title: [General rules of the management of diabetes with psychiatric disorders].
abstract: BACKGROUND
  Psychiatric disorders appear to be frequent in patients with diabetes mellitus. The presence of psychiatric co-morbidity may affect adherence to medication and self-care regimes.
  
  
  OBJECTIVE
  To establish rules of the management of diabetes among people with psychiatric disorders.
  
  
  METHODS
  Literature review on the PUBMED database using the following keywords: diabetes, psychiatric disorders, anti-psychotics, complications.
  
  
  RESULTS
  Psychiatric disorders appear to be frequent in patients with diabetes mellitus. Their presence is associated with poor glycemic control and more diabetes complications. This negative effect may be increased by taking atypical antipsychotics which expose to several metabolic effects such as overweight, insulin resistance, hyperglycemia, Type 2 diabetes and dyslipidemia.
  
  
  CONCLUSIONS
  The management of diabetes among people with psychiatric disorders should be multidisciplinary including internist, diabetologist, psychiatrist, and paramedical staff. This treatment includes medical (anti-diabetics, anti-psychotics) and psychotherapeutic interventions through which we can have better glycemic control and decreased rates of diabetes complications.
authors.affiliation: Service de Medecine Interne, Hopital Razi, La Manouba, Tunisie.
authors.forename: Naziha
authors.initials: N
authors.lastname: Khammassi
authors.forename: Abdelhedi
authors.initials: A
authors.lastname: Haykel
authors.forename: Ouahida
authors.initials: O
authors.lastname: Cherif
mesh_terms: D014150:Antipsychotic Agents / Q000008:administration & dosage / Q000009:adverse effects; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000628:therapy*; D006801:Humans; D001523:Mental Disorders / Q000150:complications* / Q000628:therapy
chemical_list: D014150:Antipsychotic Agents