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A survey of monitoring of weight and blood glucose in in-patients

  • Marie Boilson (a1) and Ross J. Hamilton (a2)
Abstract
Aims and Method

The aim of this survey was to look at current practice in monitoring weight and glucose control in in-patients being prescribed antipsychotic medications. Records for 51 patients admitted with psychotic illnesses to a large teaching hospital during a 3-month interval were surveyed.

Results

Fifty-five per cent of patients had no record of weight taken on admission to hospital. Only one patient had their weight repeated during the admission. Forty-nine per cent of patients had random blood glucose checked on admission. No fasting levels were performed.

Clinical Implications

Weight gain and hyperglycaemia associated with antipsychotic prescription are well-recognised side-effects. These results suggest that standardisation of weight measurement and blood glucose monitoring is required.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Allison, D. B., Mentore, J., Heo, M., et al (1999) Antipsychotic-induced weight gain: a comprehensive research synthesis. American Journal of Psychiatry, 156, 16861696.
Baptista, T. (1999) Body weight-gain induced by antipsychotic drugs: mechanisms and management. Acta Psychiatrica Scandinavica, 100, 316.
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Committee on Safety of Medicines (2002) Olanzapine (Zyprexa) and diabetes. Current Problems in Pharmacovigilance, 28 (April), 3.
Fakhoury, W. K. H., Wright, D. & Wallace, M. (2001) Clinicians should pay more attention to weight gain and cognitive impairment as adverse effects of antipsychotic medication. (Press release 10 July 2001.) London: Royal College of Psychiatrists. http://www.rcpsych.ac.uk/press/preleases/pr/pr_209.htm
Haupt, D.W. & Newcomer, J.W. (2001) Hyperglycaemia and antipsychotic medications. Journal of Clinical Psychiatry, 62 (suppl. 27), 1526.
Kurzthaler, I. & Fleischhacker, W.W. (2001) The clinical implications of weight gain in schizophrenia. Journal of Clinical Psychiatry, 62 (suppl.7), 3237.
Mir, S. Taylor, D. (2001) Atypical antipsychotic and hyperglycemia. International Clinical Psychopharmacology, 16, 6374.
Wetterling, T. (2001) Bodyweight gain with atypical antipsychotics, a comparative review. Drug Safety, 24, 5973.
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A survey of monitoring of weight and blood glucose in in-patients

  • Marie Boilson (a1) and Ross J. Hamilton (a2)
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