Loneliness, a reduced sense of purpose, fears about the future and grief can contribute to feelings of helplessness and depression. Living with diabetes can impact mental health too. Jump to resources Depression, anxiety and diabetes Older people can sometimes be socially isolated, which leads to depression. Depression is more common in people with diabetes. It may affect diabetes and also be affected by diabetes. Depression and anxiety are not just a normal part of growing old, and joyful aspects of life, such as sex and intimacy, can still be maintained. Symptoms of depression and anxiety Keep an eye out for symptoms of depression and/or anxiety in the person you care for. These symptoms are sometimes not recognised in older people because they are seen as ‘part of getting old’. Tell your supervisor or registered nurse if you notice the older person you care for: is sad is tired or sleeping a lot has trouble falling or staying asleep has unexplained aches and pains has slowed movement or speech is reluctant to participate in activities has lost their appetite or is not eating has neglected personal care (if they usually do this) is fixated on death or talking about self-harm or suicide. Featured resources Diabetes and emotional health handbook Diabetes and emotional health summary cards Diabetes and emotional health questionnaires Diabetes and depression fact sheet Find more resources