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Diabetes

And Eating Disorders

Teen Diabetics Prone to Eating Disorders
Treating one disease may lead to the other
Teen-age girls with diabetes are more than twice as likely to have eating disorders as their friends who don’t have diabetes, claims new research. And experts say the treatment for their diabetes actually could be playing a big role in the young girls’ eating disorders. The findings alarm health experts.

Danger of eating disorders in teenage diabetes
NT Online Clinical News

Teenage girls with type 1 diabetes who also have an eating disorder need to be identified to reduce risk of serious complications, according to UK research.
Researchers followed the progress of 87 teenage girls and young women with type 1 diabetes over a decade. Of the group 15 percent had a probable eating disorder, such as anorexia or bulimia, at some point during the study.
In addition, more than one-third reported cutting back on their insulin in an effort to keep their weight in check, while others said they had vomited or used laxatives to achieve weight control.

Medical forces mobilize to deny ‘silent killer’ its prey
It’s been labeled a “silent killer” and the “next lifestyle epidemic.” Its incidence has skyrocketed 70 percent among people in their 30s and about one third of the people who have it don’t even know it. About 16 million Americans have diabetes and by 2025 national experts estimate that number will jump to 22 million.

Eating disorders in adolescents with type 1 diabetes. A closer look at a complicated condition
Department of Pediatrics, Children’s Hospital and Ohio State University College of Medicine and Public Health, Columbus, USA.

The cultural drive to be thin can lead to eating disorders in many women and girls. In adolescent females with diabetes, the increased focus on eating and the weight gain associated with good glycemic control likely increase their susceptibility to abnormal eating. It is clear that nonspecified and subthreshold eating disorders, and possibly bulimia and anorexia, are more common in this group of patients. Good nutritional counseling to help patients avoid weight gain and family counseling to improve communication between patients and their families may help decrease this risk. Intentional insulin omission is a frequent means of preventing weight gain or increasing weight loss in adolescent females with type 1 diabetes. Eating disorders should be suspected in patients with recurrent diabetic ketoacidosis or poor glycemic control that is resistant to attempts at improvement. Treatment includes decreasing dietary restraint, promoting healthy eating, and either psychiatric counseling or psychologic intervention, or both.

Treatment of Type 2 Diabetes Mellitus
In the past three years, the development of new oral agents for the treatment of type 2 diabetes has expanded the range of therapy for patients with this disorder.

LINKS
Children With Diabetes
The American Diabetes Association

Women, Diabetes, and Disordered Eating

Michele D. Levine, MS, and Marsha D. Marcus, PhD

Eating disorder symptoms are widespread among women, and some have argued that diabetes-specific concerns may contribute to their development. Although women with diabetes are not more likely than their nondiabetic peers to develop full syndrome eating disorders, evidence suggests that subclinical eating disorder attitudes and behaviors may be more prevalent among women with diabetes. The medical consequences associated with disordered eating may be particularly serious for women with diabetes. It is, therefore, important to discuss issues related to the management of eating disorder behaviors in women with diabetes.

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