Diabetes And The Dual Diagnosis Of Diabetes

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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 the lines of cause and effect, patients diagnosed with serious mental illness are at greater risk for the development of diabetes due to prescribed psychiatrist medications. 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 provider patient relationship. Diabetes and mental illness crosses racial, cultural, ethnic and social boundaries, through…show more content…
Whereas comorbidities associated with diabetes are preventable such as hypertension, lipid abnormalities and obesity, the lack of data for the additional comorbidity of mental illness, often overlooked by health care providers, potentiates the development of comorbidities. According to Dickerson, Wohlheiter, Medoff, Fang, Kreyenbuhl, Goldberg, Brown and Dixon, (2011) patient reported data for mental illness, with 9 to 14 % having schizophrenia and the remainder comprising bipolar disorder and depression, have twice the risk to develop diabetes.
(Green, L., Gazmarian, J., Rask, K., & Druss, B., 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 combined increased prevalence of sedentary lifestyle, poor diet, obesity, smoking, drug and alcohol use in the mentally ill contribute to increased comorbid conditions ( RICHARD GOLDBERG 2007, p. 536) Likewise, according to Harkness, E., Macdonald, W., Valderas, J., Coventry, P., Gask, L., & Bower, P.(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 separate for diabetes and mental health problems. Unfortunately, the lack of integration and coordination of care
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