Alves Márcia, Rodrigues Dírcea, Gouveia José Pinto, Bastos Margarida, Carvalheiro Manuela
Serviço de Endocrinologia, Diabetes e Metabolismo, Hospitais da Universidade de Coimbra, Coimbra, Portugal.
Acta Med Port. 2011 Dec;24 Suppl 3:639-44. Epub 2011 Dec 31.
Type 1 Diabetes mellitus is a chronic disease, often diagnosed in youth and associated with important psychological, familial and social disorders. Its intensive treatment with insulin and dietary changes is an extra stress factor in a stage of life already complicated. This vulnerability, coupled with low self-esteem and psychological factors typical of the youth, makes eating disorders twice as common in young girls with type 1 diabetes. The omission of insulin is the sole purging behavior used to lose weight, culminating in a poor glycemic control and increased acute and chronic complications. The treatment seeks to achieve specific objectives, depending on the associated psychiatric pathology. Because of its frequency, the clinician should be alert to early manifestations of this association. We present four clinical cases of young people with type 1 diabetes and eating disorders, which show the complexity of the approach and monitoring of these patients.
1型糖尿病是一种慢性病，通常在青少年时期被诊断出来，并伴有重要的心理、家庭和社会紊乱。用胰岛素强化治疗和改变饮食是在本已复杂的人生阶段中的额外压力因素。这种易感性，再加上青少年典型的自卑和心理因素，使得饮食失调在1型糖尿病年轻女孩中普遍程度高出一倍。漏用胰岛素是唯一用于减肥的清除行为，最终导致血糖控制不佳，并增加急慢性并发症。治疗旨在实现特定目标，具体取决于相关的精神病理学。鉴于其发生频率，临床医生应警惕这种关联的早期表现。我们呈现了4例患有1型糖尿病和饮食失调的年轻人的临床病例，这些病例显示了对这些患者进行治疗和监测的复杂性。
