Holt Richard I G
Endocrinology and Metabolism Sub-Division, Fetal Origins of Adult Disease Division, University of Southampton, Level F (MP113) Centre Block, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Br J Psychiatry Suppl. 2004 Apr;47:S55-63. doi: 10.1192/bjp.184.47.s55.
Diabetes mellitus is a complex metabolic disorder characterised by persistent hyperglycaemia. The prevalence of diabetes is increased in people with schizophrenia.
To provide an update of current thinking in diabetes for practising psychiatrists.
Literature review.
Diabetes is a costly condition in individual, social and economic terms, and the global burden of diabetes is increasing in most populations. The insidious onset and asymptomatic nature of diabetes results in many people remaining undiagnosed and at great risk of developing life-threatening vascular complications. Lifestyle and pharmacological interventions can reduce incident diabetes and delay its progression.
Public health policies are urgently required to encourage people to follow a healthy lifestyle. Primary prevention strategies for diabetes should target individuals at especially high risk of developing type 2 diabetes, including those with severe mental illness.
糖尿病是一种以持续性高血糖为特征的复杂代谢紊乱疾病。精神分裂症患者中糖尿病的患病率有所增加。
为执业精神科医生提供有关糖尿病当前认识的最新信息。
文献综述。
糖尿病在个人、社会和经济方面都是一种代价高昂的疾病，并且在大多数人群中，糖尿病的全球负担正在增加。糖尿病隐匿的发病过程和无症状的特性导致许多人未被诊断出来，并有极大风险发生危及生命的血管并发症。生活方式和药物干预可以减少糖尿病的发生并延缓其进展。
迫切需要公共卫生政策来鼓励人们遵循健康的生活方式。糖尿病的一级预防策略应针对尤其具有发生2型糖尿病高风险的个体，包括那些患有严重精神疾病的个体。
