The duration of severe insulin omission is the factor most closely associated with the microvascular complications of Type 1 diabetic females with clinical eating disorders
- 19 December 2007
- journal article
- research article
- Published by Wiley in International Journal of Eating Disorders
- Vol. 41 (3), 259-264
- https://doi.org/10.1002/eat.20498
Abstract
Objective: To investigate which features of eating disorders are associated with retinopathy and nephropathy in Type 1 diabetic females with clinical eating disorders. Method: Participants were 109 Type 1 diabetic females with clinical eating disorders diagnosed by the structured clinical interview for DSM-IV (bulimia nervosa [n = 70], binge-eating disorder [n = 28], anorexia nervosa [n = 7], and eating disorder not otherwise specified [n = 4]). Retinopathy and nephropathy were screened and demographic, medical, and eating disorder related factors were investigated. To identify the factors associated with each complication, logistic regression analysis was done. Results: Duration of severe insulin omission and duration of Type 1 diabetes were significantly associated with retinopathy (odds ratios = 1.35 and 1.23, respectively) and nephropathy (odds ratio = 1.35 and 1.21, respectively) in multivariate regression analyses. Conclusion: Of the various problematic behavioral factors related to eating disorders, the duration of severe insulin omission was the factor most closely associated with the retinopathy and nephropathy of Type 1 diabetic females with clinical eating disorders by multivariate analysis. This finding may help patients who deliberately omit insulin become aware of medical risk of insulin omission. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord, 2008This publication has 25 references indexed in Scilit:
- Eating disorders in young women with type 1 diabetes mellitusJournal of Psychosomatic Research, 2002
- Classification of Type 1 Diabetic Females With Bulimia Nervosa Into Subgroups According to Purging BehaviorDiabetes Care, 2002
- Eating disorders in adolescent females with and without type 1 diabetes: cross sectional studyBMJ, 2000
- Differences between bulimia nervosa and binge-eating disorder in females with type 1 diabetesJournal of Psychosomatic Research, 1999
- Comorbidity of Diabetes and Eating Disorders: Does diabetes control reflect disturbed eating behavior?Diabetes Care, 1998
- Subclinical and Clinical Eating Disorders in IDDM Negatively Affect Metabolic ControlDiabetes Care, 1997
- Psychosocial Problems and Interventions in Diabetes: A review of the literatureDiabetes Care, 1992
- Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study.BMJ, 1991
- Eating Disorders and Intentional Insulin Undertreatment in Adolescent Females With DiabetesPsychosomatics, 1991
- Clinically apparent eating disorders in young diabetic women: associations with painful neuropathy and other complications.BMJ, 1987