Undiagnosed Diabetes Mellitus and Associated Factors among Psychiatric Patients Receiving Antipsychotic Drugs at The University of Gondar Hospital, Northwest Ethiopia.

Journal: Ethiopian journal of health sciences

Volume: 28

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  Department of Clinical Chemistry, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. University of Gondar Hospital Laboratory, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Abstract summary 

Undiagnosed diabetes mellitus cases are at higher risk for diabetic related complications. In low-income African countries, patients with undiagnosed diabetes mellitus account for 75% of diabetes cases. Psychiatric disorders have a greater impact on the global burden of diseases and disability associated with chronic diseases like diabetes mellitus and cardiovascular diseases.Institution based cross-sectional study was conducted at the University of Gondar Hospital from February to April 2016. A total of 205 psychiatric patients aged above 15 years that were taking antipsychotic were included by the simple random sampling method. Fasting blood glucose, triglycerides and cholesterol level were determined from venous blood samples to evaluate diabetes mellitus based on WHO criteria.Among 205 psychiatric patients taking antipsychotics, 15(7.3%) had undiagnosed diabetes mellitus. Duration of antipsychotic treatment and sex had a statistically significant association with the prevalence of undiagnosed diabetes mellitus. As the duration of antipsychotic drug treatment increased by one year, the risk of having a diabetes mellitus increase by 1.47 times (AOR: 1.47 CI: 1.021-2.125).The prevalence of undiagnosed diabetes mellitus among psychiatry patients taking antipsychotics was higher than the estimated diabetes national prevalence of Ethiopia. Screening of diabetes mellitus in particular, patients having a longer duration of antipsychotic treatment is mandatory to bring more undiagnosed cases for medical attention.

Authors & Co-authors:  Asmelash Daniel D Getnet Wondale W Biadgo Belete B Ambachew Sintayehu S Melak Tadele T Melese Lemmesa L Damite Shiwaneh S Baynes Habtamu Wondifraw HW Abebe Molla M

Study Outcome 

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Statistics
Citations :  Association AD, author. Diagnosis and classification of diabetes mellitus. Diabetes care. 2014;37(Supplement 1):S81–S90.
Authors :  9
Identifiers
Doi : 
SSN : 2413-7170
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Antipsychotic;Diabetes mellitus;Psychiatric disorder
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Ethiopia