Particular care must be taken when prescribing anti-depressants for people with renal problems. They may also suppress appetite and enhance the action of insulin, causing hypoglycaemic episodes, mainly in Type 2 patients. Prozac can affect the amount of insulin you need to take, so blood tests will be necessary. Fluoxetine One research study has suggested that this should generally not be the first choice for Type 1 patients. It has also been suggested that it, along with imipramine, may reduce hyperglycaemia and have 'antidiabetic effects', possibly by increasing insulin sensitivity.
Further research is needed.
This works slightly differently from SSRIs and has a high risk of making people put on weight, so it is not especially recommended for people with diabetes. These are no longer widely used because they call for strict dietary requirements. She believed she had been depressed since she was diagnosed at the age of ten and was anxious to know whether diabetes was a mental problem, or caused mental problems. During counselling it emerged that Mrs S's family had tried to hide her diabetes so that she began to act as if she didn't have it. She often wanted to discuss her condition, especially with her mother, who ignored her.