Once an eating disorder or any pattern of disordered eating is diagnosed, treatment should begin immediately. Patients may require inpatient treatment in either a medical or psychiatric hospital, if their eating disorder is particularly severe, or their health is at immediate risk. An example of this circumstance, which is most relevant to people with diabetes, is a person who has intentionally omitted so much insulin from their regimen that they have entered a state of ketosis and require an intravenous insulin drip in order to normalize their blood sugar.
After immediate physical danger has been eliminated or ruled out, long-term treatment can begin. Because of the increased risks associated with having both DM1 and an eating disorder, an interdisciplinary team should be utilized in order to address the complex nature of the problem. Ideally, the team should include a psychotherapist, diabetes educator, endocrinologist, and nutritionist. These professionals should be in regular communication with each other in order to ensure that treatment is progressing; and the physical, emotional and psychological needs of the patient are all being addressed. Depending on the age and circumstances of the patient, family, group, and/or couples therapy may be appropriate as well.
One small study compared 9 young women with bulimia nervosa who were receiving in-patient treatment to 10 young women with bulimia nervosa who were not. These patients were reassessed 3 years after treatment by examining their body mass index, HbA1c results, and psychological test scores. Patients who had received inpatient treatment had lower HbA1c results and demonstrated lower scores on measures assessing depression, anxiety, and binge eating and purging behaviors (80). Although the small sample size of this study makes it difficult to discern how generalizable the results are, these preliminary findings do suggest that inpatient treatment may be a more helpful form of treatment for women with diabetes who are suffering from bulimia nervosa.
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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.