Episode #26: All about Psych Meds and T1D

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In this episode…

Have you ever thought that taking a medication for depression anxiety might help you, but then you thought again because you were worried about how these drugs might impact your blood sugars? Or maybe you don’t like the thought of taking another medication, even if it could help you.

On this episode of The Diabetes Psychologist podcast, I talk to an expert about psych meds and T1D. My guest is Dr. Roy Collins. Dr. Roy is a resident physician at Stanford University, and he has been living with type 1 diabetes since he was 13 years old.

Dr. Roy answers all your questions about psych meds and type 1 diabetes, including when they might be right for you and how these medications impact your blood sugars. Dr. Roy also gives some great advice on how to find a psychiatrist who gets T1D.


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Here are the big takeaways from my conversation with Dr. Roy:

Your needs may vary 

Some people who are having a tough time with T1D can benefit from taking antidepressant or antianxiety medication, while others may not need meds. A good way to gauge whether you need extra social support, therapy, meds, or some combination of these things is how well you are functioning. How are your symptoms impacting your work, relationships, and leisure activities? The more impact these symptoms have on your life, the more support you need, possibly including medication.

Some medications impact blood sugars

There are different classes of psych meds, and each can affect your blood sugars in different ways. For example, anti-psychotic meds (which are used to treat more than psychosis) can have an impact on your metabolism. Some antidepressants can have an adrenaline-like effect, which can increase your blood sugars. If you are starting on medication, be sure to work with your endocrinologist to make adjustments to your diabetes management plan so you can keep your blood sugars in range.

Find a Psychiatrist who Understands T1D

Finding a psychiatrist who understands T1D or is willing to learn is not easy but certainly not impossible. However, it is the patient’s responsibility to make their needs known and ask the right questions. If your psychiatrist doesn’t know if a medication will impact your blood sugars, ask them to consult with your endocrinologist or someone who can help you understand what to expect.

You can find Dr. Roy on Instagram @dr.royc and the web at www.roycollinsmd.com.