Coordinating Care For Dual Diagnosis : Diabetes And Mental Illness

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Coordinating Care for Dual Diagnosis: Diabetes and Mental Illness Aristotle stated “the whole is greater than the sum of its parts”, the same applies in the care of the dual diagnosis of diabetes and mental illness, the intertwining of the two chronic illness increases the blurring of lines for cause and effect, patients diagnosed with serious mental illness are at greater risk for the development of diabetes due (Green, Gazmarian, Rask, & Druss, 2010). Inversely diabetics are at increased risk for depression due to the chronic nature of diabetes. Despite numerous studies that have delved into the health disparities of mental illness and diabetes dual diagnosis few have addressed the impact of provider patient relationship. Diabetes and…show more content…
Health Concerns for Population Whereas, comorbidities associated with diabetes such as hypertension, lipid abnormalities and obesity are preventable, the lack of data for the additional comorbidity of mental illness, often overlooked by health care providers, potentiate the development of comorbidities. Dickerson, Wohlheiter, Medoff, Fang, Kreyenbuhl, Goldberg, Brown and Dixon (2011) reported data for the connection between mental illness and diabetes risk, with 9 to 14 % having schizophrenia and the remainder comprising bipolar disorder and depression, have twice the risk to develop diabetes. Green, et al (2010) attributed the increased risk for development of diabetes due to medications prescribed in the management of schizophrenia and other serious mental illness such as bipolar disorder. Correspondingly the increased prevalence of sedentary lifestyle, poor diet, obesity, smoking, drug and alcohol use in the mentally ill contribute to increased comorbid conditions (Dickerson et al, 2011, p.536). Likewise, according to Harkness, Macdonald, Valderas, Coventry, Gask, & Bower (2010) patients with diabetes suffer higher rates of depression, consequently this combination contributes to poor health outcomes. Even though, effective treatments exist for both diabetes and mental health problems, care services remain
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