title: Diabetes and Schizophrenia.
abstract: People with schizophrenia have 2- to 5-fold higher risk of type 2 diabetes than the general population. The traditional risk factors for type 2 diabetes, especially obesity, poor diet, and sedentary lifestyle, are common in people with schizophrenia already early in the course of illness. People with schizophrenia also often have low socioeconomic status and income, which affects their possibilities to make healthy lifestyle choices. Antipsychotic medications increase the risk of type 2 diabetes both directly by affecting insulin sensitivity and indirectly by causing weight gain. Lifestyle modification interventions for prevention of diabetes should be an integral part of treatment of patients with schizophrenia. In the treatment of type 2 diabetes in patients with schizophrenia, communication and collaboration between medical care and psychiatric treatment providers are essential.
authors.affiliation: Mental Health Unit, National Institute for Health and Welfare, P.O.BOX 30, 00271, Helsinki, Finland. jaana.suvisaari@thl.fi.
authors.forename: Jaana
authors.initials: J
authors.lastname: Suvisaari
authors.affiliation: Mental Health Unit, National Institute for Health and Welfare, P.O.BOX 30, 00271, Helsinki, Finland. jaakko.keinanen@thl.fi.
authors.forename: Jaakko
authors.initials: J
authors.lastname: Keinänen
authors.affiliation: Mental Health Unit, National Institute for Health and Welfare, P.O.BOX 30, 00271, Helsinki, Finland. saana.eskelinen@hus.fi.|Kellokoski Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. saana.eskelinen@hus.fi.
authors.forename: Saana
authors.initials: S
authors.lastname: Eskelinen
authors.affiliation: Mental Health Unit, National Institute for Health and Welfare, P.O.BOX 30, 00271, Helsinki, Finland. outi.mantere@douglas.mcgill.ca.|Douglas Mental Health University Institute, Pavillon Newman - 6875, boul. laSalle, Montréal, Québec, Canada, H4H 1R3. outi.mantere@douglas.mcgill.ca.
authors.forename: Outi
authors.initials: O
authors.lastname: Mantere
mesh_terms: D000818:Animals; D001521:Behavior Therapy; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000453:epidemiology; D006801:Humans; D008019:Life Style; D009765:Obesity / Q000188:drug therapy; D012307:Risk Factors; D012559:Schizophrenia / Q000453:epidemiology; D015430:Weight Gain
keywords: Diabetes; Prevention; Risk factors; Schizophrenia; Treatment