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Eating Disorders and Diabetes.

Anthony P Winston1,2

  • 1Clinic for Eating Disorders and Diabetes, Aspen Centre, Coventry and Warwickshire Partnership Trust, Warwick, UK. anthony.winston@nhs.net.

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|June 16, 2020
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Summary
This summary is machine-generated.

Eating disorders, including "diabulimia" in type 1 diabetes, are common and increase health risks. Treatment requires integrated care addressing both diabetes management and disordered eating behaviors for improved outcomes.

Keywords:
DiabetesDiabulimiaEating disorderInsulin

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Area of Science:

  • Endocrinology
  • Psychiatry
  • Metabolic Disorders

Background:

  • Eating disorders co-occur with both type 1 and type 2 diabetes.
  • Insulin restriction for weight control, known as "diabulimia", is a key feature in type 1 diabetes.
  • Binge eating disorder is the most common eating disorder in type 2 diabetes.

Purpose of the Study:

  • To review the characteristics of patients with eating disorders and diabetes.
  • To outline the principles for treating these complex cases.
  • To highlight the increased risks associated with co-occurring conditions.

Main Methods:

  • Review of existing literature on eating disorders in diabetic populations.
  • Analysis of clinical characteristics and diagnostic challenges.
  • Synthesis of current treatment approaches and management strategies.

Main Results:

  • The prevalence of eating disorders in adolescents with type 1 diabetes is estimated at 7%.
  • Co-occurrence leads to elevated HbA1c and increased risk of acute and chronic diabetes complications.
  • Screening for eating disorders in diabetic patients is recommended but infrequently performed.

Conclusions:

  • Integrated management addressing the interplay between eating behaviors, mood, and glycemic control is crucial.
  • Treatment focuses on establishing regular eating patterns and gradual insulin dose adjustments.
  • Understanding both diabetes and eating disorder pathology is essential for effective patient care.