Hi! I am the 27 yo female  who posted the other day anonymously asking about what it is like to be sent to a pysch hospital with diabetes. Besides type 1 I have autism, ocd, adhd, and ocd among other conditions. I was the one who was experiencing bad side effects from Cymbalta/duloxetine.

I wanted to let you know that I saw my diabetes educator today and she said the biggest concern is they want to make sure I’m safe with my thoughts (my therapist thinks I am, and I do live with my parents Thank god). She also didn’t know if the SSRIs or mood stabilizers (I’m on Vraylar too) really do cause fluctuating blood sugars (I think some bottles say this?!). She also didn’t know if thyroid cause anxiety issues. (My last thyroid test in March was as follows 

3/4/2026

Note from healthcare provider

"The results of your recent lab tests are within normal limits. We look forward to seeing you at your next appointment."

Test Result Range

TSH 1.150

Normal 0.450-4.50

0

ulU/mL

4, free(direct) 1.83

Out of Range 0.82-1.77

NG/dL

She did say at the specific hospital where she works if I was to come in with pysch problems she didn’t think they would take my omnipod and Dexcom but she wasn’t sure 100%. She did say if I had issues and really felt the need I could call ahead to the endocrinology office and tell them I need to be admitted but didn’t know much beyond that. 

Similar to my therapist she wasn’t sure what it is about SSRIs and SNRIs exactly that cause ïďêàțìöñ. She also said at least at her hospital there is not really much connection between different departments (ie endocrinology doesn’t communicate with psychiatry or neurology for example). She was going to tell the endocrinologist I see that I am experiencing problems with the pyschiatric medication but she said ultimately I need to work with my pcp, therapist and psychiatrist. 

She was helpful but unfortunately on the mental health standpoint she didn’t have much advice. She said continuing to work with my therapist and a pyschiatrist and maybe looking for a therapist that has knowledge about diabetes (though I really like my current therapist because she’s also on the spectrum). 

I really should have written down everything she said but I forgot to so I’m probably forgetting other details that I wanted to share with this group. I do want to thank you again for the support and encouragement the other day. I really appreciate it. I am tapering off cymbalta every other day and I have 7 pills left to go. So we shall see what happens after that. I do have a follow up in 6 days with my pcp as well. 

Please feel free to ask me any questions and if you want me to pm with you about this I’m open to it.

Mental health question follow up