ARTICLE
Eating Disorders in children and adolescents with Type 1 and Type 2 Diabetes: prevalence, risk factors, warning signs.
			
	
 
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				Klinika Psychiatrii Wieku Rozwojowego WUM
				 
			 
										
				
				
		
		 
			
			
			
			 
			Submission date: 2014-08-21
			 
		 		
		
			
			 
			Final revision date: 2015-02-04
			 
		 		
		
		
			
			 
			Acceptance date: 2015-03-02
			 
		 		
		
		
			
			 
			Publication date: 2015-10-31
			 
		 			
		 
	
							
					    		
    			 
    			
    				    					Corresponding author
    					    				    				
    					Ewa  Racicka   
    					Klinika Psychiatrii Wieku Rozwojowego WUM, Marszałkowska 24, 00-576 Warszawa, Polska
    				
 
    			
				 
    			 
    		 		
			
												 
		
	 
		
 
 
Psychiatr Pol 2015;49(5):1017-1024
		
 
 
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ABSTRACT
Diabetes is associated with increased risk for eating disorders, various dependent on type of diabetes. Binge eating disorder is more common in patient with type 2 diabetes (T2DM). Whereas, intentional omission of insulin doses for the purpose of weight loss occurs mainly in patient with type 1 diabetes (T1DM), however, in some patients with type 2 diabetes omission of oral hypoglycemic drugs can be present. Risk factors for the development of eating disorders in patients with diabetes include: age, female gender, greater body weight, body image dissatisfaction, history of dieting and history of depression. Poor glycemic control, recurrent episodes of ketoacidosis or recurrent episodes of hypoglycemia, secondary to intentional insulin overdose, missed clinical appointments, dietary manipulation and low self-esteem should raise concern. The consequence of eating disorders or disordered eating patterns in patients with diabetes is poor glycemic control and hence higher possibility of complications such as nephropathy, retinopathy and premature death.