The psychosis and type 2 diabetes service model (PODS) population profile study

Kirsty Winkley; Isabel Graham; Yvonne Tylor; Mark Chamley; Caroline Rook; Alan Simpson; Khalida Ismail

doi:10.1016/j.pcd.2025.03.007

The psychosis and type 2 diabetes service model (PODS) population profile study

Kirsty Winkley^*, Isabel Graham, Yvonne Tylor, Mark Chamley, Caroline Rook, Alan Simpson, Khalida Ismail

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To describe diabetes care received and views of people with severe mental illness (SMI) and type 2 diabetes (T2D) in an inner-city primary care setting. Design: A cross-sectional study of adults with SMI and T2D from two primary care localities in south London. Methods: Medical record data was extracted on annual diabetes review and participants invited for telephone interview. Results: 125 adults participated, 37 completed interviews. 43 % were female, 48 %, 35 % and 16 % were: Black African/Caribbean, White, Asian/other ethnicity. Mean age= 59.47 years (SD:12.68), diabetes duration= 8.62 years (SD:6.10), systolic blood pressure (BP)= 133.42 mmHg (SD:17.28), diastolic BP= 81.42 mmHg (SD:8.93), BMI= 33.17 m/kg² (SD:7.22), HbA1c= 61.64 mmol/mol (SD:25.18). Older age (OR:1.06, 95 % C.I.:1.0, 1.10), shorter diabetes duration (OR:0.90, 95 % C.I.:0.84, 0.97) were associated with target HbA1c< /= 58 mM. Younger age and Black ethnicity were associated with BP> 140 mmHg (OR:0.94, 95 % C.I.:0.90, 0.98; OR:0.08 (95 % C.I.:0.01, 0.56). Being older was associated with cholesterol, < 5.0 mmol/mol (OR:1.06, 95 % C.I.:1.01, 1.11). Questionnaires demonstrated low physical activity, alcohol/drug use, diabetes distress, psychiatric symptoms. Interviews indicated that > 50 % wanted more support with SMI and T2D. Conclusions: Younger, black people with SMI and T2D are potentially at greater cardiometabolic risk. Interviews suggest people with T2D and SMI group require more mental health and diabetes support.

Original language	English
Journal	Primary Care Diabetes
DOIs	https://doi.org/10.1016/j.pcd.2025.03.007
Publication status	Accepted/In press - 2025

Keywords

Primary care
Severe mental illness
Type 2 diabetes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.pcd.2025.03.007

Cite this

@article{e20fc10372f24cf29e3df50aa8432e75,

title = "The psychosis and type 2 diabetes service model (PODS) population profile study",

abstract = "Objective: To describe diabetes care received and views of people with severe mental illness (SMI) and type 2 diabetes (T2D) in an inner-city primary care setting. Design: A cross-sectional study of adults with SMI and T2D from two primary care localities in south London. Methods: Medical record data was extracted on annual diabetes review and participants invited for telephone interview. Results: 125 adults participated, 37 completed interviews. 43 % were female, 48 %, 35 % and 16 % were: Black African/Caribbean, White, Asian/other ethnicity. Mean age= 59.47 years (SD:12.68), diabetes duration= 8.62 years (SD:6.10), systolic blood pressure (BP)= 133.42 mmHg (SD:17.28), diastolic BP= 81.42 mmHg (SD:8.93), BMI= 33.17 m/kg2 (SD:7.22), HbA1c= 61.64 mmol/mol (SD:25.18). Older age (OR:1.06, 95 % C.I.:1.0, 1.10), shorter diabetes duration (OR:0.90, 95 % C.I.:0.84, 0.97) were associated with target HbA1c< /= 58 mM. Younger age and Black ethnicity were associated with BP> 140 mmHg (OR:0.94, 95 % C.I.:0.90, 0.98; OR:0.08 (95 % C.I.:0.01, 0.56). Being older was associated with cholesterol, < 5.0 mmol/mol (OR:1.06, 95 % C.I.:1.01, 1.11). Questionnaires demonstrated low physical activity, alcohol/drug use, diabetes distress, psychiatric symptoms. Interviews indicated that > 50 % wanted more support with SMI and T2D. Conclusions: Younger, black people with SMI and T2D are potentially at greater cardiometabolic risk. Interviews suggest people with T2D and SMI group require more mental health and diabetes support.",

keywords = "Primary care, Severe mental illness, Type 2 diabetes",

author = "Kirsty Winkley and Isabel Graham and Yvonne Tylor and Mark Chamley and Caroline Rook and Alan Simpson and Khalida Ismail",

note = "Publisher Copyright: {\textcopyright} 2025 The Authors",

year = "2025",

doi = "10.1016/j.pcd.2025.03.007",

language = "English",

journal = "Primary Care Diabetes",

issn = "1751-9918",

publisher = "SB Communications Group",

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TY - JOUR

T1 - The psychosis and type 2 diabetes service model (PODS) population profile study

AU - Winkley, Kirsty

AU - Graham, Isabel

AU - Tylor, Yvonne

AU - Chamley, Mark

AU - Rook, Caroline

AU - Simpson, Alan

AU - Ismail, Khalida

PY - 2025

Y1 - 2025

N2 - Objective: To describe diabetes care received and views of people with severe mental illness (SMI) and type 2 diabetes (T2D) in an inner-city primary care setting. Design: A cross-sectional study of adults with SMI and T2D from two primary care localities in south London. Methods: Medical record data was extracted on annual diabetes review and participants invited for telephone interview. Results: 125 adults participated, 37 completed interviews. 43 % were female, 48 %, 35 % and 16 % were: Black African/Caribbean, White, Asian/other ethnicity. Mean age= 59.47 years (SD:12.68), diabetes duration= 8.62 years (SD:6.10), systolic blood pressure (BP)= 133.42 mmHg (SD:17.28), diastolic BP= 81.42 mmHg (SD:8.93), BMI= 33.17 m/kg2 (SD:7.22), HbA1c= 61.64 mmol/mol (SD:25.18). Older age (OR:1.06, 95 % C.I.:1.0, 1.10), shorter diabetes duration (OR:0.90, 95 % C.I.:0.84, 0.97) were associated with target HbA1c< /= 58 mM. Younger age and Black ethnicity were associated with BP> 140 mmHg (OR:0.94, 95 % C.I.:0.90, 0.98; OR:0.08 (95 % C.I.:0.01, 0.56). Being older was associated with cholesterol, < 5.0 mmol/mol (OR:1.06, 95 % C.I.:1.01, 1.11). Questionnaires demonstrated low physical activity, alcohol/drug use, diabetes distress, psychiatric symptoms. Interviews indicated that > 50 % wanted more support with SMI and T2D. Conclusions: Younger, black people with SMI and T2D are potentially at greater cardiometabolic risk. Interviews suggest people with T2D and SMI group require more mental health and diabetes support.

AB - Objective: To describe diabetes care received and views of people with severe mental illness (SMI) and type 2 diabetes (T2D) in an inner-city primary care setting. Design: A cross-sectional study of adults with SMI and T2D from two primary care localities in south London. Methods: Medical record data was extracted on annual diabetes review and participants invited for telephone interview. Results: 125 adults participated, 37 completed interviews. 43 % were female, 48 %, 35 % and 16 % were: Black African/Caribbean, White, Asian/other ethnicity. Mean age= 59.47 years (SD:12.68), diabetes duration= 8.62 years (SD:6.10), systolic blood pressure (BP)= 133.42 mmHg (SD:17.28), diastolic BP= 81.42 mmHg (SD:8.93), BMI= 33.17 m/kg2 (SD:7.22), HbA1c= 61.64 mmol/mol (SD:25.18). Older age (OR:1.06, 95 % C.I.:1.0, 1.10), shorter diabetes duration (OR:0.90, 95 % C.I.:0.84, 0.97) were associated with target HbA1c< /= 58 mM. Younger age and Black ethnicity were associated with BP> 140 mmHg (OR:0.94, 95 % C.I.:0.90, 0.98; OR:0.08 (95 % C.I.:0.01, 0.56). Being older was associated with cholesterol, < 5.0 mmol/mol (OR:1.06, 95 % C.I.:1.01, 1.11). Questionnaires demonstrated low physical activity, alcohol/drug use, diabetes distress, psychiatric symptoms. Interviews indicated that > 50 % wanted more support with SMI and T2D. Conclusions: Younger, black people with SMI and T2D are potentially at greater cardiometabolic risk. Interviews suggest people with T2D and SMI group require more mental health and diabetes support.

KW - Primary care

KW - Severe mental illness

KW - Type 2 diabetes

UR - http://www.scopus.com/inward/record.url?scp=105001926793&partnerID=8YFLogxK

U2 - 10.1016/j.pcd.2025.03.007

DO - 10.1016/j.pcd.2025.03.007

M3 - Article

AN - SCOPUS:105001926793

SN - 1751-9918

JO - Primary Care Diabetes

JF - Primary Care Diabetes

ER -

The psychosis and type 2 diabetes service model (PODS) population profile study

Abstract

Keywords

UN SDGs

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