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Prim Care Diabetes. 2018 Aug;12(4):289-304. doi: 10.1016/j.pcd.2018.03.008. Epub 2018 Apr 27.

Improving diabetes care among patients with severe mental illness: A systematic review of the effect of interventions.

Author information

1
Section for General Medical Practice, Department of Public Health, Aarhus University, Denmark; Research Unit for General Practice, Department of Public Health, Aarhus University, Denmark. Electronic address: olenius@live.dk.
2
Section for General Medical Practice, Department of Public Health, Aarhus University, Denmark; Research Unit for General Practice, Department of Public Health, Aarhus University, Denmark.
3
Diabetes Research Centre, Leicester General Hospital, Leicester, United Kingdom.
4
Diabetes Research Centre, Leicester General Hospital, Leicester, United Kingdom; Los Alpes Primary Care Centre, Spanish National Health Service, Madrid, Spain.
5
Centro de Salud de San Antón, Cartagena, Murcia, Spain.

Abstract

BACKGROUND AND AIM:

Individuals with severe mental illness (SMI) who suffer from type 2 diabetes (T2DM) are likely to be sub-optimally treated for their physical condition. This study aimed to review the effect of interventions in this population.

METHODS:

A systematic search in five databases was conducted in July 2017.

RESULTS:

Seven studies on multi-faced interventions were included. These comprised nutrition and exercise counselling, behavioural modelling and increased disease awareness aiming to reduce HbA1c, fasting plasma glucose, body mass index and weight.

CONCLUSION:

Non-pharmacologic interventions in individuals with SMI and T2DM could possibly improve measures of diabetes care, although with limited clinical impact.

KEYWORDS:

Diabetes; Intervention; Severe mental illness; Systematic review; T2DM

PMID:
29709403
DOI:
10.1016/j.pcd.2018.03.008
[Indexed for MEDLINE]

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