PMID: 11925516Apr 2, 2002Paper

Safety, efficacy, and effects on glycemic control of electroconvulsive therapy in insulin-requiring type 2 diabetic patients

The Journal of ECT
Pamela J NetzelChristine M Lohse

Abstract

To determine the safety, efficacy, and effects on glycemic control of electroconvulsive therapy (ECT) in insulin-requiring type 2 diabetic patients. Chart review was conducted of 19 patients with insulin-requiring type 2 diabetes mellitus who underwent ECT at Mayo Clinic (Rochester, Minnesota) between 1993 and 2000. None of the patients received oral hypoglycemic drugs. Daily fasting blood glucose concentrations and daily insulin requirements were determined. For each patient, the daily insulin requirements before the first ECT treatment were compared with insulin requirements after the last ECT treatment. In addition, the insulin requirements 1 day before and 1 day after each ECT treatment (n = 143) were compared. Charts were reviewed for activity, appetite, and weight changes. The average change in daily insulin requirements 1 day before the initiation of ECT compared with 1 day after the completion of ECT was not statistically significant. Changes in dietary or activity levels correlated with fluctuations in insulin requirements in selected individuals. There were no significant changes in acute glycemic control associated with ECT. Our findings refute previous reports of dangerous hyperglycemia or improved glycemic control ...Continue Reading

References

Jul 1, 1992·The British Journal of Psychiatry : the Journal of Mental Science·K WilliamsD Nutt
Aug 1, 1986·Acta Psychiatrica Scandinavica·G E BerriosC D Lozano
Oct 1, 1985·Acta Psychiatrica Scandinavica·K L Rogers, H A Nasrallah
Oct 11, 1980·Lancet·O FakhriR M el Rawi
May 1, 1984·Psychosomatics·P S Normand, M A Jenike
Oct 1, 1984·Acta Psychiatrica Scandinavica·D H Finestone, R D Weiner
Sep 1, 1983·The Australian and New Zealand Journal of Psychiatry·A ThomasP Phillips
Jan 1, 1980·The American Journal of Psychiatry·S C Yudofsky, N E Rosenthal

❮ Previous
Next ❯

Citations

May 30, 2003·Current Psychiatry Reports·Eric J Christopher
Jul 23, 2013·Indian Journal of Endocrinology and Metabolism·Sanjay KalraK M Prasanna Kumar
Nov 23, 2005·The Journal of ECT·Keith G Rasmussen, Debra A Ryan
Jun 28, 2006·The Journal of ECT·Keith G RasmussenPaul S Mueller
Dec 21, 2013·Journal of Diabetes and Metabolic Disorders·Shirin Hasani-RanjbarBagher Larijani
Sep 9, 2008·Mayo Clinic Proceedings·Ronald Menaker, Rebecca S Bahn
Feb 19, 2005·Journal of Endocrinological Investigation·S DagdelenE Anil-Yagcioglu

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.