Diabetes Distress

Diabetes Distress refers to the emotional burden and stress specifically related to managing diabetes. It is not a mental disorder, but it can significantly impact quality of life and diabetes self-care.

Common Signs of Diabetes Distress:

1. Feeling overwhelmed by the demands of diabetes management
2. Worrying about the future and possible complications
3. Frustration with fluctuating blood sugar levels despite efforts
4. Guilt or shame over not meeting glucose targets
5. Conflict with family or healthcare providers about diabetes care
6. Feeling “burned out” or tired of managing diabetes
7. Avoidance of monitoring or appointments
8. Feeling alone or unsupported in dealing with diabetes

Common Symptoms of Depression

Depression is a diagnosable mental health condition (e.g., Major Depressive Disorder in the DSM-5). It may co-occur with diabetes or be misidentified as diabetes distress.

Core Symptoms of Depression:

1. Persistent sadness, low mood, or feeling "empty"
2. Loss of interest or pleasure in activities (anhedonia)
3. Fatigue or low energy nearly every day
4. Changes in sleep (insomnia or hypersomnia)
5. Changes in appetite or weight
6. Difficulty concentrating or making decisions
7. Feelings of worthlessness or excessive guilt
8. Psychomotor agitation or slowing
9. Recurrent thoughts of death or suicide

Key Differences & Overlaps

Symptom/ExperienceDiabetes Distress Depression Emotional burden about diabetes. Sometimes Low mood, sadness. Sometimes Core symptoms, 

• Lack of motivation (related to diabetes (generalized) Sleep/appetite issues. Rare Common Suicidal ideation Uncommon Common in moderate to severe Fluctuating energy levels Sometimes (burnout-related)Common Diabetes self-care avoidance Common Possible, but broader context

Why It Matters

• Diabetes distress is highly specific and best addressed through diabetes education, support, and counseling.
• Depression may require more comprehensive mental health treatment (therapy, medication, etc.).
• Accurate screening is critical, as the two can co-occur but require different interventions.

Screening Tool Link