How can I help my daughter?

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How can I help my daughter?

Question:

Dear Dr. Bev,

I have a 39 year old learning disabled daughter who borders on suicide because of her diabetes. She is depressed - but won't take medication - because she insists it raises her blood sugar. We are beside ourselves with this. Please advise.

Thank You. JK

 

 

Answer:

Hi JK,

Thanks for your question regarding your 39 year old learning disabled daughter.

 It is possible that your daughter is correct that some anti-depression medications may raise blood sugars. However, blood sugars can be lowered by taking diabetes medication (including insulin) and lifestyle actions (diet and exercise).

 I would suggest that she speak to an endocrinologist about adjusting her diabetes management regimen so she can also take the prescribed anti-depressant medication.

 Your daughter does not have to ignore her mental health to protect her physical health. Both can be treated simultaneously! (And should be!) I would also recommend that your daughter seek out a psychotherapist. The literature demonstrates that the most effective treatment for depression is medication PLUS therapy.

 Hopefully she can accept my advice based on my knowledge and experience as a Clinical Psychologist and Certified Diabetes Educator who also has type 1 diabetes for the past 36 years! Good luck.

 

Take care, Dr. Bev