Metabolic Profile in Psychiatry By Prof Roger Chen
Associate Professor and Endocrinologist, Roger Chen is Director of Diabetes Services and Senior Staff Specialists in the Department of Endocrinology and Metabolism in Concord Hospital, Sydney. His clinical interests are in general endocrinology, osteoporosis, and diabetes. His research interests include diabetes prevention, diabetes complications, and the relationship with mental illness.
…and the trouble is the antipsychotics are such complicated drugs that act on multiple systems…
If the patient wants to have it [surgery]… and they indicate they want it, that is the way to go, there is no doubt that surgery is the most effective way to lose weight.
Prof Chen opens this concluding presentation acknowledging the existing communication problems between endocrinologists and psychiatrists, and the lack of any public health intervention in diabetes.
This session takes the form of a discussion with the audience, addressing the limitations of the system which looks after patients, and how different physicians treat diabetes within the psychiatric patient population.
- There is a lack of public health initiatives in diabetes.
- Metformin is not recommended in young females who are premenstrual, and care needs to be taken regarding fertility to avoid unplanned pregnancy.
- It is important for physicians to link with nurses and other professionals to develop a treatment pathway for dealing with diabetes in psychiatric patients – often challenging in rural practices.