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Eating Disorders in Diabetes Mellitus 213

The rising incidence of eating disorders among dia- whole milk, was associated with a higher risk of type
betics is on an alarming rate, the cause for this can 2 diabetes. This study clearly contradicts the state-
be ascertained into two components, one being the ment that “vegetarian food is good for diabetics!!”
onset of eating disorders perse such as bulimia and Women with type 1 diabetes twice as likely to develop
anorexia nervosa which leads to early onset of dia- an eating disorder. A new type of Eating disorder
betes mellitus the other component is lack of proper seen more frequently in type 1 diabetes known as
counseling and advice regarding the eating patterns “diabulimia,”. Here the patients who are on a regular
among diabetics, one more unrecognized eating pat- dose of insulin, and have been advised to take it for
tern that is off late seen among diabetics are ‘binge their life time, deliberately give themselves less insu-
eating’ and ‘sugar craving’.
lin or no insulin than what they need, for the purpose
Binge eating along with skipping of meals has shown of weight loss.
a dramatic rise in blood sugar values .A study done This condition also has a neuro-psychiatric compo-
by jukka et all shows The prevalence of skipping nent associated with it and has to be addressed with
breakfast has progressively increased over the past a multidisciplinary approach of psycho-behavioural
decades in children, adolescents, and adults and and psycho- social counselling.
there is increasing evidence that skipping breakfast
is associated with excess weight gain and other ad-
verse health outcomes. In addition, eating frequency The tell-tale signs to recognize eating
or snacking may also impact body weight and risk disorders in diabetes are:
of metabolic diseases. • Unexplained elevations in A1C values
Some recent reports and case studies done among • Repeated problems with diabetic ketoacidosis
health professionals in an urban setting, saw a trend (DKA)
of snacking frequently in between meals, the com- • Extreme concerns about weight and body shape
ponent of food being (junky oil foods).The studies
showed that there was a marked rise in BMI as well a • Change in eating patterns
direct increase in sugar values, the study prospective- • Unusual patterns of intense exercise (with fre-
ly examined in Health Professionals whether break- quent hypoglycimia)
fast consumption, eating frequency, and snacking
were associated with T2D risk and whether these • Amenorrhea
2
associations were mediated through BMI (in kg/m ).

And the results showed breakfast consumption has
been shown to improve lipid metabolism by reduc-
ing fasting and total LDL cholesterol and the serum
triglyceride concentration. It also reduces risk of lip-
id-associated chronic diseases such as obesity, car-
diovascular disease, and diabetes mellitus because
of favourable changes in glycaemia and insulinemia.
The type of food, quantity, quality and frequency ,
plays a significant role in controlling sugar values ,
pure vegetarians who are more favoured to take diet
very rich in carbohydrates (potato, carrots, radish)
have a significant chance of becoming diabetics, a
study done where two type of food pattern was in-
troduced to two group of people, one had a pattern
characterized by higher intake of fruits and vegeta-
bles (prudent pattern) and the other a pattern charac-
terized by higher intake of foods typical of Western
diets (Western pattern). So what can be done about it!!
The treatment as mentioned before is a multidisci-
The prudent dietary pattern, which was rich in fruits
and vegetables, was associated with a reduced risk plinary approach, where the patient should be under
of type 2 diabetes. In contrast, the conservative pat- constant surveillance and monitoring.
tern, which was rich in butter, potatoes, red meat, and When designed to treat a patient with both type 1

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