Diabetes and the Metabolic Syndrome in Mental Health by Jennifer A. Rosen PharmD BCPP, Donna A. Wirshing MD

By Jennifer A. Rosen PharmD BCPP, Donna A. Wirshing MD

Written by way of a multidisciplinary team of psychiatrists, endocrinologists, pharmacists, and dietitians, this guide is a realistic advisor to the prevention and administration of diabetes in sufferers with psychological health problems. Chapters learn the superiority of diabetes in sufferers with numerous psychological health problems. shut realization is given to the hyperlink among psychotropic medications—including antidepressants, temper stabilizers, and second-generation antipsychotics—and the advance of weight problems, diabetes, lipid abnormalities, and different metabolic issues. The booklet bargains information on dietary and different interventions for combating weight problems and diabetes and on tracking and administration of sufferers with diabetes. An appendix offers helpful sufferer schooling handouts.

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Long-term prognosis for diabetic patients with foot ulcers. J Intern Med. 1993;233:485–491. 24. Stockl K, Vanderplas A, Tafesse E, et al. Costs of lower-extremity ulcers among patients with diabetes. Diabetes Care. 2004;27:2129–2134. 25. Akbari CM, LoGerfo FW. Diabetes and peripheral vascular disease. J Vasc Surg. 1999;30:373–384. 26. United States Renal Data System (USRDS). USRDS 2005 Annual Data Report. S. Department of Health and Human Services; 1998, 2001, 2003, 2005. org. 27. Joyce AT, Iacoviello JM, Nag S, et al.

Conversely, the study may demonstrate reductions in cost for early intervention of risk factors and prevention of major complications. 11). The cost benefit of early intervention with diabetes risk factors and complications is significant both to the impact on the economy and to quality of life. 5%, the estimated 30-year cost is $44,145. 0%, the 30-year cost increases to $51,554. 31 BMI, body mass index; ESRD ϭ end-stage renal disease. aAnnual direct medical cost ϭ baseline cost multiplied by the multiplicative factors for the combination of characteristics, treatments, and complications.

CVariables that did not enter into the model. From Brandle M, Zhou H, Smith BRK, et al. The direct medical cost of type 2 diabetes. Diabetes Care. 2003;26:2300–2304, with permission. qxd 38 1/29/08 2:21 PM Page 38 Diabetes and the Metabolic Syndrome in Mental Health Conversely, 30-year cost decreases by 3% if the onset of annual A1c drift is delayed by 1 year. If the annual drift can be even slightly decreased, the cost savings over a 30-year period is significant. 075% per year, the costs are reduced by 14%.

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