Effects of ECT on diabetes mellitus

Finestone, Douglas H.; Weiner, Richard D.

doi:10.1111/j.1600-0447.1984.tb01216.x

Cited by 23 publications

(3 citation statements)

References 9 publications

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“…[153] Reports of ECT leading to dangerous hyperglycemia in a previously non-diabetic patient suggested the possibility of an unmasking or exacerbation of diabetic pathology during a course of ECT. [154] But, another more recent study included 19 patients with insulin-requiring T2DM undergoing ECT, none of whom were on oral hypoglycemic drugs.…”

Section: Psychiatric Managementmentioning

confidence: 99%

National recommendations: Psychosocial management of diabetes in India

Kalra

Sridhar

Balhara

et al. 2013

Indian J Endocr Metab

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Although several evidence-based guidelines for managing diabetes are available, few, if any, focus on the psychosocial aspects of this challenging condition. It is increasingly evident that psychosocial treatment is integral to a holistic approach of managing diabetes; it forms the key to realizing appropriate biomedical outcomes. Dearth of attention is as much due to lack of awareness as due to lack of guidelines. This lacuna results in diversity among the standards of clinical practice, which, in India, is also due to the size and complexity of psychosocial care itself. This article aims to highlight evidence- and experience-based Indian guidelines for the psychosocial management of diabetes. A systemic literature was conducted for peer-reviewed studies and publications covering psychosocial aspects in diabetes. Recommendations are classified into three domains: General, psychological and social, and graded by the weight they should have in clinical practice and by the degree of support from the literature. Ninety-four recommendations of varying strength are made to help professionals identify the psychosocial interventions needed to support patients and their families and explore their role in devising support strategies. They also aid in developing core skills needed for effective diabetes management. These recommendations provide practical guidelines to fulfill unmet needs in diabetes management, and help achieve a qualitative improvement in the way physicians manage patients. The guidelines, while maintaining an India-specific character, have global relevance, which is bound to grow as the diabetes pandemic throws up new challenges.

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Section: Psychiatric Managementmentioning

confidence: 99%

National recommendations: Psychosocial management of diabetes in India

Kalra

Sridhar

Balhara

et al. 2013

Indian J Endocr Metab

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“…It is a common error to assume that the depression is 'understandable under the circum stances' and not to attempt to treat it. Depression in people with diabetes has been demonstrated to respond to antidepressant medication and to electroconvulsive therapy (Kaplan et al, 1960;Fakhri et al, 1980;Turkington, 1980;Finestone & Weiner, 1984).…”

Section: Treatment Of Depression In Diabetesmentioning

confidence: 99%

Psychiatric aspects of diabetes mellitus

Trigwell¹,

Peveler²

1998

Adv. psychiatr. treat

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In 1899, Maudsley wrote:“Diabetes is a disease which often shows itself in families in which insanity prevails: whether one disease predisposes in any way to the other or not, or whether they are independent outcomes of a common neurosis, they are certainly found to run side by side, or alternately with one another more often than can be accounted for by accidental coincidence or sequence”.Recent research confirms that a range of psychological problems and psychiatric disorders are common in people with diabetes. Such problems are important not only because of the suffering caused, but also because of their impact upon the management and outcome of the diabetes itself. This article reviews the psychosocial impact of diabetes and its treatment, describes the range of psychological problems and psychiatric disorders which commonly occur in people with diabetes, and outlines the role of the psychiatrist in the recognition and management of these clinical problems.

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“…There is controversy about the effects of electroconvulsive therapy (ECT) on glucose homoeostasis and diabetes. 11 When ECT is performed on individuals without diabetes, transient hyperglycaemia may occur 12 ; it causes minimal alterations in type 2 diabetes, but in patients with pre-existing type 1 diabetes, it may provoke dangerous hyperglycaemia. 11 Hyperglycaemia following ECT has been reported in an adult without known pre-existing diabetes, but with known risk factors, who became insulin dependent.…”

Section: Discussionmentioning

confidence: 99%

Diabetes unmasked by electric shock

Kane

2002

Archives of Disease in Childhood

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Effects of ECT on diabetes mellitus

Cited by 23 publications

References 9 publications

National recommendations: Psychosocial management of diabetes in India

National recommendations: Psychosocial management of diabetes in India

Psychiatric aspects of diabetes mellitus

Diabetes unmasked by electric shock

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