User:Cbmicha/Diabulimia

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117136/

Other causes of eating disorders include Western cultural influence, childhood sexual abuse, personality traits, and neurobiology.

Body Image:


 * https://my.clevelandclinic.org/health/diseases/22658-diabulimia#symptoms-and-causes
 * Constant and intense focus on food
 * Having to constantly check nutrition labels and food

Emotional well being:


 * https://my.clevelandclinic.org/health/diseases/22658-diabulimia#symptoms-and-causes
 * Fear that insulin causes weight gain
 * Anxiety about body image
 * Feeling drained about diabetes management
 * Depression/anxiety
 * Depression has a significant negative impact on Diabetes
 * Having Mood swings
 * Wanting a sense of control over their body
 * Perfectionism
 * https://www.niddk.nih.gov/health-information/professionals/diabetes-discoveries-practice/eating-disorders-and-the-patient-with-diabetes
 * This preoccupation can become a bit of an obsession—particularly if people think they have to be perfect in their diabetes management.
 * Impulsive behavior
 * low self esteem

Eating disorder before type 2 diabetes:


 * https://www.niddk.nih.gov/health-information/professionals/diabetes-discoveries-practice/eating-disorders-and-the-patient-with-diabetes
 * reverse may be true for type 2, with an eating disorder such as binge eating potentially contributing to the development of the disease.

Type 1 diabetes and body focus


 * For example, a person with type 1 diabetes may have experienced weight loss before the diagnosis, followed by weight gain when beginning treatment with insulin. This may lead to increased body dissatisfaction and preoccupation with weight loss.

Avoiding/distress of diabetes:


 * https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166557/
 * Refuse to believe in the diagnosis or the long term effects
 * Often have a fear of self injection
 * Depression has a significant negative impact on Diabetes
 * People with type 2 diabetes have 24% of higher risk of developing depression[84] and therefore the co-morbid conditions of depression and diabetes needs a careful attention.

Results:


 * https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166557/
 * It has been observed that addressing psychological needs improves HbA1c by 0.5%–1% in adults with T2DM
 * Psychosocial interventions such as cognitive behavioral therapy,[104,105] motivational therapy,[106] problem-solving therapy,[2,107] coping skills training,[108,109] and family behavior therapy[110,111] have all shown to improve the treatment adherence and achieve good glycemic control.

Treatment:

https://www.medicalnewstoday.com/articles/diabulimia#treatment

Treatment for diabulimia has two goals: stabilizing diabetes by increasing insulin intake and addressing the underlying eating disorder.

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/diabetes-and-insulin

Individuals diagnosed with type 1 diabetes typically need to administer insulin on a daily basis, frequently requiring 4 to 5 injections throughout the day. The methods of insulin injection vary, including the use of a syringe and needle, an insulin delivery pen, or an insulin pump.

Your healthcare team, comprised of your doctor or diabetes nurse educator, will provide guidance on the proper techniques for injecting insulin, including details on where, how, and when to administer it. They will also educate you on the safe storage of insulin.

Finding the optimal insulin dose to effectively lower your blood glucose to the desired levels may take some time, even with the assistance of your healthcare professionals. This process involves careful adjustment and monitoring to achieve the best outcomes for managing your diabetes.

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 * A1c of 9.0 or higher

For example, a person with type 1 diabetes may have experienced weight loss before the diagnosis, followed by weight gain when beginning treatment with insulin. This may lead to increased body dissatisfaction and preoccupation with weight loss.

Eating Disorders
Eating disorders can stem from a variety of factors, extending beyond individual predispositions. Influences from Western culture, childhood sexual abuse, specific personality traits, and neurobiological factors are identified as additional contributors to the development of eating disorders.

Western cultural influence plays a significant role, often promoting unrealistic beauty standards and societal pressures related to body image. The pervasive impact of media, emphasizing certain body ideals, can contribute to the development of unhealthy eating patterns.

Childhood sexual abuse is recognized as a traumatic experience that may lead to the development of eating disorders. The psychological effects of such abuse can manifest in disordered eating as individuals cope with emotional distress through their relationship with food.

Certain personality traits, such as perfectionism, low self-esteem, or a strong desire for control, are associated with an increased vulnerability to eating disorders. These traits may influence the way individuals perceive and interact with their bodies and food.

Additionally, emerging evidence in the field of neurobiology suggests that there are biological factors contributing to the development and maintenance of eating disorders. Neurochemical imbalances and alterations in brain function may influence appetite regulation, reinforcing disordered eating behaviors.

Understanding the multifaceted nature of these causes is crucial for comprehensive prevention and treatment strategies.

Treatment for diabulimia has two goals: stabilizing diabetes by increasing insulin intake and addressing the underlying eating disorder. The standard approach for the treatment of two complex conditions involves a multidisciplinary team of professionals.

Eating Disorder
To address the underlying eating disorder psychosocial interventions such as cognitive behavioral therapy, motivational therapy, problem-solving therapy, coping skills training, and family behavior therapy have all been shown to improve treatment adherence and achieve good glycemic control. It has been observed that addressing psychological needs improves HbA1c by 0.5%–1% in adults with T2DM. Useful therapies may involve cognitive behavioral therapy. Cognitive behavioral therapy focuses on changing unhealthy thinking surrounding the use of insulin.

Insulin
Individuals diagnosed with type 1 diabetes typically need to administer insulin on a daily basis, frequently requiring 4 to 5 injections throughout the day. The methods of insulin injection vary, including the use of a syringe and needle, an insulin delivery pen, or an insulin pump.

Your healthcare team, comprised of your doctor or diabetes nurse educator, will provide guidance on the proper techniques for injecting insulin, including details on where, how, and when to administer it. They will also educate you on the safe storage of insulin.

Finding the optimal insulin dose to effectively lower your blood glucose to the desired levels may take some time, even with the assistance of your healthcare professionals. This process involves careful adjustment and monitoring to achieve the best outcomes for managing your diabetes.

Even with treatment, relapse is common (some estimate over 50% relapse within 6 years), requiring long-term reassessment for early intervention.