HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Daneman, D. Articles by Olmsted, M. Search for Related Content PubMed Articles by Daneman, D. Articles by Olmsted, M. Social Bookmarking                What's this?

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

	Preface

 
Dennis Daneman, MB, BCh, FRCPC

Gary Rodin, MD, FRCPC

Teens with type 1 diabetes face two clashing realities. On the one hand, the results of studies such as the Diabetes Control and Complications Trial (DCCT) provide irrefutable evidence of the link between diabetes control and the onset and progression of diabetes-related microvascular complications.¹ The DCCT message was loud and clear: Control counts! On the other hand, there are numerous studies, including the DCCT, demonstrating that, during adolescence, metabolic control tends to be poorest and that the goals of intensive diabetes management are more difficult to achieve.^2,3

What are the reasons for poor glycemic control in adolescents with type 1 diabetes? I believe that it results from the complex interplay between biological (e.g., insulin resistance of puberty) and psychosocial (e.g., noncompliance, family environment) factors. Our group has focused on one specific contributing factor, namely, eating disorders in teenage girls with type 1 diabetes. This From Research to Practice section offers a review of this topic by our research group at the University of Toronto.

This is a departure from the usual format of Diabetes Spectrum research sections in that the entire section comprises contributions from a single research group. A number of groups around the world have made substantial contributions to this field, and we have been as diligent as possible in citing their enormous contributions. However, we do hope that our group has been able to provide a unifying view of the pathophysiology and impact of eating disturbances in girls and young women with type 1 diabetes. Our aim is to sensitize readers to the manifestations of this common co-morbidity and to highlight areas where further research is warranted.

Because this monograph-style presentation represents the combined efforts of all of the authors, we have listed only the primary contributors to . . . [Full Text of this Article]

	1. Introduction

 
1. Model for the Interaction Between Type 1 Diabetes and Eating Disorders

	2. Prevalence of Eating Disorders in Girls With Type 1 Diabetes

 
In Brief
i. Methodological Considerations
ii. Controlled Prevalence Studies Using Diagnostic Interviews
iii. Pre-Teens and Early Teens With Type 1 Diabetes
Summary

	3. Effects of Eating Disorders in Adolescent Girls and Young Women With Type 1 Diabetes

 
In Brief
i. Disordered Eating and Compensatory Weight-Loss Behavior
(a) Deliberate insulin omission for weight control
(b) Binge eating
(c) Persistence of disordered behavior
ii. Screening for Disordered Behavior
iii. Impaired Metabolic Control
iv. Short-term Diabetes-Related Complications
v. Long-term Diabetes-Related Microvascular Complications
Conclusions

	4. Contribution of the Family Environment to Eating Disturbances in Girls With Type 1 Diabetes

 
In Brief
i. Quality of Family Functioning
ii. Eating Disturbances, Family Functioning, and Metabolic Control
iii. Maternal Weight and Shape Concerns
Implications of Family-Based Research Findings

	5. Treating Eating Disorders in Young Women With Diabetes

 
In Brief
An Integrated Approach to the Treatment of Eating Disorders in Type 1 Diabetes
i. Motivational Issues
ii. Cognitive-Behavioral Strategies
(a) Self-monitoring
(b) Negotiating an eating/insulin protocol
(c) Bingeing or overeating triggered by hypoglycemia
d. Preparation for possible weight gain
iii. Psychological and Interpersonal Issues

	6. Implications, Summary, and Conclusions

 
i. Implications
ii. Summary and Conclusions

	Acknowledgments

 

	References

 

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				J. C. Kichler, C. Foster, and L. Opipari-Arrigan The Relationship between Negative Communication and Body Image Dissatisfaction in Adolescent Females with Type 1 Diabetes Mellitus J Health Psychol, April 1, 2008; 13(3): 336 - 347. [Abstract] [PDF]

				W. G. Hornsby Jr. and R. D. Chetlin Management of Competitive Athletes With Diabetes Diabetes Spectr, April 1, 2005; 18(2): 102 - 107. [Abstract] [Full Text] [PDF]