<s>[INST] hi........................ this is regarding my mother she is 58 yrs old having diabety since last 6 yrs she is on insukin from last 3 yrs.inthe starting sugar levels were high now its ups and downs up in the morning and down in the evening.its related with depression she is having total control on diet.she is cronic patient of depression [/INST] Hi dear. I had gone through your query. I understand your concern. Diabetes has co morbid depression AMD need proper assessment. Anti-depressant will helpful. SSRI like Escitalopram/ sertraline / paroxetine will be useful, but choice is depended upon clinical symptoms. Take advise from psychiatrist and get help. Exercise and meditation can help. Ensure proper sleep and diet. Thank you. Still if you have a query then feel free to ask. Happy to help you further. </s>