The Importance of Metabolic Monitoring

Date: 06/28/24

Antipsychotic medications can elevate the risk for developing metabolic syndrome.  Metabolic syndrome is a cluster of signs and symptoms, including insulin resistance, dyslipidemia, and hypertension, that increases subsequent risk of type 2 diabetes, heart disease, and stroke. An increased level of physical activity, improved sleep, and a well-balanced diet, as well as metabolic lab testing are proven interventions that can reduce the risk.1  

Provider Tips

• Complete a full comprehensive exam before diagnosing and prescribing.  
• Discuss weight management options, physical activity, sleep, and a well-balanced diet.   
• Educate patients and their caregivers on the importance of completing annual visits and blood work. 
• To increase compliance, consider using standing orders to get HbA1c and LDL-C lab tests.  
• Verify the lab is contracted with the health plan to ensure the patient will not incur unnecessary charges.  
• Maintain appointment availability and schedule follow-up visits before the patient leaves the office.  
• Discuss the importance of disease management, medication adherence and lab work.  
• Coordinate care with all medical and behavioral health providers. 
• Partner with the health plan, address barriers, and refer patients and caregivers to community-based and Case Management services.  

Measures 

• Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) 
• Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are Using Antipsychotic Medications (SSD) 
• Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia (SMC) 
• Diabetes Monitoring for People with Diabetes and Schizophrenia (SMD)  

Additional Support: 

• National Alliance on Mental Illness (NAMI)
• American Heart Association
• Substance Abuse and Mental Health Services Administration (SAMHSA) Website

Source: 1. National Library of Medicine: Ment Health Clin. 2021 Nov; 11(6): 311–319.