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糖尿病:在患有1型糖尿病的成年人中具有风险的趋势
Eric J Ip1, Shadi Doroudgar2, Aava Salehi2
1Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, California; Department of Internal Medicine, Kaiser Permanente Mountain View Medical Offices, Mountain View, California.
概括
大约11名1型糖尿病 (T1DM) 的成年人中有1人表现出 diabulimia,其特点是故意限制胰岛素以控制体重. 这种情况与较高的A1C水平和严重抑郁症发病率的增加有关.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 在1型糖尿病 (T1DM) 中,糖尿病管理的不良遵守与不良健康结果有关.
- 糖尿病,故意滥用胰岛素来控制体重,对T1DM患者构成重大风险.
研究的目的:
- 为了确定在成年T1DM患者中沙布利米亚的患病率.
- 为了比较患有 diabulimia和没有 diabulimia的患者的特征.
- 为了确定与T1DM患者的 diabulimia 相关的危险因素.
主要方法:
- 在21个T1DM在线社区中分发了一项基于网络的调查.
- 该调查收集了有关人口统计,糖尿病管理和精神病诊断的数据.
- 糖尿病的选是基于过去12个月内自我报告的有意跳过或不足使用胰岛素来控制体重.
主要成果:
- 在完成调查的225名受访者中, diabulimia的患病率为8.9%.
- 患有沙布利米亚的患者血红蛋白A1C显著增加 (8.4%对6.9%),糖尿病相关的急诊率增加 (30.0%对13.2%).
- 患有大抑郁症的患者中,大抑郁症的诊断更为常见 (40.0%对11.5%).
结论:
- 几乎11个成年T1DM患者中,有近1个被选为 diabulimia的阳性.
- 升高的A1C水平和重大抑郁障碍的诊断是dabulimia的重要危险因素.
- 这些发现凸显了对T1DM患者综合心理健康和糖尿病护理的需要.
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