Comorbid Diabetes and Severe Mental Illness: Outcomes in an Integrated Health Care Delivery System.

ABSTRACT:

Background

Diabetes prevalence is twice as high among people with severe mental illness (SMI) when compared to the general population. Despite high prevalence, care outcomes are not well understood.

Objective

To compare diabetes health outcomes received by people with and without comorbid SMI, and to understand demographic factors associated with poor diabetes control among those with SMI.

Design

Retrospective cohort study PARTICIPANTS: 269,243 adults with diabetes MAIN MEASURES: Primary outcomes included optimal glycemic control (A1c < 7) or poor diabetes control (A1c > 9) in 2014. Secondary outcomes included control of other cardiometabolic risk factors (hypertension, dyslipidemia, smoking) and recommended diabetes monitoring.

Key results

Among this cohort, p

SUBMITTER: Mangurian C 

PROVIDER: S-EPMC6957587 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature