Abstract

Double jeopardy: diabetes and severe mental illness. Addressing the special needs of this vulnerable group

Author(s): Elizabeth Blanchard & Katherine Samaras

Severe mental illness (schizophrenia, bipolar disorder and severe depression) carry a substantial physical health burden, unmet health needs and a 20-year mortality gap. Severe mental illness is also characterized by significantly higher rates of incident diabetes with poorer glycemic, lipid and hypertension control. Treatment disparities are also evident. This review examines the double jeopardy of severe mental illness and diabetes mellitus, which together promote premature vascular mortality and additional physical health burden in this vulnerable population. The review considers the guidelines, models of care and evidence to support early intervention in this vulnerable group, to either prevent diabetes or optimize its management when present.