How Diabetes and Depression are Related?

    /    บทความ    /    How Diabetes and Depression are Related?

How Diabetes and Depression are Related?

How Diabetes and Depression are Related?

Diabetes and depression are two correlated health conditions that can significantly impact a person’s well-being. Understanding the relationship between diabetes and depression is crucial for effective management and improved quality of life. 

Diabetes and depression often coexist as each condition can influence the other. People with diabetes are at a higher risk of developing depression due to the challenges associated with managing a chronic illness. Individuals with depression may have an increased potential of developing diabetes due to lifestyle factors, especially poor diet and physical inactivity.

Chronic inflammation, insulin resistance, and neurotransmitter imbalances play a role in the development of diabetes and depression. Understanding these complications can help in developing targeted interventions that address both conditions simultaneously.

Impact of Depression on Diabetes Management

Depression can have a remarkable impact on diabetes management. The emotional and cognitive symptoms of depression can make it challenging for individuals to focus on their diabetes treatment plan, including medication management, dietary modifications, and regular exercise, which lead to poor blood glucose maintenance and increased risk of diabetes-related complications.

How Can Diabetes Influence Mental Health? 

Living with diabetes can contribute to the development of depression. The burden of managing a chronic illness, fear of complications, and the impact of diabetes on daily life can steer the development of stress, anxiety, and depression. Blood sugar fluctuations and the impact of diabetes on brain health may also play a role in the development of depressive symptoms.

How to Take Care Effectively? 
Integrated care that addresses both conditions simultaneously is crucial including collaboration with healthcare providers, psychiatrists, and mental health professionals, to develop a comprehensive treatment plan that addresses physical and mental health needs.
Effective management of diabetes and depression often requires a combination of pharmacological and non-pharmacological approaches. Psychotherapy, and cognitive-behavioral therapy (CBT) have shown positive outcomes in treating depression in individuals with diabetes. Regular exercise, healthy diet, stress reduction techniques, and social support, can benefit both conditions.
Self-care practices play a crucial role in managing both diabetes and depression. Engaging in activities that promote self-care, such as practicing mindfulness, engaging in hobbies, and fostering social connections, can help improve overall well-being. Seeking support from healthcare professionals, support groups, and loved ones can provide valuable assistance in navigating the challenges associated with these conditions.
The relationship between diabetes and depression is complicated. Recognizing and addressing the connection between these conditions is vital for comprehensive care and improved outcomes. With proper and personalized care, individuals with diabetes and depression can achieve better management of their conditions and enhanced overall well-being. If you would like to consult and seek professional guidance, visit PrimoCare Medical Clinic



Types of Diabetes and Symptoms

    /    บทความ    /    Types of Diabetes and Symptoms

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Types of Diabetes and Symptoms

Diabetes is a chronic health condition that affects millions of people worldwide and is a health condition that affects how the body utilizes sugar from the food. The food we consume is broken  down and sugar is one of the nutrients degraded from carbohydrates which is able to be absorbed into your bloodstream through the gut. Once the blood sugar level increases ,the body releases insulin (a biological signal) to let your body’s cells consume and use it as energy.

With diabetes, the body doesn’t make enough insulin (type I diabetes) or being stubborn to the signal (type II diabetes : insulin resistance). As a consequence, blood sugar rises because it is unable to be used by the cells. It could lead to a range of serious health complications if it is left untreated.

Type 1 Diabetes:

Type 1 diabetes is also known as insulin-dependent diabetes which is a chronic condition where the pancreas makes too little insulin. This type is commonly found at a young age and usually caused by genetic factors. Insulin therapy is the main treatment for this type to prevent complications.

Type 2 Diabetes:

Type 2 diabetes is also known as non-insulin dependent diabetes and it is the most common form of diabetes and usually diagnosed in adulthood. This type is caused by insulin resistance and associated with both genetics and the patient’s behavior. With proper lifestyle modification, many patients can live their lives normally without any medications.

Gestational Diabetes:

Gestational diabetes is a form of diabetes that develops during pregnancy. The body, in response to an increase of hormones, resists the signal from insulin. Thus the blood sugar rises.

Good managing of gestational diabetes is crucial to make sure to avoid complications from pregnancy and a healthy baby. This type of diabetes usually disappears after childbirth, it may increase the risk of developing type 2 diabetes later though. 


Symptoms of Type 1 and Type 2 diabetes share common symptoms. The symptoms includes:

  • Increased thirst than usual
  • Frequent urination
  • Hunger, or sugar cravings
  • Easy fatigue 
  • Unintentional weight loss
  • Areas of darkened thickened cracked skin, usually in the armpits and neck (Acanthosis nigricans : commonly found in type 2 diabetes)

However, signs and symptoms of type 2 diabetes often develop slowly and less noticeable. 

It is important to note that different people may experience different symptoms, or some may not experience any symptoms. Therefore, it is crucial for individuals to have regular check-ups with medical professionals and undergo testing for diabetes.

Learn how to modify the lifestyle, be supervised and receive personalized behavioral advice to match with the personal health conditions from a team of medical professionals, physiotherapists and dietitians at PrimoCare Medical Clinic.

If you need a consultation with a doctor about diabetes and diet patterns, visit PrimoCare Medical Clinic to receive advice from professionals. You can inquire or make an appointment in advance here.


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Nutrition Therapy for Diabetes Patients

Better Posture, Better Health.

Nutrition Therapy for Diabetes Patients

Diabetes is a chronic disease in which blood sugar levels are consistently higher than normal. It is resulted by pancreatic dysfunction causing the secretion of the hormone insulin is less than usual or there is insulin resistance. The patient therefore needs to control the level of blood sugar below 140 mg/dL. Diabetes is preventable by regular exercise for patients without disease or blood sugar level is controllable with nutritional therapy and exercise in order to minimize pharmacological therapy for diabetes patients. 


Normally, the pancreas produces insulin in order to bring blood sugar to the tissues of the body to refuel energy. In which diabetes can occur only when the body acts abnormally as follows:

  • When the pancreas no longer produces insulin
  • When the pancreas produces a very small amount of insulin
  • When the body does not respond properly to insulin a condition known as “Insulin resistance”

However, if the body is unable to fully utilize the sugar in the blood as energy due to a lack of the insulin, it will result in higher blood sugar levels.

Types of Diabetes

For diabetics, it can be divided into 4 types as follows:

  1. Type 1 diabetes mellitus is a condition where the cells in the pancreas are unable to produce insulin. Patients with type 1 diabetes must use insulin injections to help to control blood sugar in the right amount. 
  2. Type 2 Diabetes  mellitus is a condition in which the body is still able to produce its own insulin but cannot respond to insulin effectively. As a result, blood sugar level gets higher than normal. In case of severe symptoms, the body will not be able to produce enough insulin as needed. However, the treatment for type 2 diabetes requires patients to take medication along with behavioral modifications such as weight loss, diet control. and exercise regularly.
  3. Gestational diabetes mellitus is diabetes that occurs during pregnancy and it usually occurs in the 2nd and 3rd trimester of pregnancy.
  4. Specific types of diabetes mellitus can be occurred for many reasons, such as genetic diseases, pancreas disease, endocrine diseases and the usage of certain drugs, etc.


Prediabetes is a condition in which the level of blood sugar is higher than normal but not high enough to be diagnosed with diabetes. Patients with pre-diabetes had no symptoms However, they can develop type 2 diabetes or may lead to other complications of diabetes, such as heart disease, commonly occurring symptoms in people with pre-diabetes.

Diet Therapy

Diet therapy is a therapy to provide diet knowledge to help in treatment and alleviate the symptoms of sick people. Various conditions including the suitability of the disease or condition during illness are considered according to the needs of the body in order to return to normal condition. 

Nutrition Therapy for Diabetes

Nutrition therapy for diabetes not only helps to control blood sugar to be within normal limits but it can also help prevent complications that occur in people with diabetes, such as heart disease. Therapeutic methods are often used by choosing nutritious foods and it is good for health. There are 2 principles for choosing food as follows:

  1. Choose food that are low in calories
  2. Choose foods that are rich in complex carbohydrates such as starchy foods and dietary fibers including grain products, green leafy vegetables, nuts, and fruits.

Overweight Diabetics

Currently, there is no specific treatment for monkeypox but there are treatments to relieve symptoms and control complications. The Centers for Disease Control and Prevention says monkeypox is spread through direct contact with infected wounds, scabs, or bodily fluids. The disease can also be spread through respiratory secretions during prolonged exposure. Follow the below behaviors to protect yourself from being infected from monkeypox:

  • Wash your hands with soap or alcohol gel often especially after touching animals or commonly touched public items
  • Avoid contact with wild animals or animals that came from risk areas
  • Avoid contact with people who have a history of coming from a high-risk area and have symptoms
  • Avoid raising or importing wild animals from a foreign country where the origin is unknown
  • Avoid contact with animal blood, secretions or pustules
  • Consume only cooked meat
  • Quarantine for 21 days after returning from an epidemic areas
  • Vaccination against smallpox can help reduce the risk of infection

Treatment for Monkeypox?

Currently, there is no specific treatment for monkeypox. Treatment’s goal is to relieve symptoms and control complications. Monkeypox can be prevented by 85% with the vaccination against smallpox. 

Vaccination against human smallpox can also prevent monkeypox. Therefore older people who were previously vaccinated against smallpox are still immune to smallpox. However, people born after 1980 will never be vaccinated against smallpox. As of July 2022, smallpox is not an epidemic and there is no vaccine available in Thailand. 

To make an appointment for a consultation or talk to our doctors, Primocare Medical Clinic is ready to take care of your health and your mind to be completely healthy, promoting, protecting and healing. You can inquire or make an appointment in advance here.



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