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[General rules of the management of diabetes with psychiatric disorders].

Identifieur interne : 000156 ( Main/Exploration ); précédent : 000155; suivant : 000157

[General rules of the management of diabetes with psychiatric disorders].

Auteurs : Naziha Khammassi [Tunisie] ; Abdelhedi Haykel ; Ouahida Cherif

Source :

RBID : pubmed:22535339

Descripteurs français

English descriptors

Abstract

BACKGROUND

Psychiatric disorders appear to be frequent in patients with diabetes mellitus. The presence of psychiatric co-morbidity may affect adherence to medication and self-care regimes.

AIM

To establish rules of the management of diabetes among people with psychiatric disorders.

METHODS

Literature review on the PUBMED database using the following keywords: diabetes, psychiatric disorders, anti-psychotics, complications.

RESULTS

Psychiatric disorders appear to be frequent in patients with diabetes mellitus. Their presence is associated with poor glycemic control and more diabetes complications. This negative effect may be increased by taking atypical antipsychotics which expose to several metabolic effects such as overweight, insulin resistance, hyperglycemia, Type 2 diabetes and dyslipidemia.

CONCLUSION

The management of diabetes among people with psychiatric disorders should be multidisciplinary including internist, diabetologist, psychiatrist, and paramedical staff. This treatment includes medical (anti-diabetics, anti-psychotics) and psychotherapeutic interventions through which we can have better glycemic control and decreased rates of diabetes complications.


PubMed: 22535339


Affiliations:


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Le document en format XML

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<nlm:affiliation>Service de Medecine Interne, Hopital Razi, La Manouba, Tunisie.</nlm:affiliation>
<country xml:lang="fr">Tunisie</country>
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<title level="j">La Tunisie medicale</title>
<idno type="ISSN">0041-4131</idno>
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<term>Antipsychotic Agents (administration & dosage)</term>
<term>Antipsychotic Agents (adverse effects)</term>
<term>Diabetes Complications (MeSH)</term>
<term>Diabetes Mellitus (therapy)</term>
<term>Humans (MeSH)</term>
<term>Mental Disorders (complications)</term>
<term>Mental Disorders (therapy)</term>
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<term>Complications du diabète (MeSH)</term>
<term>Diabète (thérapie)</term>
<term>Humains (MeSH)</term>
<term>Neuroleptiques (administration et posologie)</term>
<term>Neuroleptiques (effets indésirables)</term>
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<term>Troubles mentaux (thérapie)</term>
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<term>Antipsychotic Agents</term>
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<keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en">
<term>Antipsychotic Agents</term>
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<term>Neuroleptiques</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Mental Disorders</term>
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<keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr">
<term>Neuroleptiques</term>
<term>Troubles mentaux</term>
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<term>Diabetes Mellitus</term>
<term>Mental Disorders</term>
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<term>Diabète</term>
<term>Troubles mentaux</term>
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<term>Diabetes Complications</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Psychiatric disorders appear to be frequent in patients with diabetes mellitus. The presence of psychiatric co-morbidity may affect adherence to medication and self-care regimes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>AIM</b>
</p>
<p>To establish rules of the management of diabetes among people with psychiatric disorders.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Literature review on the PUBMED database using the following keywords: diabetes, psychiatric disorders, anti-psychotics, complications.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Psychiatric disorders appear to be frequent in patients with diabetes mellitus. Their presence is associated with poor glycemic control and more diabetes complications. This negative effect may be increased by taking atypical antipsychotics which expose to several metabolic effects such as overweight, insulin resistance, hyperglycemia, Type 2 diabetes and dyslipidemia.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The management of diabetes among people with psychiatric disorders should be multidisciplinary including internist, diabetologist, psychiatrist, and paramedical staff. This treatment includes medical (anti-diabetics, anti-psychotics) and psychotherapeutic interventions through which we can have better glycemic control and decreased rates of diabetes complications.</p>
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