STRESS AND BLOOD SUGAR LEVELS:
Two main gr
oups of hormones control blood sugar levels. Insulin, only member of one group, reduces blood sugar. The other group, such as cortisol and adrenaline, glycogen and growth hormones, called counter- regulatory hormones, opposes the action of insulin and as such raises blood sugar. Stress plays a role in increasing the second set of 
hormones, particulary cortisol and adrenaline. If these remain on higher side for a long time, are responsible for development of diabetes in predisposed individual and worsens the ailment in a diabetic patient and should be kept in controlled levels. Reduction of stress often leads to dramatic improvement in diabetic condition. Often individuals do not realize that they are under stress, even if they do, they try to deny it. The main approach to deal with stress is to adopt a change in the individuals mindset. One should 
accept a stressful situation as a challenge and not a threat. In fact a mild degree of stress will be impetus to a higher level of performance, but at the same time one should be also careful and alert to the sign and symptoms of it. When one is under higher stress levels, he should not be satisfied with just treating it with medicine, but analyze the root cause of it. To this, use of stress management techniques like diet, exercise, meditation, yoga will be of great help. By this the root cause can be identified and corrected, by consulting a qualified clinical psychologist.
Stress nowadays has become unavoidable in these modern lifestyle.Following a healthy lifestyle with adequate exercise, correct diet and regular sleeping hours keeps one physically and mentally fit to face any stressful situation. A healthy social life is vital in reducing stress levels, which in turn reduces the risk of developing diabetes. All the more important is for a diabetic patient to learn to keep the stress under control, since it can play havoc with the management of diabetes, and at the
same time take control of their condition. 
Raghu Natrajan
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