%0 Journal Article
%T Diabetes and impaired fasting glucose in Sri Lankan patients with schizophrenia
%A Raveen Hanwella
%A Varuni de Silva
%J Sri Lanka Journal of Psychiatry
%D 2010
%I Sri Lanka College of Psychiatrists
%X Background: Type 2 diabetes is commoner among South Asians than Europeans. The few studies of South Asian patients with schizophrenia have found increased prevalence of diabetes. Aims: To determine prevalence of diabetes and impaired fasting glucose among patients with schizophrenia presenting to an acute psychiatry unit. Methods: The sample consisted of all patients with ICD-10 diagnosis of schizophrenia admitted to an acute psychiatry unit during one year. Data was obtained by retrospective review of patients¡¯ records. Diabetes was diagnosed according to the American Diabetes Association criteria when fasting plasma glucose (FPG) was ¡Ý 7.0 mmol/l. Impaired fasting glucose (IFG) was diagnosed when FPG was ¡Ý5.6 mmol/l but <7.0 mmol/l. Results: Of the 164 patient records reviewed 104 (63.4%) had a recorded FPG level. There was no significant difference in age, gender and treatment between patients tested and not tested. Of the sample 28 (26.9%) were antipsychotic naive and 76 (73.1) had been treated previously. Mean age of the sample was 35.1 years (SD 12.7). Diabetes was diagnosed in 15 patients. Overall prevalence was 14.4% (females 11.4%, males 16.7%). Prevalence of IFG was 26%. Diabetes rates were highest (26.9%) among 30-39 year age group and IFG rates were highest (54.5%) among 50-59 year age group. Conclusions: Prevalence of diabetes and IFG is higher compared to the general population of Sri Lanka (10.3% and 11.5%) but similar to that of Caucasian patients with schizophrenia. Due to the high risk of dysglycaemia FPG should be done in all patients with schizophrenia.
%K diabetes
%K schizophrenia
%K Sri Lanka
%U http://www.sljol.info/index.php/SLJPSYC/article/view/2576