Is Your Physician Monitoring You For Diabetes Risk? - The Bipolar Question of the Week
Ask any woman who has taken an antipsychotic medication (most noticeably Zyprexa or Clozaril) and she will give you a story about going up three dress sizes in six months. Men have their own versions of the story.
According to findings from the NIMH CATIE antipsychotic trials published in 2006:
Physicians should be aware of the propensity of these drugs to increase the risks of cardiovascular disease and diabetes in treated patients and tailor individual treatment decisions accordingly.
In 2004, the American Psychiatric Association and the American Diabetes Association issued a consensus guideline that recommended these procedures for doctors putting their patients on an antipsychotic, namely:
- Getting a medical history (at baseline and week 12, and annually).
- Weighing the patient (at baseline, weeks 4, 8, 12, and every three months after, and annually).
- Measuring waist circumference (at baseline, week 12, and annually).
- Taking blood pressure (at baseline, week 12, and annually).
- Taking fasting glucose (at baseline, week 12, and annually).
- Taking fasting lipids (at baseline, week 12, and annually).
My question: For those of you taking an antipsychotic medication, has your prescribing physician adhered to these guidelines? Has he or she even come close? Has he or she at least weighed you or measured waist circumference?