Mental health in Diabetes

Mental health in Diabetes


Diabetes is a chronic disease. The disease greatly affects human life. Diabetes can cause mental fatigue in some people. Research says that diabetes is associated with a variety of mental problems. Again, those who suffer from the severity of mental illness, it is very difficult to control their diabetes. Especially those who have high blood glucose, who are forced to take insulin, can have some problems in the treatment of major mental illness.

Diabetes and depression

Studies in different countries have shown that diabetics are two to three times more likely to suffer from depression than others. More worryingly, only 25-50 percent of these depressed patients receive treatment. However, diagnosing the disease is not a difficult task for a psychiatrist. The treatment is in most cases very effective and not too expensive. Without treatment or delayed treatment, the patient's mental and physical condition will continue to worsen. On the other hand, if a person suffers from long-term stress or depression, his or her risk of developing diabetes increases.


Diabetes and other mental problems

A large number of mental patients suffer from diabetes and the body has the risk of developing diabetes at the same time. For example, a person with schizophrenia has to stay in bed longer than his peers. They eat less healthy balanced food. For this reason, they are more likely to suffer from diabetes and obesity and the risk of heart disease increases. 18–25% of patients with schizophrenia suffer from diabetes. The rate of developing type-2 diabetes increases with age.

Three crore people in the country are suffering from mental problems or diseases

No germs are found in mental illness. Financial, family, social, political, epidemics — inequalities for various reasons can lead to mental health crisis. However, if it is manifested, it can be a mental illness. In our society, there are inequalities and inequalities regarding religion, caste, financial status, physical condition. At the end of the day, these affect us emotionally, upset us. Mental problems and diseases but not one. When mental health is bad, mental problems occur. If the mental problem is not treated or cured in time, it becomes a disease at some point.

From the beginning of human civilization there was man-made inequality. It is more in Asia for various reasons. As a result of urbanization, we have isolated ourselves a lot. And warfare often wakes up in the ongoing human civilization. There is a jingle of weapons all over the world. All in all, mental health is an important issue. Primary, secondary, tertiary — there is no alternative to all types of mental services. But we have a negligence about mental health services. There is only one psychiatrist for every 300,000 people seeking mental health care. 


In our country, the number of doctors who are working after completing higher studies in psychiatry is about three hundred. And the number of people involved in psychologists, psychiatrists, mental healthcare combined is less than a thousand. It is very sad. The survey, co-produced by the National Institutes of Health, the Department of Health, the Ministry of Health and the World Health Organization, found that the rate of mental health problems in the elderly was 18.6 percent. And in the case of young people it is 13 percent. In a country of 160 million people, at least 30 million people have some form of mental illness or mental illness. But in contrast to this huge population, the number of people who can give us medical care is only one thousand!

There is a kind of inequality between men and women, rich and poor, powerful, powerless, those who have technology, and those who do not have technology. Our resources for healing trauma are very limited. But everyone has the right to mental health care. Mental health care can generally be divided into two parts. One, minor mental problems. The number of victims of such problems is high. And it's not too expensive or technologically advanced, either. This problem is treated with empathy. In this case, the telemedicine system should be used to provide psychological services for anxiety, disorder and suicidal tendencies. Regular monitoring can be done with online prescription.

Many people want to hide their mental illness for various social reasons. This stigma needs to be overcome. When a patient meets a doctor at a social event, they talk about the disease. But when a patient sees a psychiatrist, the patient leaves the table and leaves. Run away. The number of government medical facilities in Bangladesh is 36. There is no mental health department in all 16 of them. And without reading this subject, you can become a doctor after finishing MMBS! However, the study says that in 2030, depression will be the biggest obstacle to human productivity. All we have to do is solve all these problems.

Things to do

The diabetic patient should take care of himself / herself and his / her caregiver at all times whether there are any symptoms of depression, abnormalities in behavior, depression or any change in eating habits. Remember, prevention is better than cure. So the patient should always be cheerful, busy, motivated to follow the rules.

Similarly, a person suffering from depression or undergoing treatment should also be tested for diabetes at regular intervals. Patients should practice taking care of their own body. And for patients who are unable to take care of themselves, their relatives should take good care of them at all times. And seek the advice of a specialist if necessary.

According to a survey conducted by Nasirullah Psychotherapy Unit of Dhaka University, ADD International and its partner development organization under the Mental Health Assistance Project for Children and Youth, 84 percent of children and youth suffering from mental problems did not seek any treatment. Most people with mental health problems and family members do not know where to find treatment for mental health problems in their area. Fifty-five percent of students said Covid disrupted their education. Twenty-five percent said Covid has affected their lives. In the survey conducted in October-November last year, 1,600 people aged 5 to 30 took part in 4 wards of Dhaka City Corporation area, 4 wards and one Union Parishad of Jessore City Corporation and 4 Union Parishads of Bagerhat district. As well as talking to an equal number of parents.

Kamal Chowdhury, Project Director, Nasirullah Psychotherapy Unit, Dhaka University and Professor, Department of Clinical Psychology, presented the keynote address and survey report. He said there is one doctor for 30,000 mental patients in the country. Less than 1 percent of the health budget is allocated for the mental health sector. Creating more mental health workers will strike a balance between demand and service. The inequality created by Kovid in society has created weakness among the people. It has a negative impact on mental health.

In the speech of the guest of honor, Additional Secretary of the Ministry of Health and Family Welfare (Development Division) said. Saidur Rahman said that the importance of protecting the mental health of the child from the family should be developed as per their own strategy. He said the government has plans to increase manpower in mental health services.

Participating in the discussion, Prof. Robed Amin, Line Director (Non-Communicable Disease Control Program) of the Department of Health, said that the problem will not be solved unless the mental problem is included in the primary health care. Model projects will be taken up in two upazila and district hospitals with emphasis on mental health.

Shafiqul Islam, Country Director of ADD International Bangladesh presided over the function. He said the country has all the legal and strategic tools and preparations needed to work with mental health. Mental health needs to be seen in a larger context.

The impact of inequality and inequality on mental health has become more apparent during the Kovid period, said Mekhla Sarkar, an associate professor at the National Institute of Mental Health. He said that the family and the society should help these children to grow properly without any discrimination and go to the doctor after identifying their mental problems.

Hasina Mumtaz, National Consultant (Mental Health) of the World Health Organization in Bangladesh, said investment in mental health needs to be increased and people need to be made aware of this.

Morsheda Chowdhury, director of BRAC's Health Nutrition and Population Program, said area-based para-counselors could be hired by public-private initiatives in the medium term to fill the shortage of skilled physicians and psychiatrists. These para-counselors will tell you where and to whom people will go for psychiatric treatment.

Monira Rahman, executive director of the Innovation for Wellbeing Foundation, said people in the community need to be motivated to seek the help of professionals in mental health care through various model projects.

Also participating in the discussion were Jobeda Khatun, Chairman, Department of Clinical Psychology, Dhaka University, Nasreen Jahan, Executive Director, Disabled Child Foundation, Abdul Qayyum, Associate Editor, Prothom Alo, Rafiq Mridha, Member, Disability Welfare Organization, Jessore. Prothom Alo Assistant Editor Firoz Chowdhury conducted the program.




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