2026 Volume 2 Issue 1 Pages 373-378
Background: Patients with schizophrenia are prone to comorbid diabetes mellitus, and disturbances in daily rhythm and eating habits may influence clinical outcomes. From the perspective of nutrit ional psychiatry, we report the intervention process and clinical course of a patient with long-term social withdrawal.
Case: A 54-year-old woman with schizophrenia, diabetes mellitus, and insomnia had remained ho mebound for more than 30 years, with outpatient visits conducted by family members on her beha lf. In August of year X, home-visit medical care was initiated. Her height was 170 cm, weight 8 6 kg, body mass index 29.8, and blood pressure 134/74 mmHg. Laboratory findings showed plas ma glucose 262 mg/dL, HbA1c 11.8%, and triglycerides 411 mg/dL. She typically consumed two meals per day due to religious routines and frequently consumed snacks. Monthly nutritional couns eling was introduced, focusing on portion control, explicit limits on snacking, and increasing days with three meals, with meal preparation supported by family members. By October of year X, Hb A1c decreased to 10.6%. Regular contact with healthcare staff was established, and she expressed intentions to leave home, such as visiting relatives and attending music events.
Conclusion: In a long-term homebound patient with schizophrenia, dietary adjustment for diabetes combined with continuous multidisciplinary support was associated with behavioral changes.
