Eating disorders and retinal lesions in Type 1 (insulin-dependent) diabetic women

Colás, C.

doi:10.1007/bf00405092

Cited by 41 publications

(29 citation statements)

References 7 publications

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“…Others have reported similar findings in smaller, cross-sectional samples of young women with type 1 diabetes. [24][25][26][27] In contrast to findings in studies of girls and women with type 1 diabetes, there is not a clear association between type 2 diabetes and disturbed eating behavior, although this relationship has been less studied in type 2 diabetes than in type 1 diabetes. This makes sense because disturbed eating behavior typically begins many years before the onset of type 2 diabetes, and the reverse sequence is much less common.…”

Section: 21mentioning

confidence: 80%

Eating Disorders and Diabetes: Introduction and Overview

Colton¹,

Rodin²,

Bergenstal³

et al. 2009

Diabetes Spectrum

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In Brief Eating disorders are more common in individuals with type 1 diabetes than in the general population. Although limited research has been conducted in this area, existing evidence shows that these conditions significantly affect the physical and emotional health of individuals with diabetes and are associated with impaired metabolic control and a high risk of medical complications, including higher mortality rates. New nomenclature was recommended at an international focus group held in Minneapolis, Minn., in September 2008. Composed of individuals with interest and expertise in eating disorders among individuals with diabetes, the group recommended that the term ED-DMT1 be used to designate those with an eating disorder and type 1 diabetes and ED-DMT2 be used for those with an eating disorder and type 2 diabetes. This article provides an overview of clinical features, consequences, and pathways of risk associated with ED-DMT1.

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Section: 21mentioning

confidence: 80%

Eating Disorders and Diabetes: Introduction and Overview

Colton¹,

Rodin²,

Bergenstal³

et al. 2009

Diabetes Spectrum

View full text Add to dashboard Cite

show abstract

“…These data support previous findings indicating that women with type 1 diabetes and eating disorders, many of whom are also likely to be omitting insulin, are at increased risk of developing long-term diabetes complications. 27, 28 The coexistence of type 1 diabetes and eating disorders such as anorexia nervosa and bulimia nervosa is estimated to be as high as 16%. 29 Disordered eating behaviors among youth with diabetes have been associated with poor metabolic control, weight gain, a tendency to omit prescribed insulin, and an increased prevalence of microvascular complications.…”

Section: Insulin Omission and Disordered Eatingmentioning

confidence: 99%

Consequences of Weight Gain Associated With Insulin Therapy in Adolescents

Kaufman¹

2006

The Endocrinologist

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Abstract:Intensive insulin therapy is associated with the delayed onset and reduced risk of the development of microvascular complications in type 1 diabetes and is therefore recommended for most patients, including children and adolescents. Intensification of insulin therapy can be accompanied by increased weight gain, and fear of weight gain can represent a major barrier to adherence to intensive regimens. This is particularly true for adolescent girls who may have poor self-esteem and body image issues, and adopt behaviors such as insulin omission and disordered eating to prevent weight gain. Strategies to reduce insulin-associated weight gain include lifestyle interventions to improve nutritional intake and increase physical activity. The use of pharmacologic agents that minimize weight gain such as the inclusion of insulin detemir, agents that alter satiety and insulin sensitizers should also be considered and investigated further. In addition to understanding treatment strategies to limit insulin-related weight gain, the diabetes healthcare team should be aware of the early warning signs of disordered eating and insulin omission in the adolescent so that appropriate referral for psychologic intervention can occur.

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“…Eating disorders and milder disturbed eating behaviors are associated with many negative medical outcomes, including poor metabolic control, increased frequency of diabetes-related hospitalizations, and higher rates of diabetes-related complications, particularly retinopathy and perhaps neuropathy (11)(12)(13).…”

mentioning

confidence: 99%

Disturbed Eating Behavior and Eating Disorders in Preteen and Early Teenage Girls With Type 1 Diabetes

et al. 2004

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OBJECTIVE -To compare the prevalence of eating disturbances in preteen and early teenage girls with type 1 diabetes to their nondiabetic peers. RESEARCH DESIGN AND METHODS-A cross-sectional, case-controlled study of 101 girls with type 1 diabetes, ages 9 -14 years, and 303 age-matched, female nondiabetic control subjects was conducted. Participants completed a Children's Eating Disorder Examination interview. Socioeconomic status, BMI, and diabetes-related variables were assessed. Groups were compared using 2 analyses.RESULTS -Binge eating; the use of intense, excessive exercise for weight control; the combination of two disturbed eating-related behaviors; and subthreshold eating disorders were all more common in girls with type 1 diabetes. Metabolic control was not related to eating behavior in this study population.CONCLUSIONS -Eating disturbances, though mostly mild, were significantly more common in preteen and early teenage girls with type 1 diabetes. Screening and prevention programs for this high-risk group should begin in the preteen years. Diabetes Care 27:1654 -1659, 2004E ating disorders, including anorexia nervosa and bulimia nervosa and their milder variants (eating disorder not otherwise specified [ED-NOS] and subthreshold disorders), are a group of psychiatric disorders unified by highly disturbed eating behavior and a constellation of psychological traits and symptoms. The eating behaviors can include fasting and dieting; binge eating; selfinduced vomiting; the abuse of laxatives, diet pills, diuretics, and other medications; and the use of intense, excessive exercise for weight control. The psychological traits and symptoms include preoccupation with body weight and shape, distortions of body image, and severely disturbed attitudes toward food, calories, and eating (1). Eating disorders have high medical and psychiatric comorbidity and the highest mortality rate of the psychiatric disorders, mostly by suicide (2-4).The etiology of eating disorders appears to be complex and multifactorial, involving individual, familial, and environmental vulnerability factors (5). Living with type 1 diabetes may be one such risk factor, although the nature and specificity of this association has been debated since the first published reports of eating disorders among diabetic individuals in the 1970s (6). Most published studies have found an absolute, if not always statistically significant, increase in the risk of eating disorders among female patients with type 1 diabetes compared with their nondiabetic peers. Nielsen's 2002 metaanalysis of the work to date (7) concluded that bulimia nervosa, ED-NOS, and subthreshold eating disorders are all more common in female patients with type 1 diabetes.Disturbed eating behavior is very common among teenage girls and young women with type 1 diabetes, with binge eating reported by 45-80% and deliberate induction of glycosuria by reducing the insulin dosage or omitting insulin to promote weight loss reported by 12-40% (8 -10). Eating disorders and milder disturbed eating b...

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Eating disorders and retinal lesions in Type 1 (insulin-dependent) diabetic women

Abstract: Eating disorders and retinal lesions in Type 1 (insulin-dependent) diabetic women Dear Sir,

Cited by 41 publications

References 7 publications

Eating Disorders and Diabetes: Introduction and Overview

Eating Disorders and Diabetes: Introduction and Overview

Consequences of Weight Gain Associated With Insulin Therapy in Adolescents

Disturbed Eating Behavior and Eating Disorders in Preteen and Early Teenage Girls With Type 1 Diabetes

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