How does diabetes contribute to fatigue. What are the main causes of diabetes-related fatigue. How can diabetes fatigue syndrome be effectively managed. What complications of diabetes can lead to increased fatigue. How do diabetes medications impact energy levels.

Understanding the Link Between Diabetes and Fatigue

Diabetes and fatigue share a complex, bidirectional relationship that can significantly impact the quality of life for those affected. While everyone experiences tiredness occasionally, diabetes-related fatigue is a persistent, debilitating condition that goes beyond simple exhaustion. This chronic state of lethargy can make even simple tasks challenging and interfere with daily functioning.

Why does diabetes cause fatigue? The primary culprit is blood sugar fluctuation. Dr. Laura Hieronymus, vice president of health care programs at the American Diabetes Association, explains, “Fatigue is a symptom of hyperglycemia (high blood glucose). When blood glucose levels are too high, the body is not processing glucose as energy; therefore, tiredness or fatigue may occur.”

Factors Contributing to Diabetes Fatigue

• Unhealthy lifestyle habits (poor diet, lack of exercise, excessive caffeine or alcohol intake)
• Insomnia or poor sleep quality
• Obesity
• Widespread chronic inflammation
• Diabetic complications (neuropathy, myopathy, cardiovascular disease, stroke, renal failure)
• Medication side effects

How prevalent is fatigue among people with diabetes? Research indicates that individuals with diabetes are 10 times more likely to experience fatigue compared to those with normal blood sugar functions. In one study, a staggering 68% of participants reported experiencing fatigue.

Recognizing Diabetes Symptoms Beyond Fatigue

While fatigue is a significant indicator of diabetes, it’s crucial to be aware of other symptoms that may accompany it. If you experience fatigue along with the following signs, it’s advisable to consult your healthcare provider about getting tested for diabetes:

• Frequent urination
• Constant thirst and/or hunger
• Blurry vision
• Numbness or tingling in hands or feet
• Dry skin
• Slow-healing sores
• Chronic infections

Diabetes Complications and Their Impact on Fatigue

Several diabetes-related complications can exacerbate feelings of fatigue. Understanding these connections is crucial for effective management of both diabetes and its associated fatigue.

Diabetes Complications Contributing to Fatigue

• Kidney disease or failure
• Heart failure
• Nerve damage/neuropathy
• Myopathy (muscle weakness)

How do these complications lead to increased fatigue? Kidney disease, for instance, can result in anemia, a condition characterized by a lack of healthy red blood cells, leading to persistent fatigue. Heart failure reduces the body’s ability to efficiently pump blood, resulting in decreased energy levels. Neuropathy and myopathy can cause muscle weakness and pain, making physical activities more taxing and contributing to overall fatigue.

Exploring Non-Diabetes Related Causes of Fatigue

While diabetes is a significant contributor to chronic fatigue, it’s important to recognize that fatigue can stem from various other conditions. Identifying these potential causes can help in developing a comprehensive approach to managing fatigue.

Other Possible Causes of Fatigue

• Anemia
• Autoimmune conditions (multiple sclerosis, inflammatory bowel disease, etc.)
• Chronic fatigue syndrome
• Chronic or undiagnosed infections (e.g., Lyme disease)
• Endocrine disorders (hypothyroidism, Addison’s disease, hormonal imbalances)
• Fibromyalgia
• Nutritional deficiencies
• Side effects of treatments for other conditions like cancer

How can one differentiate between diabetes-related fatigue and fatigue caused by other conditions? The key lies in comprehensive medical evaluation and considering the presence of other diabetes symptoms. If fatigue persists despite well-managed blood sugar levels, it may be worth investigating other potential causes.

The Impact of Diabetes Medications on Fatigue

While diabetes medications are crucial for managing blood sugar levels, some can contribute to fatigue as a side effect. Understanding these potential impacts can help in tailoring treatment plans to minimize fatigue while effectively managing diabetes.

Diabetes Medications That May Cause Fatigue

1. Biguanides (e.g., metformin)
2. Meglitinides (e.g., nateglinide, repaglinide)
3. Thiazolidinediones (e.g., pioglitazone, rosiglitazone)

How do these medications potentially lead to fatigue? Metformin, for instance, can cause vitamin B12 deficiency, which may manifest as severe fatigue. Meglitinides and thiazolidinediones have also been reported to cause fatigue in some cases, though it’s less common.

Is it possible to manage diabetes without experiencing medication-induced fatigue? In many cases, yes. Working closely with your healthcare provider to find the right medication and dosage, along with regular monitoring of blood sugar levels and potential side effects, can help minimize fatigue while effectively managing diabetes.

Research Insights on Diabetes Fatigue Syndrome

Scientific research continues to explore the intricate relationship between diabetes and fatigue. While more studies are needed to fully understand the mechanisms at play, existing research provides valuable insights into this complex issue.

Key Findings from Diabetes Fatigue Research

• People with diabetes are 10 times more likely to experience fatigue compared to those with normal blood sugar functions
• 68% of diabetic study participants reported experiencing fatigue
• Diabetes-related fatigue likely results from an interplay of physiological, psychological, and lifestyle factors

What challenges do researchers face in studying diabetes fatigue? One significant hurdle is the lack of a common definition of fatigue in diabetes. Establishing a standardized definition would enable more consistent and comparable research, potentially leading to more effective management strategies.

Strategies for Managing Diabetes Fatigue Syndrome

While diabetes fatigue can be challenging, there are several strategies that can help manage its impact and improve overall quality of life. A multifaceted approach addressing both diabetes management and lifestyle factors is often most effective.

Effective Management Strategies for Diabetes Fatigue

1. Maintain stable blood sugar levels through proper diet, exercise, and medication adherence
2. Prioritize quality sleep and establish a consistent sleep schedule
3. Engage in regular physical activity, starting with low-impact exercises if fatigue is severe
4. Manage stress through relaxation techniques, meditation, or counseling
5. Stay hydrated and maintain a balanced, nutrient-rich diet
6. Consider supplements under medical supervision (e.g., Vitamin B12 if deficient)
7. Work with your healthcare team to optimize medication regimens and minimize side effects

How can one determine the most effective strategy for their individual case of diabetes fatigue? The key lies in personalization and close collaboration with healthcare providers. Regular check-ups, blood tests, and open communication about symptoms and challenges can help in tailoring a management plan that addresses both diabetes and fatigue effectively.

The Role of Lifestyle Modifications in Combating Diabetes Fatigue

Lifestyle modifications play a crucial role in managing both diabetes and its associated fatigue. By adopting healthier habits, individuals can often see significant improvements in their energy levels and overall well-being.

Key Lifestyle Changes for Managing Diabetes Fatigue

• Adopt a balanced, diabetes-friendly diet rich in whole grains, lean proteins, and vegetables
• Incorporate regular physical activity into daily routines
• Implement stress-reduction techniques such as mindfulness or yoga
• Maintain a consistent sleep schedule and practice good sleep hygiene
• Limit alcohol and caffeine consumption, especially close to bedtime
• Stay socially connected and engage in enjoyable activities to boost mental health

How do these lifestyle changes impact diabetes fatigue? A balanced diet helps stabilize blood sugar levels, reducing the energy fluctuations that contribute to fatigue. Regular exercise improves insulin sensitivity and boosts overall energy levels. Stress reduction and good sleep habits support the body’s natural recovery processes, helping to combat chronic fatigue.

Is it possible to completely eliminate diabetes fatigue through lifestyle changes? While complete elimination may not always be achievable, many individuals find that consistent lifestyle modifications can significantly reduce the severity and frequency of fatigue episodes, leading to improved quality of life.

The Importance of Mental Health in Managing Diabetes Fatigue

The psychological impact of living with a chronic condition like diabetes can significantly contribute to fatigue. Addressing mental health is therefore crucial in managing diabetes fatigue syndrome effectively.

Mental Health Aspects of Diabetes Fatigue

• Depression and anxiety often co-occur with diabetes and can exacerbate fatigue
• The stress of managing a chronic condition can lead to burnout and increased fatigue
• Negative thought patterns about one’s condition can contribute to perceived fatigue

How can individuals address the mental health aspects of diabetes fatigue? Seeking support from mental health professionals, participating in support groups, and practicing mindfulness techniques can all be beneficial. Cognitive-behavioral therapy (CBT) has shown promise in helping individuals manage the psychological burden of chronic conditions like diabetes.

Can improving mental health lead to reduced fatigue in diabetes patients? Many individuals report that addressing their mental health concerns leads to improved energy levels and better overall management of their diabetes. This highlights the importance of a holistic approach to diabetes care that includes both physical and mental health considerations.

Innovations in Diabetes Management and Fatigue Reduction

As research into diabetes and its associated complications continues, new innovations are emerging that may help in managing both the condition and its fatigue-related symptoms.

Promising Developments in Diabetes Care

• Continuous glucose monitoring systems for more stable blood sugar control
• Advanced insulin delivery systems like smart insulin pens and closed-loop pumps
• Telemedicine platforms for more accessible diabetes management
• Mobile apps for tracking symptoms, including fatigue levels
• Wearable devices that monitor various health metrics to provide a more comprehensive view of overall health

How might these innovations impact diabetes fatigue? By providing more precise and convenient methods of managing blood sugar levels, these technologies could help reduce the frequency and severity of blood sugar fluctuations that contribute to fatigue. Additionally, improved monitoring and data collection could lead to more personalized and effective treatment strategies.

Are there any specific emerging treatments for diabetes fatigue? While research is ongoing, some studies are exploring the potential of targeted nutritional supplements, novel medications, and even alternative therapies like acupuncture in managing diabetes-related fatigue. However, more research is needed to establish the efficacy and safety of these approaches.

The Future of Diabetes Fatigue Research and Management

As our understanding of diabetes and its associated complications continues to evolve, so too does the landscape of research and management strategies for diabetes fatigue syndrome.

Future Directions in Diabetes Fatigue Research

• Development of standardized definitions and assessment tools for diabetes fatigue
• Exploration of the genetic and molecular mechanisms underlying diabetes-related fatigue
• Investigation of novel therapeutic approaches targeting specific pathways involved in fatigue
• Long-term studies on the impact of various management strategies on diabetes fatigue
• Integration of artificial intelligence and machine learning in predicting and managing fatigue episodes

How might future research change the way we approach diabetes fatigue? As we gain a deeper understanding of the underlying mechanisms, we may be able to develop more targeted and effective treatments. Additionally, improved assessment tools could lead to earlier detection and intervention, potentially preventing the development of severe fatigue in some individuals.

What role might personalized medicine play in the future of diabetes fatigue management? The growing field of personalized medicine holds promise for tailoring treatments to an individual’s unique genetic, environmental, and lifestyle factors. This approach could lead to more effective and efficient management strategies for both diabetes and its associated fatigue.

In conclusion, while diabetes fatigue syndrome presents significant challenges, ongoing research and emerging management strategies offer hope for improved outcomes. By adopting a comprehensive approach that addresses both the physical and psychological aspects of the condition, individuals with diabetes can work towards minimizing the impact of fatigue on their daily lives. As always, close collaboration with healthcare providers and staying informed about the latest developments in diabetes care remain crucial in effectively managing this complex condition.

Diabetes Fatigue: Causes and Management

“Fatigue” and “tiredness” are often used interchangeably. But there’s a distinct difference between the two.

Everyone feels tired from time to time—and usually, all it takes to “cure” tiredness is a nap or a good night’s sleep.

With fatigue, the feeling of lethargy doesn’t go away, even with plenty of sleep. It’s relentless. Fatigue makes carrying out simple tasks much more difficult and can greatly interfere with normal, everyday functioning.

Now, imagine having to deal with fatigue along with another chronic condition. This is the case for millions of people who have diabetes-related fatigue.

What’s the Link

Diabetes and fatigue have a bidirectional relationship. They feed on and worsen each other, and both are exacerbated by various outside factors.

There are numerous reasons why diabetes can lead to fatigue. A top cause is blood sugar fluctuation.

According to Laura Hieronymus, M.D., vice president of health care programs at the American Diabetes Association, “Fatigue is a symptom of hyperglycemia (high blood glucose). When blood glucose levels are too high, the body is not processing glucose as energy; therefore, tiredness or fatigue may occur.”

Fatigue can also coexist with other conditions. These include:

• Unhealthy lifestyle habits: Poor diet/skipping meals, lack of exercise, excessive caffeine or alcohol intake

• Insomnia/poor sleep quality

• Obesity

• Widespread chronic inflammation

• Diabetic complications such as neuropathy, myopathy, cardiovascular disease, stroke, and renal failure

• Medication side effects: Corticosteroids, statins, diuretics, beta-blockers, and certain diabetes drugs are known to cause fatigue

More to Diabetes

Other Diabetes Symptoms

Fatigue is just one of several indicators of diabetes. If you have fatigue along with the following symptoms, talk to your health care provider about getting tested for diabetes.

• Frequent urination

• Constant thirst and/or hunger

• Blurry vision

• Numbness or tingling in hands or feet

• Dry skin

• Slow-healing sores

• Chronic infections

Complications

Diabetes Complications That Can Cause Fatigue

Along with blood sugar imbalances, certain diabetic complications contribute to feelings of fatigue. These complications include:

• Kidney disease or failure

• Heart failure

• Nerve damage/neuropathy

• Myopathy (muscle weakness)

Other Causes

Other Possible Causes of Fatigue

Fatigue can be a symptom of many other conditions outside of diabetes. Some of the top non-diabetes-related culprits are:

• Anemia

• Autoimmune conditions (multiple sclerosis, inflammatory bowel disease, etc.)

• Chronic fatigue syndrome

• Chronic or undiagnosed infections (for instance, Lyme disease)

• Endocrine disorders (hypothyroidism, Addison’s disease, hormonal imbalances)

• Fibromyalgia

• Nutritional deficiencies

• Side effect of treatments for other conditions like cancer

Research

Research on Diabetes and Fatigue

Several studies confirm a link between diabetes and fatigue, though more research is needed to thoroughly determine the how’s and why’s.

One study found that people with diabetes were 10 times more likely to experience fatigue compared to those with normal blood sugar functions. Among the study participants, 68% claimed to have had fatigue.

A review of existing research concluded that diabetes-related fatigue is likely caused by the interplay of physiological, psychological, and lifestyle factors. It acknowledged that a common definition of fatigue in diabetes was needed, however, to even begin to study the issue further.

As a Side Effect

Adverse Effects of Diabetes Medications

There are several classes of diabetes medications, each with different ways they work to help stabilize blood sugar. Some have side effects such as fatigue.

In general, the job of diabetes medication is to reduce high blood sugar. If it does this too well, you could end up with hypoglycemia—blood sugar that’s too low. Chronic hypoglycemia can lead to fatigue.

Your health care provider should do regular bloodwork to keep an eye out for this. But be sure to share if you feel chronically fatigued, as this could mean you need to adjust your medication dosage.

The following diabetes drugs may cause fatigue in other ways:

• Biguanides like metformin (Glucophage, Fortamet, Riomet) work by improving the way your body handles glucose. Metformin boosts insulin sensitivity and reduces sugar in the intestines, which means less sugar in the blood. One of the side effects of metformin is vitamin B12 deficiency, which can manifest as severe fatigue. You can prevent this by working with your doctor to take a B12 supplement and get your blood levels checked periodically.

• Meglitinides such as nateglinide (Starlix) and repaglinide (Prandin) help the pancreas produce more insulin. Though rare, fatigue has been reported as a side effect.

• Thiazolidinediones like pioglitazone (Actos) and rosiglitazone (Avandia) activate certain receptors, which trigger a cascade of events that result in better blood sugar metabolism. However, these drugs tend to cause excess fluid retention, which increases the risk of heart failure. Relentless fatigue is a big indicator of heart failure.

Fatigue and Your Brain

Mental and Emotional Health

People with diabetes deal with not only a lot of physical complications, but mental health concerns as well. Anger, denial, and depression are all very real emotions normally experienced after a diabetes diagnosis and while navigating treatment options.

Depression is two to three times more common in people with diabetes, yet only about a quarter to a half of them get diagnosed and treated. And while it affects both sexes, studies show women with diabetes are at higher risk of depression.

What does this have to do with fatigue?

Well, fatigue also happens to be a well-known sign of depression. For some, depression causes difficulty sleeping, which snowballs into exhaustion during the day. For others, there’s just not enough hours to sleep, and they end up spending their entire day in bed.

Weight and Fatigue

How Being Overweight Can Contribute to Diabetes Fatigue

Obesity is a factor in nearly half of new diabetes cases in the US each year.

Being overweight or obese increases the risk of the following conditions—all of which contribute to fatigue:

• Sleep apnea

• Hormonal imbalance

• Chronic inflammation, which can eventually result in sleep-hindering conditions like high blood pressure and arthritis

Management Tips

How to Manage Diabetes Fatigue

Fatigue can be frustrating, and managing it can seem impossible. After all, who wants to put effort into anything when they’re bone tired?

But diabetes-related fatigue is treatable. The first order of business is making sure your blood sugar remains within the target range.

“Fatigue related to hyperglycemia can best be managed by monitoring blood glucose levels,” says Dr. Hieronymus. “People with diabetes can talk with their health care provider about a plan to manage hyperglycemia. The plan should be unique to the person, which may be determined by the type of diabetes they have, their age, how long they have had diabetes, their treatment plan, and other individual characteristics.”

Here are a few additional lifestyle changes that can help manage fatigue:

• Treat depression. It can go a long way in fighting fatigue. Get evaluated by a mental health professional if you or your loved ones feel you might have depression.

• Improve your diet. If you have diabetes, you should already be watching what you eat. But if you aren’t, now is the time to start. Cutting back on carbohydrates and sweets will prevent the blood sugar roller coaster that leads to major slumps in energy. Focus on eating low-glycemic fruits and vegetables, high-protein meats like poultry and fish, and healthy fats such as olive oil and avocados. Dietary fat happens to be the body’s slowest-burning fuel source, so eating health-promoting monounsaturated fats provides a long, steady stream of energy.

• Exercise. It seems counterintuitive to tell someone who is chronically fatigued to go exercise, but physical activity is one of the best natural energy boosters available. One study found that engaging in low-intensity exercise (like a leisurely walk) helped sedentary people decrease their fatigue by 65%.If walking doesn’t appeal to you, find a low-impact activity that does—dancing, yoga, biking, elliptical, and swimming are all excellent choices. As a bonus, exercise can help you lose weight.

• Address vitamin deficiencies. Low levels of iron and vitamins B12 and D are some leading nutritional causes of fatigue. It’s not unusual for people with diabetes to have these and other nutritional deficiencies.

• Audit your medications. Check to see how many of your daily meds list fatigue as a possible side effect. If possible, find alternatives or ask your health care provider if you can wean off some of these meds. It may not be possible, but it’s worth exploring. (Don’t stop taking any medication without consultation, however.)

• Balance your thyroid hormones. Fatigue can often be attributed to low levels of thyroid hormones. Have your thyroid function checked to make sure your levels aren’t out of range.

When It’s Serious

When to See a Doctor for Diabetes Fatigue

Without a doubt, fatigue can be debilitating and challenging. But struggling in silence only creates more frustration and negativity.

As soon as you start experiencing symptoms of fatigue, be sure to discuss it with your health care provider so that you can make a plan of action. They can help you figure out what’s causing it and how to fix it.

Notes: This article was originally published December 22, 2022 and most recently updated January 24, 2023.

Kalra S, Sahay R. Diabetes Fatigue Syndrome. Diabetes Ther. 2018;9(4):1421-1429. doi: 10.1007/s13300-018-0453-x

Diabetes Symptoms: https://www.cdc.gov/diabetes/basics/symptoms. html

Nesto RW, Bell D, Bomow RO, et al. Thiazolidinedione use, fluid retention, and congestive heart failure. Circulation. 2003;108(23):2941-2948. doi: 10.1161/01.CIR.0000103683.99399.7E.

Diabetes and Mental Health: https://www.cdc.gov/diabetes/managing/mental-health.html

Roy T, Lloyd CE. Epidemiology of depression and diabetes: A systematic review. J Affect Disord. 2012;142:S8-S21. doi:10.1016/S0165-0327(12)70004-6

Our Review Process

Diabetes Fatigue: Causes and Management

“Fatigue” and “tiredness” are often used interchangeably. But there’s a distinct difference between the two.

Everyone feels tired from time to time—and usually, all it takes to “cure” tiredness is a nap or a good night’s sleep.

With fatigue, the feeling of lethargy doesn’t go away, even with plenty of sleep. It’s relentless. Fatigue makes carrying out simple tasks much more difficult and can greatly interfere with normal, everyday functioning.

Now, imagine having to deal with fatigue along with another chronic condition. This is the case for millions of people who have diabetes-related fatigue.

What’s the Link

Diabetes and fatigue have a bidirectional relationship. They feed on and worsen each other, and both are exacerbated by various outside factors.

There are numerous reasons why diabetes can lead to fatigue. A top cause is blood sugar fluctuation.

According to Laura Hieronymus, M.D., vice president of health care programs at the American Diabetes Association, “Fatigue is a symptom of hyperglycemia (high blood glucose). When blood glucose levels are too high, the body is not processing glucose as energy; therefore, tiredness or fatigue may occur.”

Fatigue can also coexist with other conditions. These include:

• Unhealthy lifestyle habits: Poor diet/skipping meals, lack of exercise, excessive caffeine or alcohol intake

• Insomnia/poor sleep quality

• Obesity

• Widespread chronic inflammation

• Diabetic complications such as neuropathy, myopathy, cardiovascular disease, stroke, and renal failure

• Medication side effects: Corticosteroids, statins, diuretics, beta-blockers, and certain diabetes drugs are known to cause fatigue

More to Diabetes

Other Diabetes Symptoms

Fatigue is just one of several indicators of diabetes. If you have fatigue along with the following symptoms, talk to your health care provider about getting tested for diabetes.

• Frequent urination

• Constant thirst and/or hunger

• Blurry vision

• Numbness or tingling in hands or feet

• Dry skin

• Slow-healing sores

• Chronic infections

Complications

Diabetes Complications That Can Cause Fatigue

Along with blood sugar imbalances, certain diabetic complications contribute to feelings of fatigue. These complications include:

• Kidney disease or failure

• Heart failure

• Nerve damage/neuropathy

• Myopathy (muscle weakness)

Other Causes

Other Possible Causes of Fatigue

Fatigue can be a symptom of many other conditions outside of diabetes. Some of the top non-diabetes-related culprits are:

• Anemia

• Autoimmune conditions (multiple sclerosis, inflammatory bowel disease, etc. )

• Chronic fatigue syndrome

• Chronic or undiagnosed infections (for instance, Lyme disease)

• Endocrine disorders (hypothyroidism, Addison’s disease, hormonal imbalances)

• Fibromyalgia

• Nutritional deficiencies

• Side effect of treatments for other conditions like cancer

Research

Research on Diabetes and Fatigue

Several studies confirm a link between diabetes and fatigue, though more research is needed to thoroughly determine the how’s and why’s.

One study found that people with diabetes were 10 times more likely to experience fatigue compared to those with normal blood sugar functions. Among the study participants, 68% claimed to have had fatigue.

A review of existing research concluded that diabetes-related fatigue is likely caused by the interplay of physiological, psychological, and lifestyle factors. It acknowledged that a common definition of fatigue in diabetes was needed, however, to even begin to study the issue further.

As a Side Effect

Adverse Effects of Diabetes Medications

There are several classes of diabetes medications, each with different ways they work to help stabilize blood sugar. Some have side effects such as fatigue.

In general, the job of diabetes medication is to reduce high blood sugar. If it does this too well, you could end up with hypoglycemia—blood sugar that’s too low. Chronic hypoglycemia can lead to fatigue.

Your health care provider should do regular bloodwork to keep an eye out for this. But be sure to share if you feel chronically fatigued, as this could mean you need to adjust your medication dosage.

The following diabetes drugs may cause fatigue in other ways:

• Biguanides like metformin (Glucophage, Fortamet, Riomet) work by improving the way your body handles glucose. Metformin boosts insulin sensitivity and reduces sugar in the intestines, which means less sugar in the blood. One of the side effects of metformin is vitamin B12 deficiency, which can manifest as severe fatigue. You can prevent this by working with your doctor to take a B12 supplement and get your blood levels checked periodically.

• Meglitinides such as nateglinide (Starlix) and repaglinide (Prandin) help the pancreas produce more insulin. Though rare, fatigue has been reported as a side effect.

• Thiazolidinediones like pioglitazone (Actos) and rosiglitazone (Avandia) activate certain receptors, which trigger a cascade of events that result in better blood sugar metabolism. However, these drugs tend to cause excess fluid retention, which increases the risk of heart failure. Relentless fatigue is a big indicator of heart failure.

Fatigue and Your Brain

Mental and Emotional Health

People with diabetes deal with not only a lot of physical complications, but mental health concerns as well. Anger, denial, and depression are all very real emotions normally experienced after a diabetes diagnosis and while navigating treatment options.

Depression is two to three times more common in people with diabetes, yet only about a quarter to a half of them get diagnosed and treated. And while it affects both sexes, studies show women with diabetes are at higher risk of depression.

What does this have to do with fatigue?

Well, fatigue also happens to be a well-known sign of depression. For some, depression causes difficulty sleeping, which snowballs into exhaustion during the day. For others, there’s just not enough hours to sleep, and they end up spending their entire day in bed.

Weight and Fatigue

How Being Overweight Can Contribute to Diabetes Fatigue

Obesity is a factor in nearly half of new diabetes cases in the US each year.

Being overweight or obese increases the risk of the following conditions—all of which contribute to fatigue:

• Sleep apnea

• Hormonal imbalance

• Chronic inflammation, which can eventually result in sleep-hindering conditions like high blood pressure and arthritis

Management Tips

How to Manage Diabetes Fatigue

Fatigue can be frustrating, and managing it can seem impossible. After all, who wants to put effort into anything when they’re bone tired?

But diabetes-related fatigue is treatable. The first order of business is making sure your blood sugar remains within the target range.

“Fatigue related to hyperglycemia can best be managed by monitoring blood glucose levels,” says Dr. Hieronymus. “People with diabetes can talk with their health care provider about a plan to manage hyperglycemia. The plan should be unique to the person, which may be determined by the type of diabetes they have, their age, how long they have had diabetes, their treatment plan, and other individual characteristics.”

Here are a few additional lifestyle changes that can help manage fatigue:

• Treat depression. It can go a long way in fighting fatigue. Get evaluated by a mental health professional if you or your loved ones feel you might have depression.

• Improve your diet. If you have diabetes, you should already be watching what you eat. But if you aren’t, now is the time to start. Cutting back on carbohydrates and sweets will prevent the blood sugar roller coaster that leads to major slumps in energy. Focus on eating low-glycemic fruits and vegetables, high-protein meats like poultry and fish, and healthy fats such as olive oil and avocados. Dietary fat happens to be the body’s slowest-burning fuel source, so eating health-promoting monounsaturated fats provides a long, steady stream of energy.

• Exercise. It seems counterintuitive to tell someone who is chronically fatigued to go exercise, but physical activity is one of the best natural energy boosters available. One study found that engaging in low-intensity exercise (like a leisurely walk) helped sedentary people decrease their fatigue by 65%.If walking doesn’t appeal to you, find a low-impact activity that does—dancing, yoga, biking, elliptical, and swimming are all excellent choices. As a bonus, exercise can help you lose weight.

• Address vitamin deficiencies. Low levels of iron and vitamins B12 and D are some leading nutritional causes of fatigue. It’s not unusual for people with diabetes to have these and other nutritional deficiencies.

• Audit your medications. Check to see how many of your daily meds list fatigue as a possible side effect. If possible, find alternatives or ask your health care provider if you can wean off some of these meds. It may not be possible, but it’s worth exploring. (Don’t stop taking any medication without consultation, however.)

• Balance your thyroid hormones. Fatigue can often be attributed to low levels of thyroid hormones. Have your thyroid function checked to make sure your levels aren’t out of range.

When It’s Serious

When to See a Doctor for Diabetes Fatigue

Without a doubt, fatigue can be debilitating and challenging. But struggling in silence only creates more frustration and negativity.

As soon as you start experiencing symptoms of fatigue, be sure to discuss it with your health care provider so that you can make a plan of action. They can help you figure out what’s causing it and how to fix it.

Notes: This article was originally published December 22, 2022 and most recently updated January 24, 2023.

Kalra S, Sahay R. Diabetes Fatigue Syndrome. Diabetes Ther. 2018;9(4):1421-1429. doi: 10.1007/s13300-018-0453-x

Diabetes Symptoms: https://www.cdc.gov/diabetes/basics/symptoms.html

Nesto RW, Bell D, Bomow RO, et al. Thiazolidinedione use, fluid retention, and congestive heart failure. Circulation. 2003;108(23):2941-2948. doi: 10.1161/01.CIR.0000103683.99399.7E.

Diabetes and Mental Health: https://www.cdc.gov/diabetes/managing/mental-health.html

Roy T, Lloyd CE. Epidemiology of depression and diabetes: A systematic review. J Affect Disord. 2012;142:S8-S21. doi:10.1016/S0165-0327(12)70004-6

Our Review Process

Symptoms of latent diabetes? ⋆ Prof. Dr. Alper Celik

Latent diabetes is a common term among the people. However, if there is no mention of diabetes in your life history, then latent diabetes will be just a term for you. In fact, it may seem complicated, but it’s not as difficult as it sounds. This is the case when a person’s blood sugar values ​​are not in the range that is above normal, but can be considered diabetic. The values ​​obtained as a result of the analysis in these patients are not in the normal range. However, it is not high enough to diagnose type 2 diabetes. In such cases, latent diabetes is diagnosed. Although patients with occult diabetes are not considered diabetics, they are in fact a candidate for diabetes. Therefore, it is very important to take the necessary measures. Being in a high-risk group can be annoying. However, if measures are taken, there will be no problems.

In determining latent diabetes, comparisons are made by looking at both fasting blood sugar and satiety blood sugar. In such patients, while the values ​​are normal in a blood sugar test performed on an empty stomach, the values ​​during satiety are higher than normal. Thus, latent diabetes that manifests itself can be controlled by a balanced diet. As you can see from here, simply checking your fasting blood sugar will not be enough to diagnose hidden sugar. These tests will give correct and reliable results when done after eating foods with carbohydrates, fats and sugary ingredients.

Symptoms of latent diabetes

Although the diagnosis of latent diabetes will be assessed by looking at fasting and satiety values, there are certain reasons that lead patients to this stage. Differences a person feels about themselves can lead them to wonder if they have latent diabetes. The most common of these differences is constant hunger and fast food. Patients with occult diabetes actually have diabetic symptoms in part because of their predisposition to diabetes. Particularly intolerance to hunger and tension also occurs in diabetic patients. As can be seen from the differentiation of fasting and satiety blood sugar values, an imbalance in blood sugar levels may be due to a lack of sugary foods. Although we do not notice these shortcomings in our daily lives, it may actually give us few signals. The signals that latent diabetes sends us are not really details that can be seen in the routine of life. Because these symptoms are often found in the lives of ordinary people. However, if you are facing the problem of latent diabetes, the sensations and symptoms in your body will certainly be different from normal life. In other words, the patient can definitely notice it. For example, conditions such as inclination to sleep after eating, weakness and exhaustion, which can happen to anyone. However, if it is due to latent diabetes, you will certainly feel a little different. If you’re experiencing instability, if you’re unsure of yourself, it’s always good to meet with your doctor and get checked out. One of the most accurate symptoms of latent diabetes is weakness and drowsiness. Feels suddenly tired after eating and wants to sleep.

Physical symptoms of occult diabetes

There are also visible signs of occult diabetes. Especially significant sweating on the head, neck and sudden tantrums in the face of problems are one of the symptoms. People who have these symptoms are often overweight than usual. In this process, there may be rapid weight gain and even faster weight loss than usual. We talked about the similar characteristics of latent diabetes and diabetes. Diabetes and occult diabetes share similar characteristics. If the mother or father has diabetes or latent diabetes, even if you do not have symptoms, it is helpful to have the necessary examinations after a certain period of time. In this way, you will diagnose diabetes problems that may arise early and, accordingly, you will be able to take the necessary measures at an early stage.

Hypoglycemia is the most noticeable in patients who come for examinations of latent diabetes; sudden spikes in sugar. Within your normal flow of life, eating intervals are approximately 4 to 5 hours, and in latent diabetes, this period is reduced to 2 hours. If the patient ignores these signals and continues to eat in his old routine between 4-5 hours; When it’s time to eat, sugar will drop to a minimum and hunger will peak. In this case, it will cause the patient to eat much faster or have a lack of blood sugar. The source of the rumor that chocolate, which is common in society, brings happiness, is based on this. Due to the sugar in chocolate, the hypoglycemia table is regulated. If your satiety reference range is over 140, then you should always see your doctor and follow your doctor’s advice.

EARLY SIGNS OF DIABETES

Publication date: November 16, 2020 .

As you know, there are several types of diabetes mellitus: type 1, type 2, gestational (pregnancy diabetes) and specific. For each type there are characteristic symptoms, however, there are common signs. The effectiveness of future diabetes treatment will depend on how quickly the first symptoms are noticed and the correct diagnosis is made.

There are several signs that can clearly indicate that you are developing or have already developed diabetes:

1. Sudden weight loss is one of the first signs of a developing disease that should alert. You seem to eat as usual, do not sit on a strict diet and do not torture yourself with daily exercises in the gym, but at the same time you are melting right before your eyes. At first, weight loss can be encouraging. But the joy will be short-lived, because rapid weight loss is a sure sign of some kind of disease. In the case of diabetes, weight is lost due to a lack of insulin that the body needs, which breaks down food and promotes the absorption of valuable substances and calories.
2. Thirst. Constant dry mouth does not go away even with the consumption of large volumes of liquid. You are always thirsty, and it doesn’t matter if it’s a hot summer outside or a frosty winter.
3. Incredible fatigue. Just one “beautiful” day, waking up, you suddenly realize that you can not get out of bed. Loss of physical strength, weakness, exhaustion are some of the sure symptoms of diabetes.
4. Constant feeling of hunger. You suddenly have a brutal appetite, you greedily pounce on food, although only an hour has passed after a hearty dinner. Even when eating a lot of food, you are constantly hungry. The cause of increased appetite is a violation of the metabolic processes of sugar in the body.
5. Frequent urination. You constantly want to go to the toilet. A similar situation occurs with cystitis. But in this case, the cause is not inflammation of the kidneys, but the inability of the body to cope with high blood sugar. Attempts to remove excess sugar lead to a constant urge to urinate.
6. “Sand in the eyes” and visual impairment. The eyes may suddenly begin to double or there is a feeling of fog. Visual impairment in diabetes is caused by a disorder in the function of the retina due to an increase in blood sugar.
7. Non-healing wounds and abrasions. Have you noticed that even small wounds and abrasions do not go away for a very long time and give you a lot of inconvenience and discomfort? Or are you worried about itching in some places of the body, often intimate? As a rule, with such symptoms, women go to a dermatologist or gynecologist, but they can be signs of diabetes.

The main thing is to be on time. Elevated blood glucose levels can only be detected in the laboratory, that is, by passing a blood test for sugar. Even without obvious symptoms of diabetes, a sugar test will accurately determine its presence. Self-control is also needed in order to detect prediabetes in time – a condition in which carbohydrate metabolism is already impaired, but not yet to the extent that the pathology turns into diabetes mellitus.

If a borderline condition is caught in time, the situation can be corrected with the right diet, even without resorting to medications. In order not to get sick, you will have to reconsider your diet in favor of healthy food, vegetables and fruits, go in for sports to reduce body weight, increase physical activity – walk more in the fresh air and sit less on the couch in front of the TV with a plate of sweets. If you make some effort and change your lifestyle, the likelihood of developing diabetes will decrease by almost 70%.