Eating Disorders and Diabetes Mellitus: Nutritional treatment
DOI:
https://doi.org/10.19230/jonnpr.3837Keywords:
diabetes mellitus, eating disorder, nutrition, anorexia, bulimia, insulin, diabulimiaAbstract
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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