Type 2 & other diabetes

Antidepressant and antipsychotic drug prescribing and diabetes outcomes: A systematic review of observational studies

Diabetes Res Clin PractPublished Systematic review of observational studies

Authors' conclusion

Studies of antidepressant and antipsychotic drug prescribing in relation to diabetes outcomes are scarce, with shortcomings and mixed findings. Until further evidence is available, people with diabetes prescribed antidepressants and antipsychotics should receive monitoring and appropriate treatment of risk factors and screening for complications as recommended in general diabetes guidelines.

Study context

Population
People with T2D; PubMed, EMBASE and PsycINFO searched to 15th August 2022
Participants
18 studies
Comparison
Antidepressant or antipsychotic drug prescribing and T2D outcomes
  • Antidepressantsn = 14
  • Antipsychoticsn = four
Outcome
Diabetes outcomes
Methodological detailsnarrative synthesis, Newcastle-Ottawa scale quality assessment
  • Narrative synthesis
  • Newcastle-Ottawa scale quality assessment

Pooled result

As reported in the abstract

  • Antidepressant prescribing may be associated with increased risk of macrovascular disease
  • Evidence on antidepressant and antipsychotic prescribing and glycaemic control was mixed
  • Few studies reported microvascular outcomes and risk factors other than glycaemic control
  • 11 cohort, 1 self-controlled before and after, 2 case-control, 4 cross-sectional studies; variable quality, highly heterogeneous

Original publication

Antidepressant and antipsychotic drug prescribing and diabetes outcomes: A systematic review of observational studies. Diabetes Res Clin Pract. Published 31 March 2023. doi:10.1016/j.diabres.2023.110649

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