One study found that Americans with diabetes are 20 percent more likely to be diagnosed with anxiety than those without diabetes. More short bursts of motion. Never disregard professional medical advice or delay in seeking it because of something you have read on the Raleighmedicalgroup.com Site! Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. http:// www.diabetes.org/healthy-living/medication-treatments/blood-glucose-testing-and-control. WebSeborrhoeic Dermatitis: Everything You Need To Know. These hormones can cause blood glucose levels to rise. You can connect with people online or in your community for solidarity and support. Try to stay with the ones with in the URL box or find all my articles at ACC.htm. A complete blood count as well as a blood chemistry profile will help the vet to determine if there are other potential illnesses present that could cause an elevated glucose level. Many people can lower their blood pressure through lifestyle changes such as engaging in 30 minutes of physical activity 5 days a week, eating a healthy diet that includes fresh fruits and vegetables and A recent diabetes diagnosis, or worrying about managing your blood sugar (glucose), can lead to an increased level of stress. My small town, egocentric pediatrician declared I had lactose intolerance, and so he told my mother to give me diluted soy formula instead of milk. When stressed, the body prepares itself by ensuring that enough sugar or energy is readily available. Cats in general are prone to high blood sugar, typically during times of stress, where glucose levels may reach 300-400mg. What is hypertension? Glucose (dextrose is a form of glucose) is the primary fuel that runs your pet's body (Fatty acids can also provide some fuel energy). A reading between 140-200mg/dL is considered "prediabetic," while diabetic levels are >200mg/dL. When youre in a fasted state, youre given approximately 75 grams of carbohydrates in a syrupy drink. This can happen because: Your pancreas may not make enough insulin Your cells become resistant to insulin and don't allow as much sugar in Risk factors The same factors that increase the odds of getting type 2 diabetes also increase the risk of prediabetes. WebStress can interfere with glucose homeostasis by encouraging the release of glucose from your cells while reducing insulin's effectiveness. Yes! Stress and anxiety may play a role in causing high glucose levels in the blood. It has been reported that those who had frequent symptoms of anxiety and stress, their blood sugar levels were quite high. In recent research, it was found out that anxiety can be a significant factor for developing hyperglycemia. Diabetes diet: Should I avoid sweet fruits? I thought nothing of it after that. I thought the meter might be the suspect (actually Dr. Kurt Harris suggested this, I kind of wondered why there would only be one outlier, in all my tests). June 10, 2015. We all know that, but many of us are unaware of the long term impact stress has on major systems of the body including the blood sugar level. Can Eating Too Much Sugar Cause Type 2 Diabetes? With Nutrisense, youll be able to track your blood glucose levels over time using a CGM, so you can make lifestyle choices that support healthy living. Having blurry vision. This is called the fight-or-flight response. This is particularly important if you have diabetes or prediabetes. Check with your doctor or a dietician to see if there are ways that you can create a healthier eating plan for your blood sugar levels. Because the brain depends on blood sugar as its primary source of energy, hypoglycemia interferes with the brain's ability to function properly. Excess cortisol levels can create insulin resistance and prevent your body from adequately processing sugars. Stress and diabetes. Everyone experiences anxiety. Read more for tips on managing stress. Your emotional state and how you function can affect your blood sugar control, too. So if that's you, it's important to know that during your pre-diabetic period, there is a lot of damage that is already done to the vascular system. When your body doesn't produce enough insulin, glucose is left to build up in your bloodstream. The Nutrisense Team and our professional associates will not provide any information related to the diagnosis, cure, mitigation, prevention, or treatment of any disease or medical condition of the body. If youre feeling stressed about your condition, know that you arent alone. A Dilemma for Diabetes Patients: How Low to Push Blood Sugar, and How to Do It? Physical and mental stress can trigger the release of adrenaline and cortisol into the blood. Copyright Merative 2022 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Without intervention and treatment, there are serious complications to high blood sugar, and the result can be {{rich-text-cta-member-stories="/style-guide"}}. Severe infections can stress your body and can lead to higher cortisol production. When you have type 2 diabetes, low blood sugars from too much medication or insulin are a common cause of stress. Pulse pressure: An indicator of heart health? Youre on a roller coaster no one with diabetes wants to ride. Hypoglycaemia Symptoms NON-DIABETIC HYPOGLYCAEMIA DOES NOT CAUSE PHYSICL HARM UNLESS YOU ARE DRIVING- IT JUST FEELS BAD, MAKES YOU CRANKY, FEEL TYRED AND CRAVE CARBS. Losing sleepeven just one night of too little sleep can make your body use insulin less well. That makes insulin absorb more quickly and could lead to low blood sugar. The condition are considered to be too low. Beta blockers: How do they affect exercise? The American Diabetes Association also offers local offices focused on education and community outreach. Effect of long stress on blood glucose levels It is important to be aware that repeated episodes of stress can cause serious changes in blood sugar levels, making 1. Your Pet's Blood Sugar Level Glucose , GLU Your pets blood sugar level (glucose level) needs to remain in a narrow corridor or bad things begin to happen. Adjusting your diet and adding physical activity to your routine can help manage dietary causes of hyperglycemia. Since the stress of the vet visit can cause her glucose level to spike, he'll want to determine that the high level isn't a stress reaction. Blood glucose levels are ruled by insulin, the hormone produced by the pancreas. This is because most pizzas are made with white flour, which has a high glycemic index, meaning it quickly breaks down into sugar and can cause a rapid spike in blood sugar levels. Nerve damage may also lead to other heart, stomach, and nerve problems. Being proactive can help ease the tension in your life. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. Weight may not be the sole factor causing insulin resistance. Discover 15 simple ways to reduce stress. Menstrual periods and menopause also cause changes in the hormones that affect blood sugar levels. It usually happens between 4 a.m. and 8 a.m. After all, why manage and pay attention to it if you don't have a reason to do so? A recent diabetes diagnosis, or When your blood sugar is normal with no treatment, then the diabetes is considered to have gone away. My mom worked, and thought that homemaking was not for modern women, so my kitchen was stocked with Hungry Man dinners (you know, the ones in the tin foil) and Ritz crackers, cheese spread and the occasional bag of frozen string beans. All rights reserved. Cortisol and adrenaline are other primary hormones involved. The Best Foods for Those with Type 2 Diabetes, What the Results of Your Bone Density Test Mean. Summary: How stress affects your blood sugar In short, stress will generally cause your blood sugar to rise. CDC twenty four seven. Blood pressure readings: Why higher at home? The phenomena of a low blood sugar followed by a high blood sugar is called a rebound or Somogyi reaction. For example, extreme heatcan cause blood vessels to dilate (widen). Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Continue reading >>, My doctor just said my anxiety has raised my systolic rate, blood pressure, and cholesterol. When youre under physical stress, your blood sugar can also increase. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Subscribe to Harvard Health Online for immediate access to health news and information from Harvard Medical School. The condition can happen for a variety of reasons and typically involves an individual having a blood sugar level lower than 70 mg/dL. Certain hormones too are released to overcome this stress. In fact, you may experience hyperglycemia without even knowing it. Dawn phenomenonpeople have a surge in hormones early in the morning whether they have diabetes or not. Also, consult with your doctor if you feel like you're not getting back to normal or having other side effects as you heal. Pass this information to your doctors, so they know what to watch for when working to keep you healthy. Causes, Symptoms, Treatment, Prevention, Half of Americans Have Diabetes or High Blood Sugar, Survey Finds, Role of Medical Nutrition Therapy in the Management of Gestational Diabetes Mellitus, Ginger reduces chronic inflammation, pain and migraines, helps digestion, diabetes and more, Gene therapy restores normal blood glucose levels in mice with type 1 diabetes, Postprandial Blood Glucose Is a Stronger Predictor of Cardiovascular Events Than Fasting Blood Glucose in Type 2 Diabetes Mellitus, Particularly in Women: Lessons from the San Luigi Gonzaga Diabetes Study. Insulin levels should be suppressed (less than 6 IU/mL) when the glucose level is below 60 mg/dL. Diabetes and fasting: Can I fast during Ramadan? These are known as hyperglycemia and hypoglycemia. That build-up of glucose is hyperglycemia. Resperate: Can it help reduce blood pressure? If you experience persistent hyperglycemia, talk with your team about adjusting your diabetes treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Low blood sugar is referred to as hypoglycemia and is not exclusive to those with diabetes. Your blood sugar level is higher or lower than your healthcare provider said it should be. With this, what the body is trying to do is to make fat, stored energy and glucose available to cells. That means that insulin isnt always able to distribute additional energy into cells, therefore glucose builds up in the blood, making stress raise your blood sugar levels. People who are stressed out may notice many of the symptoms listed below: You have trouble breathing or are short of breath. These changes can cause a persistent increase in blood pressure and blood sugar. L-arginine: Does it lower blood pressure? Regular blood sugar testing can uncover patterns. For women with diabetes, Diabetes Sisters offers nationwide meetups. Researchers propose that this damage causes the pancreas to have trouble producing these blood glucose-regulating hormones, increasing the risk of developing diabetes. Something makes your blood sugar zoom up. We comply with the HONcode standard for trustworthy health information. Isolated systolic hypertension: A health concern? Another issue is that they may indeed believe theyre non-diabetic AT THE MOMENT but at any time can become diabetic or prediabetic! WebSeborrhoeic Dermatitis: Everything You Need To Know. Behaving in an apprehensive manner (anxiety) causes the body to produce the stress response. Some of the causes for hyperglycemia may be pancreatitis, and the resulting inability to produce insulin; normally occurring hormones, especially in female cats; diet; and infections of the body (such as teeth, or urinary tract). You have questions or concerns about your condition or care. Always make sure to read directions on your medications to ensure that you are taking them correctly. You can add short, meditative sessions or small workouts to your daily routine. They may also provide medical advice that online or in-person support groups cant offer. Your diet plays a huge role in controlling your blood sugar levels. The simplicity of this approach can be deceptive, however. 1. During sports and prolonged physical exercise for example its common to experience hitting the wall whereby your muscles literally run out of fuel (blood sugar) so you feel physically exhausted and your mental faculties are poor, this is perfectly normal. In the case where it lowers blood sugar levels, chronic stress can lead to a syndrome known as adrenal fatigue.Adrenal fatigue is where prolonged exposure to stress drains the adrenal glands, leading to a low cortisol state. Yes, because of the stress it causes will induce higher levels of stress hormones mainly cortisol, which will raise you blood glucose levels. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. Some peoples blood sugar is extra-sensitive to caffeine. The following is a typical example of how the stress response operates as its intended survival mechanism: 1. I decided to experiment by taking a reading after playing an indoor soccer game. Lend me some sugar but please make sure it's all natural! Can having vitamin D deficiency cause high blood pressure? We all know that, but many of us are unaware of the long term impact stress has on major systems of the body including the blood sugar level. In this article, we'll explore why prioritizing healthy sleep patterns is vital for metabolic health and insulin sensitivity for those managing diabetes as well as non-diabetics. Consequently, the stress response changes are temporary. Something went wrong while submitting the form. Some reasons why your sugar might go too high are: Skipping your diabetes medicine Not taking the right amount of diabetes medicine Taking certain medicines that increase your blood sugar or make your blood sugar medicines work less well Taking in too many calories by eating large portions of food, choosing too many high-calorie foods, or drinking too many high-sugar beverages Eating too many carbohydrates, such as foods made mainly with sugar, white flour (in bread, biscuits, pancakes, for example), white potatoes, or white rice Not getting enough physical activity (exercise lowers your blood sugar) Having increased emotional or physical stress Being sick, including colds, flu, an infected tooth, or a urinary tract infection, especially if you have a fever If you are using insulin, having a problem with your insulin (for examp Part of the stress response changes include elevating heart rate (which increases blood pressure) and increasing blood sugar so that the body is better equipped to fight or flee. Diet and careful monitoring are the main factors in keeping your diabetes and blood sugar under control. Any type of physical activity, even if its just a quick walk around the block during your lunch break. Causes of Blood Sugar Spikes There are several potential reasons you may experience a blood sugar spike. He or she will also tell you how often to check it. When you join the program, our team of credentialed dietitians and nutritionists are available for additional support and guidance to help you reach your goals. Symptoms and Types Clinical symptoms may vary depending on the underlying disease/condition. One hour post-eating, levels are about 100 to 110. 3. Hyperglycemia can increase your risk for infections, prevent healing, and it make it hard to manage your condition. If you think you have any of the symptoms of high blood sugar listed below or if you're at risk for high blood sugar levels, it's essential to consult your doctor. Often something as simple as a walk around the block can make a difference in your mood. Oops! Stress may raise glucose levels in your blood, leading to hyperglycemia and even diabetes. Following are some useful tips for reducing anxiety: If your anxiety continues for more than two weeks or if youre finding it difficult to complete everyday activities, you should consider talking to a counselor or psychologist who can provide help and direction. Cookies used to make website functionality more relevant to you. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Canadian Cannabis, Mosquito season means Zika, Yellow fever fear? Twenty minutes of exercise a day can help keep people with a variety of health conditions out of the hospital, according to new research. Glycemic index: A helpful tool for diabetes? Diabetichondria is out there, and it hurts: all that finger pricking. Avoid stress: the food-mood connection. Mayo Clinic does not endorse companies or products. Learn more about recognizing the causes of stress here. A Mayo Clinic expert explains. The result? glucose to overcome this stress. By now, youve got it figured out for the most part. Diseases that are directly linked to your pancreas can cause hyperglycemia. 3. Are Sugar Substitutes Good For Diabetics. Instead, hyperglycemia may happen over a longer period of time and be caused by a chronic disease. Hyperglycemia may happen suddenly during a major illness or injury. Ready to take the first step? For a person with diabetes, hypoglycemia occurs because of too high a dose of diabetic medication, especially insulin, or a change in diet or exercise. But diabetes is defined as an elevated blood sugar. Just taking medication and doing nothing else is really not enough. Can eating too much sugar cause type 2 diabetes? It provides articles, recipes, and informative videos. 1. Continue doing this for the next couple of weeks. Practitioners may underestimate the impact of other hypoglycemic disorders that are not the direct result of diabetes or its treatment regimen. As part of evolution, a surgery is identified as a physical stress for the body. Diabetes Teaching Center at the University of California, San Francisco. Many months later I was going through my health record paperwork and came upon the document that included the 106 result. When were stressed, we typically dont take good care of ourselves. High blood sugar means that the level of sugar in your blood is higher than recommended for you. Its also common for stressed people to engage in behavior that may be out of character, including: Its possible to lessen or limit the stressors in your life. Your cat may not be showing any serious symptoms, especially those if the increased sugar is thought to be temporary, hormonal, or stress induced hyperglycemia. AskMayoExpert. Calcium supplements: Do they interfere with blood pressure drugs? You continue to have higher blood sugar levels than your healthcare provider recommends. It will also be difficult to bring it down because of the Higher blood pressure, increased heart rate and a rise in blood sugar. Hormones from stress increase your blood pressure, raise your heart rate, and can cause blood sugar to rise. In fact, according to theCenters for Disease Control, those with diabetes are 20 percent more likely to experience anxiety than those without the disease. It is normally released in response to events and circumstances such as waking up in the morning, exercising, and acute stress. As a result, more glucose is available in the blood stream. Almost diabetic levels! If your blood sugar starts to creep upwards, we can be proactive and start measures to help you. Between 10-30 percent of people that have Cushing's Syndrome will develop an, Cushing's syndrome causes metabolic changes that make it more difficult for your body to regulate. These can all become deciding factors in a spike in blood sugar. A body that becomes stress-response hyperstimulated can maintain the stress response changes long after a threat has passed. In fact, if you have these conditions, we may suggest that you have blood sugar screenings more often. This can happen in people who do not have diabetes. Blood Pressure, Cancer, General Posts, Heart Disease, Men's Health, Prostate Cancer, Diabetes, Diet & Exercise, General Posts, Healthy Eating, Raleigh Medical Group | 3521 Haworth Drive, Raleigh, NC 27609 | office:919.782.1806| fax: 919-782-4756Monday through Thursday : 8 a.m. 4:30 p.m. | Friday 8 am 1:45 pm | Saturday Sick Clinic (by appointment only): 8 a.m. 12 p.m. at our Raleigh Adult Medicinesite(map). Beside it were the words impaired glucose metabolism. An event like this can trigger raging diabetichondria. Yes, both physical and emotional stress can impact blood sugar and make it unpredictable. Most commonly, stress will raise blood sugar in people with type 1 and type 2 diabetes. However, in people with type 1, stress can also lower blood sugar levels. How does cortisol impact blood sugar? She gets 5.5 units of Lantus daily. Dont feel like you have to complete an extensive cardio routine. If an activity or food is new, check your blood sugar before and after to see how you respond. Some genes that control the stress response may go into overdrive while for other people, they are under reactive. If youre experiencing stress or feeling threatened, your body reacts. Lend me some sugar but please make sure it's all natural! This occurs due to the higher-than-normal blood sugar, that's what causes the damage. (2017). You cant avoid stress, but you can learn how to handle the situations that cause you stress. He or she may be convinced that they took the reading wrong or that the device malfunctioned. I was really underweight as a kid, but always had a little belly. The body gears up for a speedy recovery and during this period, our body mobilizes energy i.e. So now that you have type 2 diabetes, you want to prevent any of the nasty complications by gaining good control over your levels. Hyperglycemia (high blood glucose). Discover the wide ranging health benefits of the Nutrisense program. Type 2 diabetes mellitus and psychological stress a modifiable risk factor. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Diabetes Control and Complications Trial (DCCT), United Kingdom Prospective Diabetes Study (UKPDS), Diabetes Control and Complications Trial (DCCT), Type 2 Treated With Insulin Secretagogues, Self-management Solutions for Type 1 Diabetes, Self-management Solutions for Type 2 Diabetes, Treatment of Type 2 Diabetes Insulin Therapy, epinephrine (adrenaline), glucagon, growth hormone and cortisol. The condition can lead to inflammation, which can cause insulin resistance. Hypoglycemia is an abnormally low level of blood sugar (blood glucose). All information these cookies collect is aggregated and therefore anonymous. At the same time, growth hormone and cortisol levels rise, which causes body tissues (muscle and fat) to be less sensitive to insulin. Cushing's syndrome can develop because your body begins to overproduce cortisol. The 2 types of non-diabetic hypoglycemia are fasting hypoglycemia and reactive hypoglycemia. Constant stress from long-term problems with blood glucose can also wear you down mentally and physically. When you have type 2 diabetes, any kind of stress can cause changes in your blood sugar levels. Time of dayblood sugar can be harder to control the later it gets. I imagine high cortisol levels (much like a prey item being hunted, which is why I like it, oddly). When chronically elevated, cortisol can have deleterious effects on weight, immune function, and chronic disease risk. What Blood Sugar Is Considered Hypoglycemic. Continue reading >>, Low blood sugar can contrbute to serotonin depression, anxiety and bipolar syndrome Natural dietar treatment and Remedies for hypglycaemia reactive hypoglycaemia or low blood sugar gives you low energy in-between meals, poor mental performance, carbohydrate cravings and worsen mental health problems -Section I- -|- -Chapter 1- Non-Diabetic (metabolic) Hypoglycaemia Diabetics can get hypoglycaemia when they accidentally use too much insulin which pushes their blood sugar too low but non-diabetics can also suffer a thing called non-diabetic hypoglycaemia. 2007-2023 Collective work Martha Nolte Kennedy, The Regents of the University of California. Thats why we recommend a fasting blood sugar test at everyyearly physical. New research has discovered that a common sweetener called erythritol can cause fatal blood clots, stroke, and even heart attacks. Some of the more common symptoms include: Depression Weight loss Excessive hunger Dehydration Bloodshot eyes (due to inflamed blood vessels) Liver enlargement Nerve damage in legs Severe depression (in cases of very high blood sugar levels) Non-hea WebThese are warning signs that your blood sugar is too low. Last medically reviewed on July 21, 2022. Continue reading >>, What is high blood sugar? Many factors can cause high blood sugar (hyperglycemia) in people with diabetes. Stress (both positive and negative stress) Hormonal changes Physical or emotional stress triggers the release of hormones that can cause high blood sugar Being overweight is a primary risk factor for New research has discovered that a common sweetener called erythritol can cause fatal blood clots, stroke, and even heart attacks. Hypoglycemia is most common in people with diabetes. Your provider may use the results to make changes to your medicine, food, and exercise plan. If you didn't already know, hyperglycemia is when your blood glucose levels are too high, while hypoglycemia is when your blood sugar levels are too low. Generally, both physical and psychological factors cause everyone to react to stress differently. For example, genetics can play a role. When stress responses occur infrequently, the body can recover relatively quickly from the physiological, psychological, and emotional changes the stress response brings about. For example, Diabetic Connect is an online resource that seeks to improve your quality of life. Alison Lieberman, a registered dietitian at Humber River Hospital, and previously, We avoid using tertiary references. This means that they can experience either an increase or a decrease in their blood glucose levels. Middle aged and older cats are more at risk for developing hyperglycemia, but otherwise, no breed is particularly disposed to this condition. When stress responses occur too frequently and/or dramatically, however, the body has a more difficult time recovering, which can cause the body to remain in a semi hyperstimulated state, since stress hormones are stimulants. Emotional stress (fear, anxiety, anger, excitement, tension) and physiological stress (illness, pain, infection, injury) cause the body to secrete stress hormones into the bloodstream. During my 20s, I went nearly vegetarian in college. These factors include: Weight. You will be subject to the destination website's privacy policy when you follow the link. The doctor mentioned this by only pointing out that the system flagged it in the results that were emailed to me, and to just ignore it. I loved my deep fried tofu, lentils, and deep bowls of soba noodles. Our website services, content, and products are for informational purposes only. This is more common in people with type 2 diabetes. Sometimes, women that are pregnant develop hyperglycemia from. Here are a few things you can do to manage the effects of different forms of stress. Anyway, my level was 167 post-game. Sleep deprivation: A cause of high blood pressure? Blood pressure medication: Still necessary if I lose weight? Anyway, after the final gut-wrenching, heart-pumping scene, I decided to check my blood sugar. Fasting hypoglycemia often happens after the person goes without food for 8 hours or Amongst many others like cortisol, these hormones include insulin and glucagon, both of which work in combination to maintain our blood su The contents of Raleighmedicalgroup.com site, such as text, graphics, images, and other material contained on the Raleighmedicalgroup.com Site (Content) are for informational purposes only. Continuous Versus Flash Glucose Monitoring To Reduce Hypoglycemia In Type 1 Diabetes, The Difference Between Hypoglycemia and Hyperglycemia, What is Hyperglycemia (High Blood Sugar)? That causes blood sugar Studies have shown that patients with normal blood sugars have better outcomes and fewer complications than those with high blood sugar. The other stress hormones, particularly epinephrine (adrenaline) and cortisol, are produced when our body needs a rapid influx of sugar for energy purposes. Menopause and high blood pressure: What's the connection? Avoid stress: the food-mood connection. If your score is over 70% correct, you are doing very well. Can Stress and Anxiety Raise Blood Sugar Levels? The condition can happen for a variety of reasons and typically involves an individual having a blood sugar level lower than 70 mg/dL. When you have type 2 diabetes, stress may make your blood sugar go up and become more difficult to control and you may need to take higher doses of your diabetes medications or insulin. The hormonal response to a low blood sugar includes a rapid release of epinephrine and glucagon, followed by a slower release of cortisol and growth hormone. You may feel more comfortable talking with a professional about your stress. Hypoglycemia is common in people who are taking insulin or oral medications that lower blood glucose, especially drugs in the sulfonylurea group (Glyburide and others). Medications and supplements that can raise your blood pressure. The result? Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. [3] For people with diabetes, blood sugar spikes are much more common. I Defeat Diabetes Foundation lists peer support groups in all 50 states and the District of Columbia.
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