Justin Delgado is husband to Kacie Doyle-Delgado, diagnosed at age 11. After more than a decade together, he considers himself to be an expert carb counter and Dexcom inserter. He graduated with his Master of Science in Finance from the University of Utah in 2013 and has been working in commercial banking since then. He attended his first Friends for Life conference in 2015 and is looking forward to volunteering with the teens.
December 11, 2000
Question from Rhode Island, USA:
I have gestational diabetes, and I had a major depressive episode, and blood glucose was much harder to control at the time. Going on an antidepressant has made the control easier. Are the two syndromes related? Did the depression trigger the diabetes (at only eight weeks of pregnancy)? Do you know of any problems with antidepressants and pregnancy?
My understanding about diabetes and depression is as follows:
Depression does not cause diabetes.
Depression does not, independently, affect blood sugars.
If you have diabetes and are depressed, your depression makes it more difficult for you to find the energy and motivation to check blood sugars frequently, to take shots on time, to make wise food choices, and to exercise. When you are unable to manage the demands of the daily diabetes regimen, your blood sugars are harder to control.
Additional comments from Dr. Bill Jones:
I am not aware of blood glucose being inherently more difficult to control during depression. However, someone who is depressed may not be as compelled to maintain her health as compulsively. Zoloft is used during pregnancy. There is not enough data to determine any harm. So, as usual, the benefits have to outweigh any possible risks.