Diabetes A condition that makes it difficult for the body to regulate blood sugar (glucose) levels or to respond appropriately to insulin (insulin resistance). Therefore, people with diabetes must carefully manage their blood sugar through medications and medications. insulin Pay close attention to the type and amount of food they consume.
Sometimes people use their diabetes diagnosis to justify or disguise their diabetes. eating disorders (Also messed up meal). However, management of diabetes and eating disorders often includes similar behaviors, such as close monitoring of food intake, labeling foods as ‘good’ or ‘bad’, and weight control.
This article discusses the relationship between types of diabetes and eating disorders, signs of eating disorders if you have diabetes, and treatment options.
Diabetes and Eating Disorders: Causes of the Other?
A systemic review suggested that eating disorders alter a person’s risk of developing diabetes because they can change the amount of body fat in a person and where it is stored in the body. Since diabetes is a metabolic disease, endocrine Disorders and fats affect how your body manages insulin.
However, diabetes does not directly cause eating disorders. Additionally, preoccupation with diet and weight management has been shown to increase the risk of developing an eating disorder. type 1 diabetes may have experienced weight loss Prior to diagnosis, initiating treatment with insulin causes weight gain. This can lead to increased body dissatisfaction and obsession with weight loss.
It is difficult to know the exact prevalence of eating disorders in people with diabetes. Still, researchers estimate that it affects about 20% of people with diabetes—much higher than the general population. Additionally, women and girls with diabetes are 2.5 times more likely to develop an eating disorder than men and boys.
Diabetes and Eating Disorder Statistics
A recent review estimates that:
- Eating disorders affect about 30% to 40% of young women with type 1 diabetes
- Binge eating disorder affects about 1.2% to 8% of people with type 2 diabetes
- Night eating syndrome can affect up to 20% of people with type 2 diabetes
- Binge eating disorder is the most common eating disorder among people with type 1 diabetes
- Binge eating disorder is the most common eating disorder among people with type 2 diabetes
- One-third of women with type 1 diabetes report insulin restriction, with higher levels between ages 15 and 30
What is Diablomia?
diablo mia Not a clinical diagnosis, it is a term used in the media to describe the condition in which people with type 1 diabetes use insulin restriction to control their weight. By limiting, skipping, or stopping insulin, high glucose levels remain in the blood. can threaten Diabetes Ketoacidosis (DKA) (a condition in which the liver breaks down fat at an alarming rate).
In a small trial intervention, Acceptance and Commitment Therapy (ACT) improved eating problems and reduced distress regarding diabetes management in participants with type 1 diabetes and eating disorders. I also found that I was able to make better decisions about my diet and diabetes management.
Recognize the signs of an eating disorder
- Express a concern or desire to change your weight, shape, or size body dysmorphia)
- Always dieting or planning to diet
- eat a very low-calorie diet
- Talking too much about healthy foods and “clean eating”
- Feeling anxious or agitated when exercising excessively or not adhering to an exercise regimen
- Need to control food or feel upset or distressed in social situations where food is not in control, such as when dinner plans change or the restaurant does not serve what you plan to order
- Go to the toilet frequently and immediately after eating
- Eating secretly or feeling guilty or embarrassed about eating
- Changes in mood and energy levels, such as increased irritability, anxiety, and depression
- Increased digestive problems
Clinical conditions in which a person with diabetes may also suffer from an eating disorder include:
This list is not exhaustive and should not be used to diagnose eating disorders.
Questions from health care providers
Screening questions that health care providers may use to identify potential eating disorders in people with diabetes include:
- Do you feel like your eating is out of control?
- Are you taking less insulin than you need because you’re worried about your diet and weight?
- Are you overwhelmed by the demands of living with diabetes?
- Do you find yourself failing often in diabetes therapy?
process Treatment of diabetes and eating disorders includes a full-team approach including, but not limited to:
- mental health provider
- eating disorder specialist
- nursing educator
- Registered dietitian
- support groups such as diabetic sister
In extreme cases, hospitalization may be required.
how to improve body image
Studies have shown that body image dissatisfaction is common among diabetics, especially among women, girls and adolescents. Additionally, body image issues may be associated with a higher risk of disrupted eating behavior.
Strategies that may help improve body image include:
- Appreciate everything your body can do for you, like walking, cuddling, breathing, and laughing at your loved ones.
- Counter negative thoughts about your body with positive attributes you like about yourself.
- surround yourself with positive people
- Limit media and social media consumption
- Instead of exercising as a dietary punishment or as a way to transform your body, find ways to exercise that feel good
- Wear clothes that fit and make you feel confident
- Find a weight-neutral health care provider and seek additional professional support, such as a body image therapist
Eating disorders and diabetes do not directly cause each other, but research suggests that there is a relationship between the two. Management of diabetes and eating disorders both involve careful monitoring of food intake, so it is not uncommon for people with diabetes to develop disordered eating behaviors and eating disorders.
Symptoms of someone with diabetes or an eating disorder can manifest as extreme concern or dissatisfaction with their body or weight, a very low-calorie diet, or constant dieting. Appearance may include extreme fluctuations in daily blood sugar levels, unexplained dramatic changes in A1C levels, or sudden weight loss.
Improving body image may help manage diabetes and eating disorders. However, a multidisciplinary team that includes an endocrinologist, registered dietitian, nutritionist, eating disorder specialist, and nurse is the best approach.
A word from Verywell
Although research suggests that eating disorders and diabetes may be linked, it is important to know that having an eating disorder does not mean you will have diabetes and vice versa. It is important to keep It’s important to seek help if you think your diabetes is causing you to eat poorly. Talk to a trusted friend, family member, or health care provider who can provide care, support, and resources.
Frequently Asked Questions
How do anorexia and bulimia affect blood sugar?
Is diabetes a recognized condition?
Diabulemia is neither an official diagnostic name nor a medical term. It’s a term often used by the media to refer to someone with type 1 diabetes who is intentionally limiting insulin to lose weight. This is a condition that can lead to early and severe diabetic complications.
How would you talk to someone about an eating disorder?
There is no right way to talk about eating disorders with someone. However, it’s important to learn as much as you can about eating disorders, talk about them in a compassionate way, and keep the “I” statement about what you observe.
Verywell Health uses only high-quality sources, including peer-reviewed research, to back up the facts in its articles.read us editing process To learn more about how we fact-check and keep our content accurate, reliable, and trustworthy, visit .
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