Diabetes mellitus and psychiatric diseases
Journal Title: Psychiatria Polska - Year 2011, Vol 45, Issue 4
Abstract
Summary Metabolic disorders, especially diabetes mellitus, occur more often in patients diagnosed with psychiatric diseases than in the general population. The suggested reasons include common environmental factors, like a lifestyle leading to obesity and insulin resistance, social and economic status. Moreover, these disorders partially share a common genetic background. The influence of antipsychotic therapy itself also plays an important role. An increased risk of metabolic disorders, like glucose dysregulation, dyslipidemia or weight gain, exists during antipsychotic treatment. These drugs influence the hypothalamic regions controlling food intake, impair the insulin release by beta cells or induce insulin resistance. Therefore the choice of antipsychotic drug should be dependent on the actual patient’s metabolic status and his comorbidities. Patients treated with antipsychotics should be screened for several metabolic disorders. Periodic checks for abnormalities of body weight, waist circumference, blood glucose or lipid profile are recommended in these patients. Any abnormality noticed during such a check is the indication for antipsychotic treatment modification and adequate metabolic disorder treatment.
Authors and Affiliations
Anna Duda-Sobczak, Bogna Wierusz-Wysocka
Keywords
Related Articles
- EP ID EP160758
- DOI -
- Views 86
- Downloads 0
Postawy polskich psychiatrów wobec osób chorujących psychicznie
Cel pracy Celem: pracy było zbadanie opinii polskich psychiatrów wobec osób chorujących psychicznie i porównanie ich z analogicznymi badaniami w populacji ogólnej. Metoda Badaną grupą byli polscy psychiatrzy. Zastosowan...
Psychological gender in clinical depression. Preliminary study
Aim. Psychosocial and social theories of mood disorders indicate that factors connected with women’s gender roles could create a higher risk of depression. The fact that social role is an important factor associated with...
Diagnostic mistakes in post-traumatic stress disorder. The problem of symptom overlap with depression
Objectives. The overlap between symptoms of PTSD and MDD is substantial. PTSD symptoms arise after a traumatic experience and the trauma is present in all of the diagnostic clusters. In individuals who have experienced a...
The specificity of the prosecution of communist crime and ability to participate in court proceedings
Summary Objective. To assess the complexity of the mental state in terms of court trial participation of a person accused of communist crimes 50 years ago. Method. A description of the need for multiple tests at an in...
Zjawisko korupcji w badaniach psychiatrycznych
Celem niniejszego artykułu było ujawnienie nieprawidłowości w prowadzeniu badań klinicznych finansowanych przez przemysł farmaceutyczny na podstawie trzech krótkich studiów przypadku przedstawiających skorumpowane badani...