{"id":1209,"date":"2016-03-18T12:54:44","date_gmt":"2016-03-18T10:54:44","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1209"},"modified":"2016-03-18T12:54:44","modified_gmt":"2016-03-18T10:54:44","slug":"diabetes-and-mental-illness-challenges-and-practical-progress","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1209","title":{"rendered":"Diabetes and Mental Illness Challenges and practical progress"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1603-march-2016\/index.html\" target=\"_blank\">Diabetes and Mental Illness Challenges and practical progress \u2013 MM1603<\/a><\/p>\n<p>Severe mental illnesses are associated with premature death and accelerated<br \/>\ncardiometabolic disease. Diabetes contributes substantially to the health burden\u00a0in severe mental illness, with glycaemic, lipid and hypertension control often\u00a0below the targets accepted as standard of care. Treatment disparities and unmet\u00a0health needs are common and contribute to poorer health outcomes.<\/p>\n<p>Screening for diabetes with measurement of fasting glucose levels and\/or<br \/>\nHbA1c should be undertaken every six months in people with severe mental<br \/>\nillness. If weight gain occurs in this group, lifestyle strategies to prevent diabetes\u00a0should be undertaken, with support and follow up.<\/p>\n<p>People with severe mental illness and diabetes should be considered as a<br \/>\n\u2018special needs\u2019 group, requiring longer, more frequent appointments with regula\u00a0follow up. Assumptions should not be made about a patient\u2019s healthy behaviour\u00a0literacy, access to healthy food and food preparation facilities and knowledge\u00a0and skill sets necessary to prepare healthy meals. People with severe mental\u00a0illness and diabetes may require supported training in these areas.<\/p>\n<p><em>Modern Medicine \u2013 March\u00a02016<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Diabetes and Mental Illness Challenges and practical progress \u2013 MM1603 Severe mental illnesses are associated with premature death and accelerated cardiometabolic disease. Diabetes contributes substantially to&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[9,13],"tags":[],"class_list":["post-1209","post","type-post","status-publish","format-standard","hentry","category-diabetes","category-psychiatry"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-jv","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1209","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1209"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1209\/revisions"}],"predecessor-version":[{"id":1210,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1209\/revisions\/1210"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1209"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1209"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}