Depression and anxiety in type 1 diabetes may be linked to physiological factors and management cognitive load.

“we don't really have any way of knowing is what percentage or what amount or proportion of that debilitating mental illness is resulting from the physiology of the hyperglycemia the glucose fluctuations and the hyperinsulinemia or the relative hyperinsulinemia versus this much more difficult to track metric of the cortisol levels that accompany this stress or other things that we couldn't even measure if we wanted to that accompany that as you put it out like that phrase cognitive load”