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[Eating disorders and insulin dependent diabetes: a current issue]
G Vila1, J J Robert, M C Mouren-Siméoni
1Service de Psychiatrie de l'enfant et de l'adolescent, Hôpital Necker-Enfants Malades, Paris, France.
Annales Medico-Psychologiques
|November 1, 1994
Summary
Insulin-dependent diabetes mellitus (IDDM) is linked to eating disorders like anorexia and bulimia. This review examines their prevalence, impact on metabolic control (HbA1c), and complications in IDDM patients.
Area of Science:
- Endocrinology
- Psychiatry
- Metabolic Disorders
Background:
- Recent studies highlight an association between insulin-dependent diabetes mellitus (IDDM) and eating disorders.
- Anorexia nervosa and bulimia nervosa are significant concerns in this patient population.
Purpose of the Study:
- To systematically review studies on the prevalence of anorexia nervosa and bulimia nervosa in IDDM patients.
- To analyze the relationship between these eating disorders, metabolic control (HbA1c), and somatic complications.
- To discuss methodological challenges and etiopathogenic factors.
Main Methods:
- Systematic literature review of relevant studies.
- Analysis of data on eating disorder prevalence in IDDM.
- Examination of correlations with HbA1c and somatic complications.
Main Results:
- Eating disorders, including anorexia nervosa and bulimia nervosa, are observed in a notable proportion of individuals with IDDM.
- These conditions can negatively impact metabolic control, as indicated by HbA1c levels.
- Comorbid eating disorders are associated with increased somatic complications in IDDM.
Conclusions:
- There is a significant association between IDDM and eating disorders.
- Effective screening and management strategies are crucial for addressing eating disorders in IDDM.
- Further research is needed to elucidate the complex etiopathogenesis and improve clinical outcomes.