Diabetic ketoacidosis eating disorders

Diabetesmanager / Hyperglycemic Crises: Diabetic Ketoacidosis (DKA

Eating disorders affect approximately 10 percent of American adolescents and young adults. These disorders can range from full-blown anorexia and/or bulimia to patterns of disordered eating such as binging, excessive exercise, or other methods of controlling calorie intake.

Results of a study conducted at the University of Toronto and the Hospital for Sick Children showed that eating disorders are twice as likely to occur in teenage girls with type 1 diabetes than in girls who do not have diabetes.

Teens with Type 1 sometimes exhibit another symptom of disordered eating that is unique to diabetes: deliberately changing their insulin dose to achieve weight control or weight loss. Manipulating doses of insulin has been shown to be a popular approach to weight loss among some teens with Type 1 diabetes.

During the time of diagnosis of Type 1, or before good metabolic control is achieved, kids usually experience weight loss. Sometimes teens think this a good thing, especially girls who live with constant peer pressure to be thin. When insulin therapy is begun there is most likely some weight gain, especially as metabolic control is gained. Some teens don't like the additional weight gain, especially if it is noticed and commented on by their peers. Shortchanging or skipping their insulin dose seems like an easy fix, because not taking enough insulin brings on hyperglycemia which causes excessive urination and weight loss.

This is very dangerous in many ways. Teens who use insulin dose manipulation to achieve weight loss suffer serious consequences to their health:

  • Higher A1c levels due to poor metabolic control.
  • Early onset of diabetes complications, especially retinopathy. In fact, the highest percentage of teens with detectable damage were the ones with the most severe eating disorders, 86 percent had evidence of retina damage, compared with 24 percent for teens who did not have eating disorders.
  • Hypoglycemia due to not eating or not eating enough.
  • Diabetic ketoacidosis (DKA), brought on by deliberately short-changing the insulin dose or skipping doses altogether.

Warning Signs of Possible Eating Disorder

  • Poor metabolic control despite the appearance of compliance.
  • Look for signs of hyperglycemia -- excessive urination, excessive thirst, unusually high blood sugars, and/or fatigue.
  • Signs of hypoglycemia, such as shakiness, irritability, confusion, sweatiness, anxiety, and fainting.
  • Preoccupation with self-image, weight, or food intake.
  • Moodiness, irritability, anxiety or depression, being overly critical of appearance, self-hatred.

What Can Parents Do?

  • Be aware that your teen may be defensive or deny that there's a problem.
  • Call your teen's healthcare provider if you suspect an eating disorder of any kind.
  • Seek referrals for therapists and/or treatment centers who are experienced with eating disorders and diabetes. An endocrinologist may be a good source of information.

2003-05-20 17:38:02 by critternli

Definitely. But you can make it easier or harder

For most people, their appetite will be satisfied on less with higher fiber foods. Refined starches are less filling and also tend to cause blood glucose peaks and valleys so people feel hungry again more quickly. So while a cup of brown and a cup of white have the same calories, it'll be easier to eat less of the brown rice. Nothing wrong with making it easier for yourself. I wouldn't call that dumb. I do agree with you that believing in some magic bullet that allows you to ignore how many calories you consume and still lose weight is dumb. People can count carbs all they want, and they'll still won't lose a pound until they burn more calories than they eat

2010-10-04 16:45:35 by simp1icity

My hubby has

Diabetes. We're not vegetarian (I would eat very little meat if I weren't cooking for him), but when he was diagnosed, he cut his meat intake by half or more and I strongly believe it's part of why he's had such an excellent improvement.
Beans are excellent lean protein, and the fiber will help you feel full longer and to better regulate your blood sugars. Non-starchy vegetables and whole grains, too. If you have the chance to meet with a nutritionist or diabetes educator, it was very helpful to us.
The most useful book to us (well, really me, I count the carbs more than my hubby does) has been The Official Pocket Guide to Diabetic Exchanges published by the American Diabetes Association

2006-09-06 20:35:09 by snowcat

Everyone gave a lot of good advice but I wanted

Add to it, since I'm hypoglycemic (low blood sugar) and veggie, and the hypoglycemic diet is really similiar to the diabetic one, (except in some instances the hypoglycemic diet is probably stricter; my hypoglycemia is pretty bad). I also have very low cholesterol.
As others have mentioned, avoid white sugar, white rice, and white flour--anything highly refined and processed. The thing is that white sugar and white flour are in pretty much EVERYTHING so be sure to read labels carefully. I pretty much cook all my meals myself, and don't eat too much processed/pre packaged foods.
Also you need to avoid things like honey, maple syrup, brown sugar etc

Why you should eat fruit -- not drink it -- to lower diabetes risk  — Today.com
Consuming whole fruits at least three times a week may lower your risk of developing type 2 diabetes, according to a new long-term study published Thursday in the British Medical Journal.

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