Trastornos de la Conducta Alimentaria y Diabetes MellitusTratamiento nutricional

  1. Navarro-Falcón, Magnolia 1
  2. Jáuregui-Lobera, Ignacio 2
  3. Herrero-Martín, Griselda 3
  1. 1 Instituto de Endocrinología y Nutrición ENDAMA, Hospital Sanitas CIMA. Barcelona. España
  2. 2 Universidad Pablo de Olavide. Carretera de Utrera s/n. 41013 Sevilla. España. Instituto de Ciencias de la Conducta. Fernando IV, 27. 41011 Sevilla. España
  3. 3 Universidad Pablo de Olavide. Carretera de Utrera s/n. 41013 Sevilla. España. Norte Salud Nutrición. Manuel Arellano, 9. 41010 Sevilla. España
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Journal:
Journal of Negative and No Positive Results: JONNPR

ISSN: 2529-850X

Year of publication: 2020

Volume: 5

Issue: 9

Pages: 1040-1058

Type: Article

DOI: 10.19230/JONNPR.3837 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Journal of Negative and No Positive Results: JONNPR

Abstract

This paper describes the special characteristics in nutritional management and clinical presentation of  patients with diabetes and eating disorders at the same time. The screening of these two comorbidities is  important in order to take the necessary measures and to avoid complications. Professionals should be  aware for warning signs (High HbA1c, weight changes, treatment omission , excessive concern about the  quality and quantity of meal, etc.).Some studies show that more than 60% of type 1 Diabetes Mellitus and more than 40% of type 2 Diabetes  Mellitus meet criteria for eating disorders (Diabulimia, Binge Eating Disorder, Night eating syndrome and  non-specific forms).The treatment must be carried out by an interdisciplinary team, with the main objective of restoring  adequate weight and avoiding of eating disorders’ behavior (purges, treatment omission, binge eating,  restrictions), a progressive dietary plan must be established, not to be focus on counting carbohydrate  rations, but on adequate nutritional education and on those patients with insulin to ensure its adequate  administration. It is important establish real objectives (weight, blood measure test, HbA1c) and to discuss  acute and chronic complications of diabetes not only with the patient but with his/her family. There are still many study´areas to improve the comprehensive treatment of these patients.  

Bibliographic References

  • Margo E. Griffith J, Patel N, Jaser SS. Eating Disorders and Disordered Eating in Type 1 Diabetes: Prevalence, Screening, and Treatment Options Curr Diab Rep 2013; 13:909–16.
  • American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th Ed. Arlington, VA, American Psychiatric Association, 2013.
  • American Diabetes Association. 2. Classification and diagnosis of diabetes:Standards of Medical Care in Diabetes 2020. Diabetes Care 2020;43(Suppl. 1):S14–31.
  • Sociedad Española de Endocrinología: Manual de Endocrinología y Nutrición. [Internet]. Madrid: 2019. [citado 07-de Enero de 2020]. Recuperado a partir de: https://manual.seen.es/home.
  • Kenneth Cusi, Role of Insulin Resistance and Lipotoxicity in Non-Alcoholic Steatohepatitis. Clin Liver Dis 2009; 13:545–63
  • Young-Hyman DL, Davis KL. Disordered Eating Behavior in Individuals With Diabetes Importance of context, evaluation, and classification. Diabetes Care,2010; 33: 683-9
  • Colton P, Olmsted MP, Daneman D, Farquhar JC, Wong H, Muskat S, et al. Eating Disorders in Girls and Women With Type 1 Diabetes: A Longitudinal Study of Prevalence, Onset, Remission, and Recurrence. Diabetes Care 2015;38:1212–17
  • Ministerio de Sanidad y Consumo. Guía de Práctica Clínica sobre Trastornos de la Conducta Alimentaria. 2009. https://portal.guiasalud.es/wp-Content/uploads/2018/12/GPC_440_Tt_Conduc_Alim_herram.pdf.
  • Delamater AM, Marrero DG. Behavioral Diabetes. Social Ecological Perspectives for Pediatric and Adult Populations. Springer Nature Switzerland AG 2020.
  • Jáuregui I, Herrero G, Bolaños P, Andrades C. Trastornos de la conducta alimentaria y obesidad. 1era. Madrid: Ed. Biblioteca Aula Médica; 2019.
  • Markowitz JT, Butler DA, Volkening LK, Antisdel JE, Anderson BJ, Laffel LM. Brief screening tool for disordered eating in diabetes: internal consistency and external validity in a contemporary sample of pediatric patients with type 1 diabetes. Diabetes Care. 2010 Mar 1;33(3):495-500.
  • Sancanutoa C, Jiménez-Rodríguez D, Tébar FJ, Hernández-Morante, JJ. Traducción y validación de un cuestionario para la detección de trastornos del comportamiento alimentario en pacientes con diabetes mellitus. Med Clin (Barc). 2017;148(12):548–54.
  • Pinna F, Diana E, Sanna L, Deiana V, Manchia M, Nicotra E, et al .Assessment of eating disorders with the diabetes eating problems survey – revised (DEPS-R) in a representative sample of insulin-treated diabetic patients: a validation study in Italy. BMC Psychiatry (2017) 17:262.
  • Menneghini LF, Spadola J, Florez H. Prevalence and associations of binge eating disorder in a Multiethnic population with type 2 diabetes. Diabetes Care 2006;29:2760.
  • Nicolau J, Simo R, Sanchis P, Ayala, L., Fortuny, R., Zubillaga, I, et al. Eating disorders are frequent among type 2 diabetic patients and are associated with worse metabolic and psychological outcomes: Results from a cross- sectional study in primary and secondary care settings. Acta Diabetologica, 2015; 52(6): 1037–44.
  • Doyle EA, Screening for Disordered Eating Behaviors in Adolescents and Young Adults with Type 1 Diabetes. Pediatric Nursing. 2016; 42(4): 197-200.
  • Diabetes Spectrum/Patient Information. ADA
  • American Diabetes Association. 13. Children and adolescents: Standards of Medical Care in Diabetes 2020. Diabetes Care 2020; 43(Suppl. 1):S163–82.
  • Keane S, Clarke M, Murphy M , McGrath D, Smith D, Farrelly N, et al. Disordered eating behaviour in young adults with type 1 diabetes mellitus. Journal of Eating Disorders 2018; 6:9.
  • Criego A, Crow S, Goebel-Fabbri AE, Kendall D, Parkin C..Eating Disorders and Diabetes: Screening and Detection. Diabetes Spectrum 2009, 22; 3: 143-6.
  • Jaworski M, Panczyk M, Śliwczyński AM, Brzozowska M, Janaszek K, Małkowski P,et al. A Ten-Year Longitudinal Study of Prevalence of Eating Disorders in the General Polish Type 2 Diabetes Population. Med Sci Monit, 2018; 24: 9204-12.
  • Chandran S, Prakrithi S, Supriya M, Kishor M, Diabulimia - The phenomenology of an under recognised juxtaposition between diabetes and eating disorders. Telangana Journal of Psychiatry, 2018; 4(1):6-10.
  • Nicolau J, Masmiquel Ll. Eating disorders and diabetes mellitus Trastornos de la conducta alimentaria y diabetes mellitus (Editorial). Endocrinol Nutr. 2015;62(7):297-9.
  • Kitabchi AE, Umpierrez GE, Miles JM, Fisher JN, Hyperglycemic Crises in Adult Patients With Diabetes. Diabetes Care, 2009; 32 (7): 1335-46.
  • Moosavi M, Kreisman S, Hall L, Intentional Hypoglycemia to Control Bingeing in a Patient with Type 1 Diabetes and Bulimia Nervosa. Can J Diabetes 39 (2015) 16-7.
  • García-Mayor RV, García-Soidán FJ. Eating disorders in type 2 diabetic people: Brief review. / Diabetes & Metabolic Syndrome: Clinical Research & Reviews; 11 (2017): 221–4.
  • Chao A, Wadden TA, Gorin AA, Tronieri JS, Pearl RL, Bakizada ZM, et al. Binge Eating and Weight Loss Outcomes in Individuals with Type 2 Diabetes: 4-Year Results from the Look AHEAD Study. Obesity (Silver Spring). 2017 November; 25(11): 1830–37.
  • Hood MM, Reutraku S, Crowley SJ. Night eating in patients with type 2 diabetes. Associations with glycemic control, eating patterns, sleep, and mood. Appetite 2014, Agosto; 79: 91-96.
  • Abbott S, Dindo N, Tahrani AA, Piya MK.Binge eating disorder and night eating syndrome in adults with type 2 diabetes: a systematic review. Journal of Eating Disorders (2018) 6:36
  • The TODAY study group. Binge Eating, Mood, and Quality of Life in Youth With Type 2 Diabetes Baseline data from THE TODAY STUDY GROUP. Diabetes Care 2011; 34:858–60.
  • Papel M, De Oliveira R, Ferreira W, Kupfer R, Freitas S, Raggio Luz, et al. Does bingeeating matter for glycemic control in type 2 diabetes patients? Journal of Eating Disorders. 2019; 7:30.
  • Gagnon C, Aimé A, Bélanger C. Comorbid Diabetes and Eating Disorders in Adult Patients: Assessment and Considerations for Treatment. 2012; 38 (4): 537-42.
  • Goebel-Fabbri A, Copeland P, Touyz S, Hay P. Eating disorders in diabetes: Discussion on issues relevant to type 1 diabetes and an overview of the Journal’s special issue. [Editorial], Journal of Eating Disorders, 2019; 7:27.
  • National Library of Medicine (NLM). ClinicalTrials.gov. USA GOV. C2020 [citado 2020 Feb 2]. Disponible en: https://clinicaltrials.gov/ct2/home
  • AEMPS: Agencia Española de Medicamentos y Productos Sanitarios: Madrid: c2008 [citado 2020 Feb 2]. Disponible en: https://www.aemps.gob.es/reec/public/web.html
Data source: Dialnet