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Diabetic patients with psychiatric illness.
Kenneth A Myers1, Alun L Edwards
1Faculty of Medicine, University of Calgary, Calgary, Alberta T2N 4N1, Canada. kmyers@ucalgary.ca
Current Diabetes Reviews
|May 13, 2010
Summary
Diabetic patients with mental illness face unique challenges due to behavioral, physiological, and medication-related issues. Recognizing and managing these factors is crucial for effective diabetes care.
Area of Science:
- Endocrinology
- Psychiatry
- Internal Medicine
Background:
- Diabetes mellitus and mental illness are prevalent conditions, with higher diabetes rates in psychiatric populations.
- The co-occurrence of these conditions presents significant clinical management challenges.
Purpose of the Study:
- To review the literature on the interplay between diabetes and mental illness.
- To identify how psychiatric conditions impact diabetic outcomes and management.
Main Methods:
- A systematic review of existing literature was performed.
- The review focused on specific psychiatric illness aspects affecting diabetic outcomes.
Main Results:
- Psychiatric conditions often lead to decreased patient adherence, complicating diabetes management and increasing long-term complication risks.
- Physiological changes in carbohydrate metabolism and altered counter-regulatory hormone secretion in psychiatric patients can affect glycemic regulation.
- Adverse metabolic effects of psychiatric medications pose additional challenges for diabetes treatment.
Conclusions:
- Co-morbid diabetes and mental illness create a complex clinical scenario requiring attention to behavior, physiology, and medications.
- Clinicians must identify potential undiagnosed psychiatric conditions in patients with difficult-to-manage diabetes.
- Recognizing and mitigating complicating factors in patients with diagnosed psychiatric conditions is essential for optimal diabetic control.
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