Depending on the presence of any metabolic disorders at baseline, clinicians can make an informed decision regarding the selection of appropriate antipsychotic therapy (see the following section). For patients who are overweight, referral for a consult with a nutritionist and for activity counseling is advised, especially if an SGA with a high likelihood of contributing to weight gain is initiated. The panel goes on to state that education is a very important aspect of management, and all patients, caregivers, and family members should be counseled regarding the recognition of the signs and symptoms of DM and diabetic ketoacidosis (DKA) (Table 2).[6] Abrupt development of DKA as the only presenting sign of glucose abnormalities has been reported. For patients who do develop hyperglycemia, prompt referral to a clinician experienced in the management of DM is recommended.