Patients
with type 2 diabetes may feel overwhelmed by the daily stresses of diabetes
management. Complications, such as nerve damage or trouble regulating blood
sugar levels, could leave patients feeling depressed as if they’re losing
control of their diabetes, and especially, their body.
According to a recent study, vitamin D supplements may help
reduce pain and depression associated with type 2 diabetes in women.
Diabetics
who experience pain typically suffer from nerve damage throughout the body,
also known as diabetic neuropathy.
The National Diabetes
Information Clearinghouse says approximately 60 to 70 percent of people with the condition will
have some form of neuropathy.
The incidence rate is higher among people who
have had diabetes for at least 25 years but can also be more common in people
who have high levels of blood fat, blood pressure, and are overweight.
The
physical pain felt by patients could easily afflict them and have the ability
to alter their moods leading to depression. People with diabetes are found to
be at a greater risk for depression, but doctors do not know why this
association exists, according to the American
Diabetes Association.
The
medical community speculates a poor control of diabetes can lead to symptoms
that look like depression with low blood sugar levels making patients feel
tired, anxious, hungry — in some cases an appetite that leads to binge eating.
Patients who have depression are found to have a greater chance of developing
type 2 diabetes which can lead to complications in treating both conditions at
once. However, effectively managing one can have a positive outcome on the
other with the use of vitamin D supplements.
Presented
at the Oct. 24, 2013 research conference at Loyola’s Health Sciences Campus and
then published in a December news release, researchers at Loyola University
Chicago examined the role of vitamin D2 supplementation in aiding pain and
depression in women with type 2 diabetes.
The female participants received a
weekly vitamin D2 pill of 50,000 IU for six months to test how effective
vitamin D supplements are in treating the condition.
Sixty-one
percent of patients reported experiencing either a shooting or burning pain in
their legs and feet while 74 percent reported numbness and tingling in their
hands, fingers, and legs at the initial start of the study.
The nerve damage
developed by patients leads to diabetes neuropathy which can have physical
symptoms or no symptoms at all.
Those who experience a numbness and tingling
sensation in their hands are known to experience a type of “phantom pain” or
“ghost pain.”
Diabetics who keep their blood glucose levels on target could
prevent or delay the onset of nerve damage.
The
researchers found a significant decrease in neuropathic and sensory pain at
three and six months after the women took vitamin D2 supplementation. Also,
depression was also found to significantly improve in the female participants.
“Pain is
a common and often serious problem for women with type 2 diabetes and
depression,” said Todd Doyle, Ph.D., lead author and fellow at the Department
of Psychiatry & Behavioral Neurosciences, Loyola University Chicago Stritch
School of Medicine (SSOM) in the news
release.
“While
further research is needed, D2 supplementation is a promising treatment for
both pain and depression in type 2 diabetes.”
Although
the findings do claim to improve the participants’ moods and significantly
reduce depression, it could be possible that the participation in the study is
what boosted their mood. The direct effects of vitamin D on depression would
have to be further examined to determine a cause-and-effect relationship.
In a
similar study presented at the American
Diabetes Association 73rd Scientific Sessions in Chicago, researchers found women with
type 2 diabetes who showed signs of depression had a lower blood pressure, an
improved mood, and even lost a few pounds after taking vitamin D supplements.
The women received weekly doses of vitamin D (50,000 IU), compared to the
dietary allowance of 600 IU per day for women between the ages of 51 and 70.
The findings of this study affirm the positive effects vitamin D can have on
the health of type 2 diabetes patients.
Currently
in the U.S., 8.3 percent of the population has diabetes with nearly 2 million
new cases of diabetes diagnosed in people aged 20 years and older in 2010.
The
American Diabetes Association says type 2 diabetes continues to be the most
common form of the condition in which the patient’s body either resists the
effects of insulin, or it doesn’t produce enough of it to maintain a normal
glucose level. To date, there is no cure for type 2 diabetes, but eating well,
exercising and maintaining a healthy weight can all aid in reducing its
effects.
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