Diabulimia - The phenomenology of an under recognised juxtaposition between diabetes and eating disorders
Journal Title: Telangana Journal of Psychiatry - Year 2018, Vol 4, Issue 1
Abstract
Eating disorders are a major cause of physical and psychological morbidity Young women and adolescents with diabetes especially Type 1 Diabetes Mellitus T1DM are at a high risk for developing disordered eating behaviours DEB and eating disorders EDs A similar DEB that often goes unrecognized is Diabulimia ie deliberate administration of insufficient insulin or omission of insulin administration for the purpose of weight loss Such manipulation provides an easy way to control weight as compared to other means like exercise or diet control but in turn leads to poorer metabolic control and contributes to an increased risk of shortterm and longterm diabetes related medical complications ultimately leading to higher mortality rates Despite its several clinical implications diabulimia is not yet considered either a formal medical or a psychiatric diagnosis Early detection and treatment can effectively reduce adverse physical and psychological health outcomes Treatment strategies like pharmacotherapy psychotherapy or a combination of both can be helpful in such casesKeywords Diabulimia Adolescents Young women Diabetes Eating disorders
Authors and Affiliations
Suhas Chandran, Prakrithi S N, Supriya Mathur, Kishor M
Keywords
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