What are comorbidities associated with BD?

Medical (migraine, pain disorders, DM, CVD, Obesity) Psychiatric (Personality disorders, ADHD, Impulse control, anxiety disorders, eating disorders, substance abuse) 30% obese, 43% hyperglycemia, 20% hypercholesterolemia, male, depressed/mixed and duration of illness more obesity. Older age, later disease onset and lower education more hyperglycemia Other (more hospitalization, poorer tx response, pharmaco conflicts, worse outcomes, higher suicide risk, violence) Suicide attempts most seen in Bipolar II, then Bipolar I and then unipolar