July 19, 2021
Diabetes and Cardiovascular Disease Screening and Monitoring for People With Schizophrenia or Bipolar Disorder
It is well established that adults with serious mental illness, including schizophrenia and bipolar disorder, have a higher mortality rate than the overall general population. The prevalent cardiovascular risk factors in this population are diabetes, obesity, dyslipidemia, and hypertension. These risk factors are driven by decreased physical activity, poor diet, higher rates of smoking, and side effects of commonly prescribed antipsychotic medications.
Diabetes is also very common in patients with severe mental illness. Antipsychotic medications used for the treatment of these conditions are associated with weight gain, impaired glucose metabolism, exacerbation of existing diabetes and dyslipidemia.
For these reasons, it is very important to screen for and monitor existing cardiovascular disease and diabetes in adults with severe mental illness. Health Partners Plans (HPP) has identified members with a diagnosis of serious mental illness who need specific screenings for the above comorbidities. A list of members has been posted in NaviNet for your review:
- Adults 18–64 years of age with schizophrenia or bipolar disorder, who were dispensed an antipsychotic medication and require diabetes screening test
- Adults 18–64 years of age with schizophrenia and cardiovascular disease and require an LDL test
Please follow up with these patients to discuss the importance of adequate screening and continuous monitoring for their mental and physical wellbeing.
HPP can help members with serious mental illness and comorbidities and/or significant barriers to treatment. Please call 215-845-4797 (8:00 a.m. to 4:30 p.m., Monday – Friday) to refer members who need assistance to our Clinical Programs teams.