1017_1024

Psychiatr. Pol. 2015; 49(5): 1017–1024

DOI: http://dx.doi.org/10.12740/PP/39536

Ewa Racicka, Anita Bryńska

FREE POLISH FULLTEXT:
Zaburzenia odżywiania się u dzieci i młodzieży z cukrzycą typu 1 i 2 – rozpowszechnienie, czynniki ryzyka i sygnały ostrzegawcze

FREE ENGLISH FULLTEXT:
Eating disorders in children and adolescents with type 1 and type 2 diabetes – prevalence, risk factors, warning signs

Summary
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.