Here are some guidelines to dealing with depression and diabetes from the American Diabetes Association:
• Spot the depression
Are you losing interest in things that usually bring you pleasure? Are you not sleeping as much as you'd like? Are you tired frequently? Is your appetite changing—whether more or less? Are you sad when you wake up in the morning? Do you feel like a burden to others? Are you nervous, anxious, or unable to concentrate? Are you having suicidal thoughts? If any of these questions above describe how you are feeling, particularly for more than a 2 week period, you need to speak with someone.
• Talk to your doctor
Blood sugar fluctuations can affect your energy, sleep, and appetite. You could also be having thyroid problems or side effects from a medication you are taking. Be vigilant about giving information to your doctor so he or she can help you. Oftentimes, depression isn't the only source of these issues. Abusing drugs and alcohol can also cause depression.
Depression isn't only rooted in physical causes, though. This is why you may want to speak to a psychotherapist. Therapists help you look at the problems in your life and how diabetes affects you. Always go with the therapist that feels the most comfortable to you.
Psychiatrists are medical professionals that are trained to treat mental and emotional disorders. Sometimes this may mean using a form of medication, like an antidepressant. Ask about the side effects and whether a medication will affect your blood sugar levels.