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首页> 外文期刊>Sri Lanka Journal of Psychiatry >Diabetes and impaired fasting glucose in Sri Lankan patients with schizophrenia
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Diabetes and impaired fasting glucose in Sri Lankan patients with schizophrenia

机译:斯里兰卡精神分裂症患者的糖尿病和空腹血糖受损

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Background Type 2 diabetes is commoner among South Asians than Europeans. The few studies of South Asian patients with schizophrenia have found increased prevalence of diabetes. Aims To determine prevalence of diabetes and impaired fasting glucose among patients with schizophrenia presenting to an acute psychiatry unit. Methods The sample consisted of all patients with ICD-10 diagnosis of schizophrenia admitted to an acute psychiatry unit during one year. Data was obtained by retrospective review of patients’ records. Diabetes was diagnosed according to the American Diabetes Association criteria when fasting plasma glucose (FPG) was ≥ 7.0 mmol/l. Impaired fasting glucose (IFG) was diagnosed when FPG was ≥5.6 mmol/l but <7.0 mmol/l. Results Of the 164 patient records reviewed 104 (63.4%) had a recorded FPG level. There was no significant difference in age, gender and treatment between patients tested and not tested. Of the sample 28 (26.9%) were antipsychotic naive and 76 (73.1) had been treated previously. Mean age of the sample was 35.1 years (SD 12.7). Diabetes was diagnosed in 15 patients. Overall prevalence was 14.4% (females 11.4%, males 16.7%). Prevalence of IFG was 26%. Diabetes rates were highest (26.9%) among 30-39 year age group and IFG rates were highest (54.5%) among 50-59 year age group. Conclusions Prevalence of diabetes and IFG is higher compared to the general population of Sri Lanka (10.3% and 11.5%) but similar to that of Caucasian patients with schizophrenia. Due to the high risk of dysglycaemia FPG should be done in all patients with schizophrenia. DOI: 10.4038/sljpsyc.v1i2.2576SL J Psychiatry 2010; 1 (2):56-59
机译:背景2型糖尿病在南亚人中比欧洲人更为普遍。对南亚精神分裂症患者进行的少数研究发现,糖尿病患病率增加。目的确定急性精神病科就诊的精神分裂症患者的糖尿病患病率和空腹血糖受损。方法样本包括所有在一年内入院的急性精神病科诊断为ICD-10精神分裂症的患者。通过回顾性审查患者的记录获得数据。当空腹血糖(FPG)≥7.0 mmol / l时,根据美国糖尿病协会的标准诊断为糖尿病。当FPG≥5.6 mmol / l但<7.0 mmol / l时,诊断为空腹血糖(IFG)受损。结果在164例患者记录中,有104例(63.4%)记录了FPG。在接受测试的和未接受测试的患者之间,年龄,性别和治疗均无显着差异。样本中有28例(26.9%)为抗精神病药物,而76例(73.1)先前已接受治疗。样本的平均年龄为35.1岁(标准差12.7)。 15名患者被诊断出患有糖尿病。总体患病率为14.4%(女性为11.4%,男性为16.7%)。 IFG的患病率为26%。在30-39岁年龄组中,糖尿病发生率最高(26.9%),在50-59岁年龄组中IFG发生率最高(54.5%)。结论糖尿病和IFG的患病率高于斯里兰卡的普通人群(分别为10.3%和11.5%),但与白种人精神分裂症患者的患病率相似。由于高血糖症的高风险,所有精神分裂症患者都应进行FPG。 DOI:10.4038 / sljpsyc.v1i2.2576SL J Psychiatry 2010; 1(2):56-59

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