Children, especially girls, are often convinced that they're too fat, even when there's little or no evidence to support it. When the attempt to lose weight becomes dangerous to the health of the patient, it's an eating disorder.
An eating disorder is particularly dangerous in a child with T1DM because she tends to reduce or stop her insulin, knowing that insulin is required to store fat. She can rapidly get into ketoacidosis (see Chapter 4). If you suspect that your child has an eating disorder, take her to her endocrinologist for a discussion, and get a recommendation for a therapist who handles eating disorders. They can be very complicated and very dangerous.
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