Psychiatric Care of The Patient With Diabetes
Treatment of diabetes and hyperglycemia in the inpatient setting has evolved significantly over the past decade as data have emerged from several prospective, randomized clinical trials, suggesting improved patient outcomes, primarily in the critical care setting, when glucose is managed intensively.
Dysregulated blood glucose and its metabolic sequelae have well-established cognitive effects. The effects of diabetes seem to be most clinically relevant at critical time periods, namely when the brain undergoes developmental change during childhood and during neurodegenerative processes of old age. Cognitive dysfunction is associated with poor diabetes self-care, therefore requiring greater dependency on others
DepressionDepression in diabetes is associated with adverse psychosocial and medical outcomes, including poor adherence to dietary and medication treatment, functional impairment, poor glycemic control, increased risk of diabetic complications such as micro- and macrovascular disease, increased medical costs, and mortality.
A new diagnosis of a chronic illness is inherently stressful. It is common to mourn the loss of healthy life potential to face challenges in adapting to the management of a chronic illness and to cope with associated disabilities. Jacobson described the stages of adaptation specific to diabetes, which include (1) adjustment to the onset
Diabetes mellitus (DM) is an increasingly prevalent and complex chronic illness with significant psychosocial and psychiatric ramifications. Stress and psychiatric illness can contribute to the development of the disease itself, via neurohormonal pathways and the side effects of psychiatric medication treatment, and psychiatric symptoms and disorders are prevalent and can have profound effects on the