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Eating disorders and type 1 diabetes mellitus

Eating disorders and type 1 diabetes mellitus
Eating disorders and type 1 diabetes mellitus
Disturbances in eating attitudes and behaviour in adolescents and young adults with type 1 diabetes mellitus are of major clinical importance for a number of reasons. Firstly, this clinical group have available to them an additional weight-loss strategy, the under-use or omission of insulin. Secondly, they appear to be at a high risk of mortality and morbidity. Even a relatively brief period of poor control can produce a significant increase in the risk of subsequent microvascular complications. Sub-clinical eating disturbances, seen as relatively mild in non-diabetic patients, can give rise to clinically important disturbances of self-care and glycaemic control. In the short term, poor control may be manifest as recurrent symptoms of hyperglycaemia (e.g. thirst or tiredness), frequent episodes of ketoacidosis (often requiring hospital admission) or hypoglycaemia (leading to unconsciousness if severe). Growth retardation and pubertal delay may occur in prepubertal children. Patients with eating disorders and type 1 diabetes mellitus also appear to be at increased risk of physical complications of diabetes, including retinopathy, nephropathy or neuropathy. This contribution will discuss the ways in which clinical features, prevalence, clinical course, and diagnosis and management of eating disorders in such patients differ from those in non-diabetic populations.
eating disorders, type 1 diabetes mellitus, clinical course, anorexia nervosa, bulimia nervosa, EDNOS
1321-8719
30-33
Turner, Hannah
13912a99-670c-4405-945b-6d979e6805d8
Peveler, Robert
93198224-78d9-4c1f-9c07-fdecfa69cf96
Turner, Hannah
13912a99-670c-4405-945b-6d979e6805d8
Peveler, Robert
93198224-78d9-4c1f-9c07-fdecfa69cf96

Turner, Hannah and Peveler, Robert (2005) Eating disorders and type 1 diabetes mellitus. Psychiatry: Eating Disorders, 4 (4), 30-33. (doi:10.1383/psyt.4.4.30.63442).

Record type: Article

Abstract

Disturbances in eating attitudes and behaviour in adolescents and young adults with type 1 diabetes mellitus are of major clinical importance for a number of reasons. Firstly, this clinical group have available to them an additional weight-loss strategy, the under-use or omission of insulin. Secondly, they appear to be at a high risk of mortality and morbidity. Even a relatively brief period of poor control can produce a significant increase in the risk of subsequent microvascular complications. Sub-clinical eating disturbances, seen as relatively mild in non-diabetic patients, can give rise to clinically important disturbances of self-care and glycaemic control. In the short term, poor control may be manifest as recurrent symptoms of hyperglycaemia (e.g. thirst or tiredness), frequent episodes of ketoacidosis (often requiring hospital admission) or hypoglycaemia (leading to unconsciousness if severe). Growth retardation and pubertal delay may occur in prepubertal children. Patients with eating disorders and type 1 diabetes mellitus also appear to be at increased risk of physical complications of diabetes, including retinopathy, nephropathy or neuropathy. This contribution will discuss the ways in which clinical features, prevalence, clinical course, and diagnosis and management of eating disorders in such patients differ from those in non-diabetic populations.

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More information

Published date: 1 April 2005
Keywords: eating disorders, type 1 diabetes mellitus, clinical course, anorexia nervosa, bulimia nervosa, EDNOS

Identifiers

Local EPrints ID: 62173
URI: http://eprints.soton.ac.uk/id/eprint/62173
ISSN: 1321-8719
PURE UUID: f077c580-1881-41b8-880b-4bf15793f40c
ORCID for Robert Peveler: ORCID iD orcid.org/0000-0001-5596-9394

Catalogue record

Date deposited: 10 Sep 2008
Last modified: 09 Jan 2022 02:38

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Contributors

Author: Hannah Turner
Author: Robert Peveler ORCID iD

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