‘Almost every woman is swept away with the need to be in shape… .. Insulin omission offers an easy method for the purging of unwanted calories which is dangerous ‘

Emobileclinic Researchers’ corner 

Chronic Hyperglycemia 

The management of diabetes Type 1 could take a complete reshape with chronic Hyperglycemia . Type 1 diabetes is marked with insulin deficiency. Chronic hyperglycemia creates a state of glucosuria with subsequent weight loss and the combination of the two is deadly.While speaking on the risk in these medical issues, a researcher said  the following risks are bound to happen with ‘this includes poor metabolic control (measured by elevated hemoglobin A1C), increased risk of diabetic ketoacidosis, and microvascular complications such as retinopathy and nephropathy’.

bs 1

 Almost every woman is swept away with the need to be in good shape. One of the major problem of teenagers with diabetes type 1 is weight gain. ‘ Since diabetes treatment focuses on intensive daily management of blood glucose by balancing insulin, food intake, and physical activity,  insulin omission offers an easy method for the purging of unwanted calories’ ‘ People with Type 1 diabetes, who don’t produce their own insulin, require continuous treatments with the hormone in order to get glucose from the bloodstream into the cells. When they skip or restrict their insulin, either by failing to take shots or manipulating an insulin pump, it causes sugars — and calories — to spill into the urine, causing rapid weight loss.’says NY times reporter.




An expert smoke more on the reasons why this act is rampant among adolescent according to her it is caused as a result of ‘poor self-esteem and body image, intense fear of gaining weight or refusal to maintain weight, and purging unwanted calories are clinical features of some eating disorders.’This  has death implication has shown in a result of research which followed 234 adult women with Type 1 diabetes for 11 years and found that 30 percent reported to have engaged in insulin restriction behaviors. The study shows that those who weren’t taking insulin regularly  died at an average age of 45, while those who did died at the age of 58.

Another expert suggested that ‘eating disorders should be suspected in patients with recurrent diabetic ketoacidosis or poor glycemic control that is resistant to attempts at improvement’.A psychologist in Brookline, Mass;Ann Goebel spoke about the danger of eating disorders according to her ‘anorexia is the most lethal psychiatric diagnosis that exists, and the risk of mortality is so much more heightened when Type 1 is added’.

The combination of Type 1 diabetes and an eating disorder is “very dangerous,” said Ann Goebel-Fabbri, a psychologist in Brookline, Mass., who specializes in treating people with diabetes who have eating disorders. “Anorexia is the most lethal psychiatric diagnosis that exists, and the risk of mortality is so much more heightened when Type 1 diabetes is added.”

The following are recommended by researchers in management of diabetes eating disorders :




Good nutritional counseling to help patients avoid weight gain

Family counseling to improve communication between patients and their families may help decrease this risk. 

Eating Treatment includes decreasing dietary restraint, 

Promoting healthy eating,

Either psychiatric counseling or psychologic intervention, or both.




 

 

Sources

 

http://www.ncbi.nlm.nih.gov/pubmed/11317470

http://www.ncbi.nlm.nih.gov/pubmed/16100333

NY times

 



Leave a Reply