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Oral glucose tolerance tests in schizophrenic patients treated with antipsychotics
De Hert, Marc; Van Eyck, Dominique; Hermans, Gilberte et al.
2004In International Journal of Neuropsychopharmacology, 7 (Suppl. 1), p. 424
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Keywords :
Schizophrenia; Diabetes; Metabolic syndrome;; Antipsychotics
Abstract :
[en] Objective. –A recent consensus conference has proposed guidelines for the monitoring for diabetes in patients with schizophrenia and also identifies the need of long-term prospective studies. Method. – A large scale prospective study on metabolic risks of antipsychotic medication is currently ongoing. At baseline, patients get a full laboratory screening, ECG and an oral glucose tolerance test (OGTT). Baseline data on 100 non-diabetic patients at study inclusion and stable on medication for at least 6 months are presented. Results. – Glucose abnormalities are found in 22% of patients at baseline.A monitoring protocol based only on fasting glucose would not have detected 63.6% of these patients with classifiable glucose abnormalities in our sample. Fasting insulin and measures for insulin resistance have a high predictive value for abnormalities late in the OGTT. Conclusion. – Already at baseline, metabolic problems are frequently present in patients with schizophrenia treated with antipsychotics. Adding assessment of fasting insulin in a monitoring protocol improves detection of glucose abnormalities late in an OGTT.
Disciplines :
Neurosciences & behavior
Neurology
Author, co-author :
De Hert, Marc
Van Eyck, Dominique
Hermans, Gilberte ;  Centre Hospitalier Universitaire de Liège - CHU > Anatomie pathologique
Peuskens, Hendrik
Wampers, Martien
de Patoul, A.
Hanssens, L.
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Peuskens, Jozef
Language :
English
Title :
Oral glucose tolerance tests in schizophrenic patients treated with antipsychotics
Publication date :
June 2004
Journal title :
International Journal of Neuropsychopharmacology
ISSN :
1461-1457
eISSN :
1469-5111
Publisher :
Cambridge Univ Press, New York, United States - New York
Volume :
7
Issue :
Suppl. 1
Pages :
S424
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
© 2005 Elsevier SAS. All rights reserved.
Available on ORBi :
since 10 December 2008

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