depression (Mertig, 323). Depression along with a chronic illness that needs consent medication and attention, causes a person to lose interest. They are plagued many, but to name some, symptoms fatigue, inactivity, apathy, all of which are serious in the management of diabetes. .
Some patients who are diagnosed with diabetes are embarrass or ashamed to admit they are feeling anxiety from their illness and do not inform their treating physicians of their feelings. Many believe it is not important to mention it. A persons economic status and education levels have state has a big impact on whether they seek help for these psychological issues until the situation has become uncontrollable. Mental disorders or seeing a psychologist can have a serious stigma. Some people don't have the economic resources to seek help. Many people don't want to admit they need help so people won't label them "crazy" causing the depression to continue being undiagnosed. Even low levels of depression can have a negative impact on self-care practices (Mertig, 233).
Denial is a huge factor in also dealing with a chronic disease such as diabetes.
