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Abstract

A serious mental illness (SMI), such as schizophrenia, bipolar disorder, or major depression, can reduce a person's life expectancy by 10 to 20 years. This is explained by an elevated risk of physical illness, notably cardiovascular disease for which type 2 diabetes is a significant risk factor. SMI is linked to a two- to three-fold greater incidence of type 2 diabetes, according to cohort studies and a health gap that may be getting wider for some mental disorders despite little research, there may be circumstances when people with diabetes are more at risk of developing macro vascular and microvascular problems. People with SMI as opposed to those without According to clinical guidelines developed in the US and Europe to promote the delivery of the best diabetic care, providing good clinical treatment for diabetes and managing the disease on one's own can help lower the risk of complications[1].

According to earlier findings, patients with SMIs could not get the best clinical care. The findings of these studies may not necessarily apply to universal healthcare settings since the majority of this research comes from non-universal healthcare contexts where access to care may be modified by having health insurance [2]. There are conflicting results from universal healthcare environments, with two UK-based research stating that SMI status had no bearing on how people received care.