A Study On Association Between Type-2 Diabetes Mellitus And Mental Disorders

Diabetes mellitus (DM) is a chronic metabolic disorder that hinders the body's ability to use carbohydrates adequately while lipid metabolism is altered, that forces energy production on protein and metabolic compensation. In several aspects it is thought-about as psycho-somatic disease. Some mental disorders, particularly depression, are more common in diabetic patients compared to the remainder of the population. DM affects psyche of the patients, however at the same time, psychological state of the patients influences the course of diabetes. The causative links are completely different depending on the type of diabetes and mental disorder. Nonetheless, the association is determined on grade of emotions and mental processes, however additionally in biochemical and hormonal aspects. The importance of treatment adherence determines the health outcomes of patients with T2 DM (Type 2 Diabetes mellitus) and the difficulties that a lot of patients have in achieving diabetes treatment goals considers the role of psychopathology in patients with T2DM. The treatment of diabetes needs changes in health behavior and intensive self-management of treatment. The first objective of the current study is to check the association between Type 2 DM and mental disorders also to check the medication prescribing patterns in patients with Type 2 DM and mental disorders. Descriptive observational study was conducted for a period of 3 months at the psychiatry department of a tertiary care Hospital in Thrissur, Kerala, India after obtaining the ethical clearance. In - patients who were willing to take part in the study were included in the study. a total of one hundred patients were chosen for the study. Study materials used were hospital medical records of the patients. Maximum number of patients were found to be in the age group of 40-50 years. Most patients had duration of DM for 1-5 years psychiatric disorders also for 1-5 years. This shows that there could also be an association between type 2 DM and mental disorders. The mean FBS&RBS of patients were 165.52mg/dl and 239.83mg/dl the most frequently used medications were Tab. metformin 500 mg to treat DM. and Tab. lorazepam 2 mg for psychiatric disorders. Most patients had a duration of DM for 1-5 years & duration of psychiatric disorders also for 1-5 years. Which emphasized that the first few years of treatment was crucial for both type 2 DM as well as for mental disorders. This study concludes that there may be a association between type 2 DM and mental disorders and the role of psychological counseling cannot be ruled out for patients with type 2 DM.