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1
health
choices
problem
to
plan
handle
aspects
to
Mental
affects
so
many
of
daily
life
?
how
you
think
and
feel
,
stress
,
relate
others
,
and
make
.
You
can
see
how
having
a
mental
health
could
make
it
harder
to
stick
your
diabetes
care
.
2
worse
worse
affect
feelings
health
fortunately
to
body
with
health
Thoughts
,
,
beliefs
,
and
attitudes
can
how
healthy
your
is
.
Untreated
mental
issues
can
make
diabetes
,
and
problems
diabetes
can
make
mental
issues
.
But
if
one
gets
better
,
the
other
tends
get
better
,
too
.
3
interest
sadness
aren
at
risk
of
disease
enjoy
damage
illness
well
complications
causes
Depression
is
a
medical
that
feelings
of
and
often
a
loss
of
in
activities
you
used
to
.
It
can
get
in
the
way
how
well
you
function
work
and
home
,
including
taking
care
of
your
diabetes
.
When
you
?
t
able
to
manage
your
diabetes
,
your
goes
up
for
diabetes
like
heart
and
nerve
.
4
diabetes
have
without
diagnosed
treatment
times
with
without
worse
not
depression
People
with
are
2
to
3
more
likely
to
have
than
people
diabetes
.
Only
25%
to
50%
of
people
diabetes
who
depression
get
and
treated
.
But
?
therapy
,
medicine
,
or
both
?
is
usually
very
effective
.
And
treatment
,
depression
often
gets
,
better
.
5
anger
diabetes
part
such
heart
feel
traffic
reaction
Stress
is
of
life
,
from
jams
to
family
demands
to
everyday
care
.
You
can
stress
as
an
emotion
,
as
fear
or
,
as
a
physical
like
sweating
or
a
racing
,
or
both
.
6
Being
take
stressed
from
blood
blood
up
usual
long
health
worse
sugar
If
you
?
re
,
you
may
not
as
good
care
of
yourself
as
.
Your
blood
levels
can
be
affected
too
?
stress
hormones
make
sugar
rise
or
fall
unpredictably
,
and
stress
being
sick
or
injured
can
make
your
sugar
go
.
stressed
for
a
time
can
lead
to
other
problems
or
make
them
.
7
life
term
those
with
major
on
to
anxiety
worry
Anxiety
?
feelings
of
,
fear
,
or
being
edge
?
is
how
your
mind
and
body
react
stress
.
People
diabetes
are
20%
more
likely
than
without
diabetes
to
have
at
some
point
in
their
.
Managing
a
long
-
condition
like
diabetes
is
a
source
of
anxiety
.
8
some
recognize
anxious
versa
doctor
overwhelmed
always
mental
hard
treat
blood
like
low
blood
Anxiety
can
feel
low
sugar
and
vice
.
It
may
be
for
you
to
which
it
is
and
it
effectively
.
If
you
?
re
feeling
,
try
checking
your
sugar
and
treat
it
if
it
?
s
.
There
will
be
stress
in
life
.
But
if
you
feel
,
talking
to
a
health
counselor
can
help
.
Ask
your
for
a
referral
.
9
developed
discouraged
with
sometimes
of
best
to
hard
controlling
results
of
You
may
feel
,
worried
,
frustrated
,
or
tired
dealing
daily
diabetes
care
,
like
diabetes
is
you
instead
the
other
way
around
.
Maybe
you
?
ve
been
trying
but
not
seeing
.
Or
you
?
ve
a
health
problem
related
diabetes
in
spite
of
your
efforts
.
10
distress
blood
to
most
may
people
period
as
overwhelming
of
unhealthy
diabetes
Those
feelings
,
known
diabetes
distress
,
cause
you
to
slip
into
habits
,
stop
checking
your
sugar
,
even
skip
doctor
?
s
appointments
.
It
happens
many
?
if
not
?
people
with
,
often
after
years
good
management
.
In
any
18
-
month
,
33%
to
50%
of
with
diabetes
have
diabetes
.
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