Mental health screening in patients with type-2 diabetes mellitus

Abstract

Background: In the world, according to the World Health Organization (WHO), type-2 diabetes mellitus (DM) is very prevalent and causes a serious biological and psychosocial impact, for this reason, it is necessary to avoid its appearance and cardiovascular, metabolic, osteomuscular, joint and mental health complications, the latter has also become a public health problem. Objective: this review article provide knowledge from the social determinants of health and risk factors for mental health in patients with type-2 DM, mental health screening tools and intervention strategies. Methods: The literature search was carried out in Pubmed, Scopus, Google Scholar, Uptodate. Results: It was found that the imbalance in the gut-brain-microbiota axis (MGBA) generates negative consequences on mental health in patients with type-2 DM and should be intervened early through the screening of tools such as the PH4, the DDS, the SRQ, AUDIT, the fagestrom test and the MOCA, which provide information on the state of mental health. Conclusion: It is necessary to screen mental health in patients with type-2 diabetes mellitus with tools that are easy to implement in the outpatient, hospitalization, and institutionalization settings to make an early diagnosis, treatment and avoid the appearance of macro and microvascular complications.