Insulin and Clinical Eating Disorders in Diabetes

摘要: The research on the concurrence of an eating disorder and type 1 diabetes has been done since about 1980. As with disorders in general population, concurrent is most commonly seen young women: prevalence reported to be 10% young, female diabetic patients. This clinical condition brings significant difficulties course such as nonadherence self-care regimen, marked deterioration metabolic control, increased risk long-term complications diabetes. Moreover, quality life these patients tends become quite miserable, severe psychological distress addition medical problems. Eating are generally considered have multiple etiologies including biological, psychological, familial, cultural, social factors. Along factors, factors peculiar may increase developing disorder. For example, chronic dietary restraint, weight gain associated appropriate self-care, psychosocial problems related diabetes, insulin omission easy effective method for control. binge eating, bulimia nervosa binge-eating disorder, common types among girls Although pervasive females by a patient especially degree frequency control development complications. Studies treatment comparatively few, that improvement extremely difficult. Based our experience over 150 past 15 years, we made step-by-step system according severity psychopathology. responded therapy, it often takes much time energy before sufficiently improved. Some never recover satisfactorily. creation methods preventing critical future challenge researchers this field. Self-destructive behaviors, recurrent ketoacidosis, frequent hypoglycemic attacks, brittle closely or manipulation, seem coincide disturbance overlap disorders.