Khammassi Naziha, Haykel Abdelhedi, Cherif Ouahida
Service de Medecine Interne, Hopital Razi, La Manouba, Tunisie.
Tunis Med. 2012 Apr;90(4):275-7.
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.
To establish rules of the management of diabetes among people with psychiatric disorders.
Literature review on the PUBMED database using the following keywords: diabetes, psychiatric disorders, anti-psychotics, complications.
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.
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.
糖尿病患者中精神障碍似乎很常见。精神疾病合并症的存在可能会影响药物治疗依从性和自我护理方案。
制定精神障碍患者糖尿病管理规则。
在PUBMED数据库上进行文献综述，使用以下关键词：糖尿病、精神障碍、抗精神病药物、并发症。
糖尿病患者中精神障碍似乎很常见。其存在与血糖控制不佳和更多糖尿病并发症相关。服用非典型抗精神病药物可能会增加这种负面影响，这些药物会引发多种代谢效应，如超重、胰岛素抵抗、高血糖、2型糖尿病和血脂异常。
精神障碍患者的糖尿病管理应是多学科的，包括内科医生、糖尿病专家、精神科医生和辅助医务人员。这种治疗包括药物治疗（抗糖尿病药物、抗精神病药物）和心理治疗干预，通过这些干预我们可以更好地控制血糖并降低糖尿病并发症的发生率。
