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. 1991 Jul 6;303(6793):17–20. doi: 10.1136/bmj.303.6793.17

Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study.

C G Fairburn 1, R C Peveler 1, B Davies 1, J I Mann 1, R A Mayou 1
PMCID: PMC1670295  PMID: 1781827

Abstract

OBJECTIVE--To determine the prevalence of clinical eating disorders and lesser degrees of disturbed eating in young adults with insulin dependent diabetes and a matched sample of non-diabetic female controls. DESIGN--Cross sectional survey of eating habits and attitudes in diabetic and non-diabetic subjects. SETTING--Outpatient clinic catering for young adults with diabetes; community sample of non-diabetic women drawn from the lists of two general practices. SUBJECTS--100 patients with insulin dependent diabetes (54 women and 46 men) aged 17-25 and 67 non-diabetic women of the same age. MAIN OUTCOME MEASURES--Eating habits and eating disorder psychopathology were assessed by standardised research interview adapted for the assessment of patients with diabetes (eating disorder examination). Glycaemic control was assessed by glycated haemoglobin assay. RESULTS--In both non-diabetic and diabetic women disturbed eating was common, and in diabetic women the degree of disturbance was related to control of glycaemia. Twenty of the diabetic women (37%) had omitted or underused insulin to influence their weight. This behaviour was not restricted to those with a clinical eating disorder. None of the men showed any features of eating disorders, and none had misused insulin to influence their weight. CONCLUSIONS--There was no evidence that clinical eating disorders are more prevalent in young women with diabetes than in non-diabetic women. Nevertheless, disturbed eating is common and is associated with poor control of glycaemia, and the misuse of insulin to influence body weight is also common in young women with diabetes.

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Selected References

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  1. Fairburn C. G., Beglin S. J. Studies of the epidemiology of bulimia nervosa. Am J Psychiatry. 1990 Apr;147(4):401–408. doi: 10.1176/ajp.147.4.401. [DOI] [PubMed] [Google Scholar]
  2. Fairburn C. G., Steel J. M. Anorexia nervosa in diabetes mellitus. Br Med J. 1980 May 10;280(6224):1167–1168. doi: 10.1136/bmj.280.6224.1167-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Garner D. M., Olmsted M. P., Bohr Y., Garfinkel P. E. The eating attitudes test: psychometric features and clinical correlates. Psychol Med. 1982 Nov;12(4):871–878. doi: 10.1017/s0033291700049163. [DOI] [PubMed] [Google Scholar]
  4. Hillard J. R., Hillard P. J. Bulimia, anorexia nervosa, and diabetes. Deadly combinations. Psychiatr Clin North Am. 1984 Jun;7(2):367–379. [PubMed] [Google Scholar]
  5. Hudson J. I., Wentworth S. M., Hudson M. S., Pope H. G., Jr Prevalence of anorexia nervosa and bulimia among young diabetic women. J Clin Psychiatry. 1985 Mar;46(3):88–89. [PubMed] [Google Scholar]
  6. Kaminer Y., Robbins D. R. Insulin misuse: a review of an overlooked psychiatric problem. Psychosomatics. 1989 Winter;30(1):19–24. doi: 10.1016/S0033-3182(89)72313-6. [DOI] [PubMed] [Google Scholar]
  7. La Greca A. M., Schwarz L. T., Satin W. Eating patterns in young women with IDDM: another look. Diabetes Care. 1987 Sep-Oct;10(5):659–660. doi: 10.2337/diacare.10.5.659. [DOI] [PubMed] [Google Scholar]
  8. Nathan D. M., Singer D. E., Hurxthal K., Goodson J. D. The clinical information value of the glycosylated hemoglobin assay. N Engl J Med. 1984 Feb 9;310(6):341–346. doi: 10.1056/NEJM198402093100602. [DOI] [PubMed] [Google Scholar]
  9. Robertson P., Rosenvinge J. H. Insulin-dependent diabetes mellitus: a risk factor in anorexia nervosa or bulimia nervosa? An empirical study of 116 women. J Psychosom Res. 1990;34(5):535–541. doi: 10.1016/0022-3999(90)90028-3. [DOI] [PubMed] [Google Scholar]
  10. Rodin G. M., Daneman D., Johnson L. E., Kenshole A., Garfinkel P. Anorexia nervosa and bulimia in female adolescents with insulin dependent diabetes mellitus: a systematic study. J Psychiatr Res. 1985;19(2-3):381–384. doi: 10.1016/0022-3956(85)90044-5. [DOI] [PubMed] [Google Scholar]
  11. Rosmark B., Berne C., Holmgren S., Lago C., Renholm G., Sohlberg S. Eating disorders in patients with insulin-dependent diabetes mellitus. J Clin Psychiatry. 1986 Nov;47(11):547–550. [PubMed] [Google Scholar]
  12. Steel J. M., Young R. J., Lloyd G. G., Clarke B. F. Clinically apparent eating disorders in young diabetic women: associations with painful neuropathy and other complications. Br Med J (Clin Res Ed) 1987 Apr 4;294(6576):859–862. doi: 10.1136/bmj.294.6576.859. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Steel J. M., Young R. J., Lloyd G. G., Macintyre C. C. Abnormal eating attitudes in young insulin-dependent diabetics. Br J Psychiatry. 1989 Oct;155:515–521. doi: 10.1192/bjp.155.4.515. [DOI] [PubMed] [Google Scholar]
  14. Szmukler G. I. Anorexia nervosa and bulimia in diabetics. J Psychosom Res. 1984;28(5):365–369. doi: 10.1016/0022-3999(84)90067-9. [DOI] [PubMed] [Google Scholar]
  15. Szmukler G. I., Russell G. F. Diabetes mellitus, anorexia nervosa and bulimia. Br J Psychiatry. 1983 Mar;142:305–308. doi: 10.1192/bjp.142.3.305. [DOI] [PubMed] [Google Scholar]
  16. Wing R. R., Nowalk M. P., Marcus M. D., Koeske R., Finegold D. Subclinical eating disorders and glycemic control in adolescents with type I diabetes. Diabetes Care. 1986 Mar-Apr;9(2):162–167. doi: 10.2337/diacare.9.2.162. [DOI] [PubMed] [Google Scholar]

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