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A survey of monitoring of weight and blood glucose in in-patients

^*Marie Boilson Specialist Registrar in Psychotherapy & General Adult Psychiatry,Tayside Primary Care NHS Trust, Caseview Centre, 4 Tom McDonald Avenue, Dundee DD2 1NH, Ross J. Hamilton Consultant Psychiatrist, Grampian Primary Care Trust, Royal Cornhill Hospital, Aberdeen AB25 2ZH

AIMS AND METHOD

The aim of this survey was to look at current practice in monitoring weight and glucose control in in-patients being prescribed antipsychotic medications. Records for 51 patients admitted with psychotic illnesses to a large teaching hospital during a 3-month interval were surveyed.

RESULTS

Fifty-five per cent of patients had no record of weight taken on admission to hospital. Only one patient had their weight repeated during the admission. Forty-nine per cent of patients had random blood glucose checked on admission. No fasting levels were performed.

CLINICAL IMPLICATIONS

Weight gain and hyperglycaemia associated with antipsychotic prescription are well-recognised side-effects. These results suggest that standardisation of weight measurement and blood glucose monitoring is required.

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