Diabetic burnout or Depression?

By sandyfrazzini Latest Reply 2013-08-01 09:34:58 -0500
Started 2013-07-26 14:29:22 -0500

I am by no means new to diabetes (Almost 31 years) but recently I find myself just not caring about much of anything diabetic related. I am on an insulin pump (7 years) and I do take my boluses but only in the morning and then when ever I remember, because I have only been testing once or twice a day, I was previously testing 6-8 times a day and now first thing in the morning is all I can seem to manage. I also have been eating whatever I want, whenever I want and not always taking a bolus. When I do take the bolus I just take a random amount because I guess I am tired of it all and I just don't care anymore. I know that I can't keep doing this and I really do need to get back on track. I say okay I will do better tomorrow and I just find myself doing the same thing the next day. I am not sad and depressed all the time or anything, but I do find myself wondering if I do have some kind of depression or just diabetes burnout. I am looking for help getting back on track or maybe suggestions about if it's time to talk to a Doctor about being depressed.

15 replies

Jim Edwards
Jim Edwards 2013-07-30 15:39:41 -0500 Report

Sandy, there are times I go into a depression for no known reason. Other times there are triggers. Although I was DXed with depression at 35 (now 59) I know now that I had it all my life. There are times when I just do not give a rip. First things to go? testing and injecting, oh and flossing! The funny thing is I become very careful about what I eat. I have been on the same depression medication for 15 years and I doubt I would still be here without it. So talk to your doctor about the depression. I will tell you it took 2 years before they finally found the right med with the right disage. There are 4 families of depression meds and each fanily has "children" in them. So while one med may not work in the family, another one may, or you may need to change families. Best to you, Jim

sandyfrazzini 2013-08-01 09:34:58 -0500 Report

Thank you Jim, It is kind of funny how the easy things to do are the first ones that you stop doing like testing. I really am not sure if I am depressed or not, but I plan on making an appointment with my doctor soon.
Thank you for sharing.

Lentyl 2013-07-29 00:13:46 -0500 Report

Please…see your physician as soon as possible and explain it all to him/her. Read Dr. Gary's article. It's excellent.

Dr Gary
Dr GaryCA 2013-07-28 14:33:57 -0500 Report

HI Sandy,

This is a really great question and a very important issue for diabetics.

Here is a link to an article on burnout that I wrote recently:


As others have suggested, I would also encourage you to talk to your doctor about this. He/she can evaluate you for depression symptoms and make a recommendation. You might also want to reach out to a counselor.

Sometimes life just feels like a lot of hard work, and we need someone to help us to sort things out and get our perspective back. Don't go through this alone.

I hope you will stay in touch with us and let us know how you are doing. Take care of yourself!


sandyfrazzini 2013-07-29 10:43:30 -0500 Report

Thank you Dr. Gary, I guess I am struggling with a little more than I thought I was. Do you think I would be better off talking to my PCP or my endocrinologist?

Dr Gary
Dr GaryCA 2013-07-30 23:01:50 -0500 Report

Hi Sandy, good question. I would encourage you to talk to the doctor you are most comfortable with. Physicians are trained to recognize the symptoms of depression and to make a recommendation for next steps. But your endocrinologist might be the best qualified to discuss depression in relation to diabetes symptoms and treatment. I hope you will reach out for help soon. Let us know how you are doing.

coolgirl 2013-07-27 12:10:34 -0500 Report

yes you need to talk to your Doctor .I went through the same thing, but I also have other illness to on top of diabetes, I'm on 2 kinds of insulin and pills, I'm on so much meds. I get sick just thinking about pills and shots, and I think I speak for all of us here at DC and that is we're here for you :)

sandyfrazzini 2013-07-29 10:13:36 -0500 Report

I am also dealing with a few other issues, along with the diabetes I have Rheumatoid arthritis among other things and take 9 types of pills a day, Thank you for the encouragement.

_Sean 2013-07-26 20:52:12 -0500 Report

It is awesome that you are able to understand what is going on with your day to day habits. Being aware of what you are doing and want to change is half the battle. It is obviously your choice what you want to do now.

One technique that helps me is setting small goals through the day. If checking your sugar in the morning is easy for you, tomorrow add the goal to check your sugar before lunch, and maybe dinner as well. I find holding myself accountable and seeing the improvements is a big motivator for me. It is nice to know that these little changes help, and that we are able to manage and help ourselves as much as we want to.

I think it is easy to be too hard on ourselves as well. Give yourself a break sometimes and remember despite all our efforts T1 is going to be hard to deal with at times. It sounds like you know yourself well. Maybe tell your doctor how you are feeling. Sometimes it helps bounce ideas off of other people. And from what I have researched people with diabetes are at a much higher risk to develop depression. I'd just go in and tell your doctor exactly how you are feeling, you could even use what you just wrote to explain it to him.

sandyfrazzini 2013-07-29 10:08:27 -0500 Report

Thank you so much for the words of encouragement. It really does help knowing their are people that understand what I am dealing with and have been there as well.

Suzi-Q 2013-07-26 20:41:45 -0500 Report

Hi Sandy. When I read your post, I felt in a lot of ways that it could have been written by me. I was diagnosed 25 years ago and have been on an insulin pump for 17 years. I truly understand your feelings. I've been angry, frustrated, exhausted, and yes, depressed. One of the best things I've done for myself was to seek out a therapist who could truly understand my needs. I found a cognitive behavioral therapist who helps me to make positive, healthy changes in my life. I see her 2 to 4 times per month, and I always leave feeling empowered. I hate when it's time to go. (She does assign homework that involves making positive changes in how I view myself, my life, and take care of me.) It sounds to me like you could use such a person in your life. Burn-out? Probably. Depression? More than likely. There are things I need to do to get a better handle on my diabetes, too. Please, please do not skip taking your boluses anymore. I am very worried that you are going to get really sick and end up in the hospital. I implore you to seek someone to talk to ASAP. And please keep in touch with me. Even though we just "met," I do care about what happens to you.