Handling Eating Disorders

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.

Eating disorders take two different forms: anorexia nervosa and bulimia. I describe the differences in the context of someone with T1DM and provide sources of help in the following sections.

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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Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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