Depression is not a choice. It is an illness that can be treated. It refers to feelings of sadness or hopelessness that don't go away. It can affect anyone. But it's more common in people with diabetes and other chronic illnesses. Managing your diabetes day after day can feel overwhelming. Blood sugar that's too high or too low can make you feel tired and anxious. It can also interfere with sleep. When you're depressed, it's harder to take care of yourself. If you don't know how to bring up the topic, try saying, "I haven't been feeling like myself lately. I'd like to talk with you about it."

Diabetes can harm blood vessels and nerves. This can cause problems with sexual function. Some medicines also can affect sexual function. It's normal to feel embarrassed or upset about these problems. But don't let that stand between you and enjoying sexual intimacy again. Raise the issue by saying, "I'm having a personal problem that I'd like to talk with you about." Or "I'm wondering if diabetes might be affecting my sex life."

Diabetes can cause infections and nerve damage that weaken the bladder muscle. You may be shy about your bladder problems, but they're not uncommon. Try saying, "In the last few months, I've sometimes had trouble controlling my bladder." Diabetes can also lead to bladder infections. 

By raising these issues, you'll be taking the first step toward feeling good again. It shows you're ready to start to make the changes you need to. This includes lowering your blood pressure or improving blood sugar numbers. Talking to your healthcare team will improve both the quality of your care and your life.