Eating Disorder Not Otherwise Specified

Some eating disorders have unique features that cause them to not fit one of the generally accepted categories of eating disorders (e.g., anorexia, bulimia). To address this problem, DSM-IV identifies a diagnosis known as eating disorder not otherwise specified (ED-NOS). Examples of eating disturbances that would fit this diagnostic profile include a person who purges after eating only a small amount of food or a person who has lost a significant amount of weight by starving themselves but their weight still technically falls in a healthy range.

The most common ED-NOS seen in people with DM1 is the reduction of insulin dosage to lose weight. Studies have found that up to 30% of adolescents with DM1 have intentionally reduced or omitted their insulin doses to control weight in adolescence or young adulthood (69). We have observed several variations of this in the clinical setting: (i) episodically omitting insulin administration; (ii) consistently under dosing for meals and snacks; or (iii) the omission of a bolus for meals albeit maintenance of basal doses by those using insulin pumps or basal/bolus formats of injection regimen (with Glargine basal doses and "per-meal" bolus injections with analogue insulin).

When this happens, blood glucose becomes hyperglycemic and ketones appear in the urine as body fat is broken-down for energy, placing individuals at greater risk for ketoacidosis, nephropathy, and other diabetic complications. Of tremendous clinical difficulty is that, despite the negative impact of insulin omission on glycemic control and risk for potentially irreversible complications, this tactic does successfully result in weight loss. For individuals with DM1 who are rigidly fixated upon weight loss, to the exclusion of long-term DM1-related health concerns, diagnosis and treatment of the eating disorder become imperative.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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