The effect of psychiatric condition and medication on the prevalence of diabetes in a psychiatric out-patient clinic: an audit

Psychiatr Danub. 2012 Sep:24 Suppl 1:S128-9.

Abstract

Background: A diagnosis of schizophrenia, as well as the use of atypical antipsychotic medications, have previously been linked with a higher prevalence of diabetes.

Methods: 670 patients from a single out-patient clinic were analysed (Chi-square) to determine if diagnosis or antipsychotic treatment had an effect on the prevalence of diabetes. The overall rate of diabetes was also compared to the national average.

Results: No significant effects of antipsychotic class or diagnosis were found on prevalence, and the prevalence was not significantly different to the national average.

Interpretation: This work may point to a need to carry out a systematic assessment of these patients for Metabolic Syndrome or diabetes as a thorough review/screen for these patients.

MeSH terms

  • Ambulatory Care Facilities / statistics & numerical data*
  • Antipsychotic Agents / adverse effects
  • Antipsychotic Agents / therapeutic use
  • Chi-Square Distribution
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / chemically induced*
  • Diabetes Mellitus, Type 2 / epidemiology*
  • England
  • Humans
  • Medical Audit
  • Reference Values
  • Retrospective Studies
  • Schizophrenia / drug therapy*
  • Schizophrenia / epidemiology*

Substances

  • Antipsychotic Agents