Acute Psychosis and Type 2 Diabetes Mellitus: Should Screening Guidelines Be Revised?



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Although psychosis increases the risk for developing type 2 diabetes, the temporal relationship between the onset of psychosis and the onset of diabetes has not been studied. We present 6 cases of acute psychosis, which led to the new diagnosis of type 2 diabetes during inpatient psychiatric admission within days to weeks of the psychotic episode. The implications of these findings and the efficacy of current diabetes screening guidelines are discussed.

Primary Care Companion CNS Disord 2011;13(1):e1–e5

Submitted: April 25, 2010; accepted September 1, 2010.

Published online: February 17, 2011 (doi:10.4088/PCC.10br01006).

Corresponding author: Leah K. Bauer, MD, Massachusetts General Hospital, 15 Parkman St, Wang 812, Boston, MA 02144 (

Primary Care Companion CNS Disord 2011;13(1):e1-e5