Subclinical eating disorders and glycemic control in adolescents with type I diabetes.

摘要: Several recent case reports have shown that anorexia nervosa and bulimia negatively affect glycemic control in diabetic patients. However, there been no systematic studies to assess the prevalence of clinical or subclinical eating disorders among patients determine impact such disturbances on control. This study a survey 202 adolescents, aged 12–18 yr, seen Diabetes Clinic, Children9s Hospital Pittsburgh, who were asked complete Binge Eating Scale (BES) EAT-26 questionnaire. Responses questionnaire compared with those nondiabetic group related measures Diabetic subjects scored higher total than subjects, ordinarily indicative more pathology. only dieting subscale this questionnaire, probably reflecting adherence diabetes dietary regimen. Subjects lower, did not differ significantly, from oral bulimia. Among self-reported bulimic behaviors poorer Patients highest scores BES had an average HbA 1 13.1% 11.8% for age- sex-matched at 50th percentile, 10.8% lowest 10th percentile. Further are needed whether modification these would improve