Awareness of Pre-diabetes or Diabetes and Associated Factors in People With Psychosis.

Abstract

OBJECTIVE:

To estimate awareness of pre-diabetes or type 2 diabetes and associated factors in people with psychosis, a known high-risk group.

METHODS:

Cross sectional analysis of a national sample with psychosis who were aged 18-64 years, gave a fasting blood sample (n = 1155), had pre-diabetes or diabetes based on testing (n = 359) and reported if they knew they had high blood sugar or diabetes at survey (n = 356). Logistic regression was used to identify factors associated with awareness of pre-diabetes or diabetes prior to testing.

RESULTS:

The prevalence of pre-diabetes (19.0% 219/1153) or type 2 diabetes (12.1%, 140/1153) was 31.1% (359/1153); 45% (160/356) were known prior to testing. Factors associated with detection were higher fasting blood glucose, older age, a perception of poor health, severe obesity, dyslipidaemia or treatment with a lipid regulating drug, a family history of diabetes, Aboriginal or Torres Strait Islander descent, decreased cognitive functioning, regional economic disadvantage, treatment with an antihypertensive drug, and an elevated 5-year risk for cardiovascular disease. The prevalence of undiagnosed pre-diabetes/diabetes was highest in those aged 25-34 years at 34.2%.

CONCLUSIONS:

Clinical detection of pre-diabetes or diabetes in people with psychosis was strongly dependent on established risk factors for type 2 diabetes in the population but not on current antipsychotic drug treatment or psychiatric case management which should ensure regular screening. Screening must become a clinical priority and should not wait until age 40.

• Authors: Debra L Foley, Andrew Mackinnon, Vera A Morgan, Gerald F Watts, David J Castle, Anna Waterreus, Cherrie A Galletly
• Journal: Schizophrenia bulletin (Schizophr Bull) Vol. 42 Issue 5 Pg. 1280-9 (09 2016) ISSN: 1745-1701 [Electronic] United States
• PMID: 27150636 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © The Author 2016. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: [email protected].

Topics

• Adolescent
• Adult
• Australia (epidemiology)
• Comorbidity
• Cross-Sectional Studies
• Diabetes Mellitus, Type 2 (blood, epidemiology)
• Female
• Humans
• Male
• Middle Aged
• Prediabetic State (blood, epidemiology)
• Prevalence
• Psychotic Disorders (blood, epidemiology)
• Risk Factors
• Young Adult