PMID: 11317470Apr 25, 2001Paper

Eating disorders in adolescents with type 1 diabetes. A closer look at a complicated condition

Postgraduate Medicine
R P Hoffman

Abstract

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.

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Citations

Jul 26, 2003·Eating and Weight Disorders : EWD·V GrylliE Schober
Oct 1, 2010·Diabetes Technology & Therapeutics·Orit Pinhas-HamielBrian Reichman
Jul 7, 2007·Eating and Weight Disorders : EWD·S Tierney
Sep 27, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·M E J Lean
Jan 7, 2005·Journal of the American Dietetic Association·Kelli J O'NeilJana R Kicklighter
Mar 29, 2002·Diabetes Care·Adriana FranzeseMaria Antonietta Lucariello
Apr 14, 2007·Clinics in Podiatric Medicine and Surgery·James H Ting, David H Wallis
Jul 12, 2002·Child and Adolescent Psychiatric Clinics of North America·Timothy D Brewerton
Jun 27, 2008·Journal of Clinical Nursing·Sharon HillegeRose McMaster
Sep 27, 2003·Diabetic Medicine : a Journal of the British Diabetic Association·H ConnorUNKNOWN Nutrition Subcommittee of the Diabetes Care Advisory Committee of Diabetes UK
Dec 1, 2003·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·UNKNOWN Nutrition Sub-Committee of the Diabetes Care Advisory Committe of Diabetes UK

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