What is the effect of a patient s mood on diabetes?

The patient's mood has a great influence on the development of diabetes. Sudden changes in emotions such as grief, fear, anxiety, ecstasy, and excitement can increase the excitability of the sympathetic nervous system, increase the secretion of adrenaline and adrenocorticotropic hormones in the body, not only increase blood sugar, but also lead to accelerated lipolysis. As a result, fatty acids in the blood increase, resulting in ketosis.

This point has a more significant impact on adolescent-onset diabetic patients, and also has a certain impact on diabetic patients.

Therefore, diabetic patients must always maintain an optimistic mood, and when they encounter something that is not as good as they want, they must be calm, broad-minded, and emotionally stable, so as to avoid aggravation of the disease.

At the same time, mood swings can cause sympathetic nerve excitation, prompting glycogen in the liver to release and enter the bloodstream, thereby increasing blood sugar levels, leading to aggravation or reduction of the ** effect in diabetic patients.

Therefore, diabetic patients must learn to control their emotions and pay attention to maintaining emotional stability. While using the drug**, it is necessary to strengthen the psyche**.

Mood can affect the patient's blood sugar fluctuations

For example, in a track and field competition, when the person who shoots the gun and fires the order shouts "prepare" and "run" for "prepare to run", he will drag the tail sound of "prepare" for a long time before shouting the word "run".

When dragging the sound, the athlete's heart will beat faster, be extremely nervous, and some people who are not well controlled will even rush to run. Why did the commander do this? It turns out that when people are emotionally stressed, catecholamine hormones in the body will rise, and the body can get a lot of energy supplement, and athletes are more likely to perform.

For weightlifters, they will yell a few times before going on the field, because this can mobilize the level of glycemic hormone in their body, when the glycemic hormone rises, more blood sugar enters the blood circulation and produces energy, and the body has enough energy, it is easier to achieve good results.

The same goes for exams, people can be relatively nervous during exams, and if you carry a 24-hour ECG monitor, you will find that these glycemic hormones can speed up the conduction of the heart.

The above example mainly illustrates the problem that when something or a specific situation causes your mood swings, it will mobilize the body's emergency hormone levels to raise blood sugar. Therefore, no matter whether the mood is good or bad, especially joy and sorrow, it will affect the body's endocrine, thereby affecting blood sugar stability.

For diabetic patients, blood sugar is already relatively high, and once the mood fluctuates too much, the ups and downs of blood sugar will be more obvious.

Therefore, diabetics should try to maintain a peaceful mind and not be happy or sad.

Yes. When a person's mood changes dramatically, the excitability of the sympathetic nervous system increases, prompting the release of glycogen in the liver into the blood to raise blood sugar and meet the energy needs of important organs such as the brain. Because diabetes does not secrete enough insulin through the body, once the blood sugar rises, the insulin deficiency becomes even more scarce, resulting in high blood sugar.

When hyperglycemia occurs, the user's mood will be as high as blood sugar, and reactions such as irritability, thirst, and anger will appear. This vicious circle is repeatedly formed, which makes the blood sugar of some diabetic users remain high for a long time, and the complications continue to increase, further increasing the mental burden of users.

Emotional changes in people can affect blood sugar, and changes in people's mood, including sadness, anger, happiness, and even sorrow, may affect neuroendocrine, causing changes in the sympathetic medullary system and the hypothalamic-pituitary-adrenal cortex functional axis, and can increase the number of hormones that promote catabolism, such as glucocorticoids, glucagon, catecholamines, and the most important of which are glucocorticoids, which can promote protein breakdown, so that amino acids are transferred to the liver, and the gluconeogenesis process is greatly enhanced.

Glucocorticoids inhibit the utilization of glucose in peripheral tissues to raise blood sugar, which can promote fat mobilization and increase the free fatty acids in the plasma, so as to ensure that when mood changes, the energy demand increases**, resulting in an increase in blood sugar, and glucocorticoids can also increase the permissible effect on catecholamines, growth hormone and glucagon metabolism. The effect of human mood on blood sugar is transient, with the stabilization of mood, the impact on blood sugar will gradually return to normal, if there are frequent mood changes, blood sugar is significantly abnormally high, further glucose metabolism examination, including glucose tolerance assessment to understand whether there is impaired glucose regulation.

(Lu Yingli, Department of Endocrinology, Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine) Diabetes is a disease with a relatively high incidence of disease, sugar friends fight for a long time to control blood sugar, not only physical lesions, psychological problems will also occur, when sugar friends blood sugar is unstable, emotions will also be implicated and cause a series of fluctuations.

Stress and tension: Diabetics need a relaxed environment to recuperate, and more and more young people are suffering from diabetes, and patients who are still working are constantly at work, which will only make the condition of diabetes worse.

Depression and pessimism: Depression is one of the leading mental illnesses for people with diabetes. As the disease progresses, their mood becomes more volatile and their depressive symptoms become progressively worse. And long-term depression can also make healthy people suffer from diabetes.

Irritability: Due to emotional stress, anxiety and depression, diabetics can easily become irritable about things and circumstances around them. They may appear impatient, impulsive, and especially angry with their family members.

Coupled with the impact of diabetes itself on mood due to metabolic disorders, the symptoms of irritability and irritability are particularly serious. If you are angry for a long time, it will induce diabetes complications such as high blood pressure and stroke, and accelerate the death of patients.

Fear and sadness: Most people with diabetes have pessimistic feelings such as lack of confidence, depression, gloom and hopelessness. These abnormal psychology of excessive fear and excessive sadness will consume the "righteousness" of the human body, make the patient's body function lose the ability to resist the disease, and lead to the rapid deterioration of the disease.

The mental illness induced by diabetes patients is all related to mood, and the state of mind is stable and the disease is naturally relieved; The mentality fluctuates greatly, and the disease naturally comes to the door.

Establish self-confidence: sugar friends first need to establish the necessary confidence, realize that the disease, like many diseases, is not incurable, if properly controlled, it can live, study and work like a normal person.

Positive and optimistic attitude: Have the right attitude in the face of illness. High blood sugar is not terrible, what is terrible is that high blood sugar is not adjusted to the control range and is laissez-faire, in fact, the blood sugar of sugar friends is adjusted well and normal life is the same, so you should take a positive attitude and continue to do what you can do before your illness, so that your life is more fulfilling.

Bad mood inhibits insulin secretion.

According to the latest scientific research, human emotions are mainly regulated by the limbic system, which regulates the functions of endocrine and autonomic nerves at the same time, and the psychological factors of anger and depression can affect the secretion of insulin through the limbic system and autonomic nerves. When a person is in a state of stress such as nervousness, anxiety, and fear, the sympathetic nervous system is excited, which inhibits the secretion of insulin. At the same time, the sympathetic nerve will also act on the adrenal medulla, increase the secretion of adrenaline, indirectly inhibit the secretion and release of insulin, and easily "provoke" diabetes.

Clinical medicine has shown that 30%-50% of diabetic patients have psychological disorders. Patients with depression and anger not only have poor blood sugar control, but also have many chronic complications. In fact, negative emotions cannot be avoided, and emotions such as sadness, anger or disappointment are sometimes human nature.

It is impossible for us to know only happiness and not sorrow. However, long-term negative emotions, depression, and anxiety are easy to get sick, and it is difficult to get sick after illness, and even aggravate the disease.

Blood sugar has a lot to do with mood. Excessive nervousness or excitement can cause blood sugar to fluctuate greatly, especially for people with diabetes, it is important to keep your mind stable.

When the blood sugar is moderately elevated, it will raise the mood slightly, but too high or too low will affect the person's mood.

Many people think that diabetes is mainly due to diet, exercise and medication. In fact, the mindset is also very important for the control of diabetes. Optimistic and stable emotions are conducive to maintaining the stability of the patient's internal environment, while anxious emotions can cause the secretion of some stress hormones such as adrenaline, norepinephrine, adrenocorticotropic hormone and glucagon, thereby antagonizing insulin, causing blood sugar to rise and aggravating the disease. 0