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Diabetes is on the rise in the United States as a direct result of poor dietary choices andsedentary lifestyles female cialis 20 mg fast delivery. The Centers for Disease Control estimates that one in three people born in the year 2000 and one in two minorities will develop diabetes in their lifetime cheap 10 mg female cialis otc. This is not good news and unfortunately buy 20mg female cialis free shipping, the news gets worse when a person has a psychiatric disorder generic female cialis 20 mg visa. People with chronic psychiatric disorders typically eat poorly buy female cialis 20 mg low price, exercise rarely, smoke more, have a lower income and tend to be overweight. But the primary reason those with psychiatric disorders are vulnerable to the disease is the use of certain antipsychotics that lead to the weight gain associated with diabetes. The goal of this article is for every reader to finish with a clear understanding of:and finally and most importantly, a thorough understanding of the term metabolic syndrome as it is the true link between diabetes and psychiatric disorders. The term psychiatric disorders is used throughout the article to indicate depression, bipolar disorder, schizoaffective disorder and schizophrenia as these diagnoses come with a higher risk of diabetes due to antipsychotic Pmedication use and symptoms that impair self-care. Those with other diagnoses such as anxiety or personality disorders will find the information helpful as well. Basic information and statistics throughout this section come from the Centers for Disease Control and the American Diabetes Association. The article also includes expert opinions and research from leading diabetes and mental health practitioners who all have interesting and sometimes differing opinions on how diabetes and psychiatric disorders are connected, but their information points in the same direction: the risk of diabetes is rising at an alarming rate in the mental health community and immediate change is needed. Learn about pre-diabetes, the last step before a diabetes diagnosis. Especially important for people taking antipsychotic medication. Also, info on insulin resistance and what the glucose test numbers really mean. In fact, there are two stages that a person passes through before receiving a type 2 diabetes diagnosis:People with pre-diabetes, a state between "normal" and "diabetes," are at a higher risk for developing diabetes, heart attacks, and strokes. This is very important information because those at risk of diabetes from high-risk antipsychotic drugs start with pre-diabetes. The main risk factor and sign of pre-diabetes in those with a psychiatric disorder is being overweight, especially around the middle. Please note that the topic of high risk antipsychotics is discussed extensively later in the article. When a person is insulin resistant, the pancreas is usually producing enough insulin, but for unknown reasons, the body cannot use it effectively. Insulin resistance is closely related to excess fat in the belly. If untreated, insulin production eventually decreases and a person is diagnosed with type 2 diabetes. One important problem to note is that those with insulin resistance and/or pre-diabetes may not have any diabetes symptoms except for a higher than normal, though not dangerous, blood glucose level. When we eat, our food breaks down into glucose (a sugar) so that our body can metabolize it as fuel. The glucose then passes into the bloodstream where it is used by cells for growth and energy. A hormone from the pancreas called insulin helps the glucose move into the cells. The terms glucose, insulin and metabolism form the basis of all diabetes knowledge and the complex interaction between the way glucose is either metabolized or not metabolized in the body leads to the two diabetes diagnoses. Type 1 is a genetic illness that involves a lack of insulin while type 2 is often the result of:There is a third kind of diabetes called gestational diabetes, where a mother becomes diabetic during pregnancy. This can result in high weight babies, diabetes in the child and other complications. This condition is often reversible, but can turn into type 2 diabetes without proper treatment. There are also other specific types of diabetes that arise from genetic syndromes, surgery, drugs, malnutrition, infections and other illnesses.

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Potential for Cognitive and Motor ImpairmentLatuda female cialis 20 mg line, like other antipsychotics generic 10mg female cialis with amex, has the potential to impair judgment order female cialis 10mg without prescription, thinking or motor skills buy female cialis 20 mg online. In short-term buy 10mg female cialis, placebo-controlled trials, somnolence was reported in 22. The frequency of somnolence increases with dose; somnolence was reported in 26. In these short-term trials, somnolence included: hypersomnia, hypersomnolence, sedation and somnolence. Patients should be cautioned about operating hazardous machinery, including motor vehicles, until they are reasonably certain that therapy with Latuda does not affect them adversely. Appropriate care is advised when prescribing Latuda for patients who will be experiencing conditions that may contribute to an elevation in core body temperature, e. The possibility of a suicide attempt is inherent in psychotic illness and close supervision of high-risk patients should accompany drug therapy. Prescriptions for Latuda should be written for the smallest quantity of tablets consistent with good patient management in order to reduce the risk of overdose. In short-term, placebo-controlled studies in patients with schizophrenia, the incidence of treatment-emergent suicidal ideation was 0. No suicide attempts or completed suicides were reported in these studies. Esophageal dysmotility and aspiration have been associated with antipsychotic drug use. Latuda is not indicated for the treatment of dementia-related psychosis, and should not be used in patients at risk for aspiration pneumonia. Clinical experience with Latuda in patients with certain concomitant systemic illnesses is limited [see Use in Specific Populations ]. Latuda has not been evaluated or used to any appreciable extent in patients with a recent history of myocardial infarction or unstable heart disease. Patients with these diagnoses were excluded from premarketing clinical studies [see Warnings and Precautions ]. Overall Adverse Reaction ProfileThe following adverse reactions are discussed in more detail in other sections of the labeling:Cerebrovascular Adverse Reactions, Including Stroke [see Warnings and Precautions ]The information below is derived from a clinical study database for Latuda consisting of over 2096 patients with schizophrenia exposed to one or more doses with a total experience of 624 patient-years. Of these patients, 1004 participated in short-term placebo-controlled schizophrenia studies with doses of 20 mg, 40 mg, 80 mg or 120 mg once daily. A total of 533 Latuda-treated patients had at least 24 weeks and 238 Latuda-treated patients had at least 52 weeks of exposure. Adverse events during exposure to study treatment were obtained by general inquiry and voluntarily reported adverse experiences, as well as results from physical examinations, vital signs, ECGs, weights and laboratory investigations. Adverse experiences were recorded by clinical investigators using their own terminology. In order to provide a meaningful estimate of the proportion of individuals experiencing adverse events, events were grouped in standardized categories using MedDRA terminology. The stated frequencies of adverse reactions represent the proportion of individuals who experienced at least once, a treatment-emergent adverse event of the type listed. Treatment-emergent adverse events were defined as adverse experiences, which started or worsened on or after the date of the first dose through seven days after study medication discontinuation. There was no attempt to use investigator causality assessments; i. It is important to emphasize that, although the reactions occurred during treatment with Latuda, they were not necessarily caused by it. The label should be read in its entirety to gain an understanding of the safety profile of Latuda. The figures in the tables and tabulations cannot be used to predict the incidence of side effects in the course of usual medical practice where patient characteristics and other factors differ from those that prevailed in the clinical studies. Similarly, the cited frequencies cannot be compared with figures obtained from other clinical investigations involving different treatment, uses and investigators. The cited figures, however, do provide the prescriber with some basis for estimating the relative contribution of drug and nondrug factors to the adverse reaction incidence in the population studied. The following findings are based on the short-term placebo-controlled premarketing studies for schizophrenia in which Latuda was administered at daily doses ranging from 20 to 120 mg (n = 1004).

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