Finally her doctor prescribed Prozac, but Joan found the drug brought on tremors in her hands. (Prozac is among a number of medications that may exacerbate "physiologic tremor," a normal type of involuntary movement that usually isn't visible to the eye.) So she stopped taking it. And because she is someone who has a lot of reactions to medications, she hasn't tried other antidepressants.
Setting goals for managing diabetes has helped Joan a lot. She's been checking her blood sugars more routinely. Her hemoglobin A1C has dropped a point. And she's begun an exercise routine that involves an hour of swimming aerobics five times a week. Plus, sharing experiences in class with other people who are in the same boat has been uplifting.