I’ve struggled with major clinical depression for almost 20 years and was diagnosed T2 almost 3 years ago (I’m 44 now). It’s been about six years since I was on any antidepressants, but lately I’ve had to admit I’m sort of falling apart again and will probably start meds again when I see my doctor in January. Right now the only other thing I’m taking is 500 mg of Metformin, once a day.
So I’m looking for information about how antidepressants affect diabetes. I’ve read that some SSRIs increase insulin resistance, and that’s why people gain weight on them. I did gain about 30 lbs and had crazy carb cravings when I was taking Paxil (it’s one of the reasons I went off it). My BGs have been pretty OK, latest A1C was 5.5, and I don’t want to do anything to mess that up. But I lost my job last fall and have been dealing with that stress plus a bunch of other issues that are not going to be resolved quickly, and I can definitely feel the depression pulling me down again. (Just to be clear, this is not situational depression or “feeling bad” – I’m crying and afraid all the time, exhausted and achy, can’t concentrate, starting to be too paralyzed to take a shower or make lunch, etc. – and I don’t think it’s going to pass by itself, without some help from meds.)
Basically I’m just really scared to start the whole process of trial and error to find an antidepressant that works, without messing up my BG control. So many of them list weight gain as a side effect, and there might be other effects I don’t even know about.
What are your experiences with antidepressants? How long did it take you to find something that worked? How are you doing with it now? And how has it affected your control?
Thanks for any help.