Eating Disorders and Diabetes Mellitus: Nutritional treatment

Authors

  • Magnolia Navarro-Falcón Instituto de Endocrinología y Nutrición ENDAMA, Hospital Sanitas CIMA. Barcelona. España
  • Ignacio Jáuregui-Lobera Universidad Pablo de Olavide. Carretera de Utrera s/n. 41013 Sevilla. España. Instituto de Ciencias de la Conducta. Fernando IV, 27. 41011 Sevilla. España
  • Griselda Herrero-Martín Universidad Pablo de Olavide. Carretera de Utrera s/n. 41013 Sevilla. España. Norte Salud Nutrición. Manuel Arellano, 9. 41010 Sevilla. España

DOI:

https://doi.org/10.19230/jonnpr.3837

Keywords:

diabetes mellitus, eating disorder, nutrition, anorexia, bulimia, insulin, diabulimia

Abstract

This paper describes the special characteristics in nutritional management and clinical presentation of  patients with diabetes and eating disorders at the same time. The screening of these two comorbidities is  important in order to take the necessary measures and to avoid complications. Professionals should be  aware for warning signs (High HbA1c, weight changes, treatment omission , excessive concern about the  quality and quantity of meal, etc.).
Some studies show that more than 60% of type 1 Diabetes Mellitus and more than 40% of type 2 Diabetes  Mellitus meet criteria for eating disorders (Diabulimia, Binge Eating Disorder, Night eating syndrome and  non-specific forms).
The treatment must be carried out by an interdisciplinary team, with the main objective of restoring  adequate weight and avoiding of eating disorders’ behavior (purges, treatment omission, binge eating,  restrictions), a progressive dietary plan must be established, not to be focus on counting carbohydrate  rations, but on adequate nutritional education and on those patients with insulin to ensure its adequate  administration. It is important establish real objectives (weight, blood measure test, HbA1c) and to discuss  acute and chronic complications of diabetes not only with the patient but with his/her family.

There are still many study´areas to improve the comprehensive treatment of these patients.

 

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Published

2020-08-12