Mental Illness Flashcards
Pts taking atypical antipsychotics should be screened EVERY MONTH for first three months then every 3-6 months for:
Weight BMI
Patients on atypical antipsychotics should be screened EVERY 3 to 6 months for:
Lipid and A1C or FBG
What percentage of people with D display depressive sx?
How much higher than general population?
30%= double thise without a chronic illness!!!
Depression increases the risk for development of diabetes by what percent?
What aboit Ptsd?
40- 60!!!
40 % increased risk of developing D
what two psychiatric diseases are independent risk factors for diabetes?
Also these two are _____x higher prevelance metabolic syndrome
bipolar
schizophrenia
prevalence of metabolic syndrome was ~2x that of gen pop
Do patients with depression appear to have a higher risk of cardiovascular mortality?
YES
what are risk factors for developing depression in individuals with diabetes?
- Female gender
- Adolescents/young adults and older adults
- Poverty
- Few social supports
- Stressful life events
- Poor glycemic control, particularly with recurrent hypoglycemia
- Longer duration of diabetes
- Presence of long-term complications
what are risk factors for developing diabetes in patients with depression?
2
- Physical inactivity and obesity, which leads to insulin resistance
- Psychological stress, leading to chronic hypothalamic-pituitary-adrenal activation with cortisol release, which can increase blood glucose levels
What type of diabetic patient is at high risk of developing an eating disorder?
AND how many times highet than the geberal population?
Adolescents with type 1 diabetes
10% of t1dm girls dx
2x risk vs non-DM gen pop
-increased prevalence of these disorders and features that are specific to diabetes such as deliberate insulin omission or under dosing (diabulimia)
What is night eating syndrome and which kind of diabetic patient is it usually found in?
- type 2 diabetes with depressive symptoms
- characterized by the consumption of >25% of daily caloric intake after the evening meal and waking at night to eat, on average, at least 3 times per week
=result in weight gain, poor glycemic control and an increased number of diabetic complications
Are people with diabtes and depression at higher risk of all cause mortality?
Yes
What is psychological insulin resistance?
A strong negative reaponse to the recommendatiin from HCP that a person may benefit from adding insulin
Diabetes distress. Name some risk factors.
Female Younger Lower education Living alone Higher BMI Lower perceived self efficacy Lower perceived provider support Poorer quality diet Greater number of complications Greater perceived impact of glycemic excoursions.
What scores on GAD7 and PHQ9 have been associated with increased D complications? Same for both
> = 10
Persons on psych meda shouls be monitored every 3 months for what parameters? Five
Weight BMI WC BP A1C +\- FBG Alcohol, tobacco, drug use
