By Jennifer A. Rosen PharmD BCPP, Donna A. Wirshing MD
Written through a multidisciplinary workforce of psychiatrists, endocrinologists, pharmacists, and dietitians, this guide is a realistic consultant to the prevention and administration of diabetes in sufferers with psychological health problems. Chapters research the superiority of diabetes in sufferers with quite a few psychological health problems. shut cognizance is given to the hyperlink among psychotropic medications—including antidepressants, temper stabilizers, and second-generation antipsychotics—and the improvement of weight problems, diabetes, lipid abnormalities, and different metabolic problems. The booklet bargains suggestions on dietary and different interventions for combating weight problems and diabetes and on tracking and administration of sufferers with diabetes. An appendix offers precious sufferer schooling handouts.
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Additional resources for Diabetes and the Metabolic Syndrome in Mental Health
Qxd 1/29/08 2:21 PM Page 41 Chapter 2 • The Cost of Diabetes 41 38. Sturm R. The effects of obesity, smoking and drinking on medical problems and costs. Health Aff. 2002;21:245–253. 39. Narbro K, Agren G, Jonsson E, et al. Pharmaceutical costs in obese individuals: comparison with a randomly selected population sample and long-term changes after conventional and surgical treatment: the SOS intervention study. Arch Intern Med. 2002;162:2061–2069. 40. Thompson D, Edelsberg J, Kinsey KL, et al. S.
Eighty-one percent of costs related to lost productive time were related to decreased performance. S. 56 Schizophrenia: Individuals with schizophrenia often experience comorbid conditions, which become major drivers of health care costs related to the treatment of mental illness. 60 The risk of cardiovascular ailments in patients with schizophrenia is also increased. 6 times increased risk of transient cerebral ischemia. 61 Costs related to schizophrenia alone and with comorbidities have a significant impact on total health care costs.
26 In a study examining the differences of costs between pre-onset of ESRD and postdiagnosis, results demonstrated that the monthly costs of treating nephropathy and related conditions ranged from $1,535 to $4,357 among patients with diabetes compared with $1,038 to $2,447 for patients without diabetes. qxd 1/29/08 2:21 PM Page 27 Chapter 2 • The Cost of Diabetes 27 diabetes to $9,152 and more than tripled to $8,211 for individuals without diabetes. Costs escalated sharply following the onset of ESRD, with costs being similar in both groups ($26,507 and $26,789).
Diabetes and the Metabolic Syndrome in Mental Health by Jennifer A. Rosen PharmD BCPP, Donna A. Wirshing MD