Comorbid diabetes and eating disorders in adult patients: assessment and considerations for treatment

The Diabetes Educator
Cynthia GagnonJessica Tuttman Markowitz

Abstract

The lack of research concerning treatment for individuals with diabetes mellitus (DM) and comorbid eating disorders (ED) contributes to the gulf between the psychosocial needs of individuals with the two conditions and the treatment they receive. Empirical evidence has established that the prognosis of patients with this comorbid diagnosis (ED-DM) is poor in the absence of a specialized DM treatment specifically adapted to ED. In individuals with DM, comorbid ED is associated with numerous complications. Despite these interactions, current knowledge about the comorbid diagnosis is limited, and eating disorders in patients with diabetes often remain undiagnosed. This article presents standard procedures for assessment and optimal therapeutic interventions for patients with ED and DM. In patients with diabetes, problematic eating behaviors and symptoms should be assessed routinely. When an eating disorder is detected, diabetes management needs to be adapted, binge eating or medication misuse needs to be addressed, and eating disorder specialists should be included in the multidisciplinary team.

References

Oct 1, 1992·Diabetes Care·G M Rodin, D Daneman
Jul 6, 1991·BMJ : British Medical Journal·C G FairburnR A Mayou
Jan 1, 1991·Behaviour Research and Therapy·M P OlmstedM J Irvine
Jan 30, 2002·Diabetes Care·Søren NielsenAnne-Grethe Mølbak
Apr 12, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·F J Snoek, T C Skinner
May 31, 2002·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·E MannucciC M Rotella
Aug 7, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·J KenardyJ Walton
Sep 5, 2002·The International Journal of Eating Disorders·Marion P OlmstedGary Rodin
Oct 2, 2002·Medical Education·Daniel C WestJonathan Sandoval
Oct 16, 2002·Journal of Psychosomatic Research·Gary RodinDenis Daneman
Oct 29, 2002·Diabetes Care·Stefanie A SchwartzLawrence C Perlmuter
Jul 26, 2003·Eating and Weight Disorders : EWD·V GrylliE Schober
Sep 26, 2003·Journal of Psychosomatic Research·Masato TakiiChiharu Kubo
Mar 6, 2004·Eating Behaviors·J KenardyM Dalton
May 18, 2004·Wiener klinische Wochenschrift·Vasileia GrylliAndreas Karwautz
Oct 16, 2004·Obesity Research·Marian Tanofsky-Kraff, Susan Z Yanovski
Mar 16, 2005·Psychosomatics·Stacey M Pollock-BarZiv, Caroline Davis
Apr 1, 2005·Treatments in Endocrinology·Ann E Goebel-FabbriBarbara J Anderson
Jun 18, 2005·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·Marcelo PapelbaumWalmir Ferreira Coutinho
Aug 16, 2005·The Diabetes Educator·Sarah Dion KellyTerri H Lipman
Dec 25, 2007·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Fiona M SmithRobert A Dickson
Aug 20, 2008·Behaviour Research and Therapy·Kristin BohnChristopher G Fairburn
Mar 7, 2009·BMJ : British Medical Journal·Richard Lehman, Harlan M Krumholz
Nov 17, 2011·World Journal of Diabetes·Alejandra LarrañagaRicardo V García-Mayor

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Citations

Jul 26, 2014·The International Journal of Eating Disorders·Anu RaevuoriJaana Suvisaari
Aug 2, 2015·Endocrinología y nutrición : órgano de la Sociedad Española de Endocrinología y Nutrición·Joana Nicolau, Lluís Masmiquel
Sep 12, 2016·Canadian Journal of Diabetes·Cynthia GagnonClaude Bélanger
Aug 31, 2016·Diabetes & Metabolic Syndrome·Ricardo V García-Mayor, Francisco J García-Soidán

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