Kınık Mehmet Fatih, Gönüllü Ferda Volkan, Vatansever Zeynep, Karakaya Işık
Department of Child and Adolescent Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey.
Turk Pediatri Ars. 2017 Mar 1;52(1):46-49. doi: 10.5152/TurkPediatriArs.2017.2366. eCollection 2017 Mar.
Type I diabetes mellitus is the most common endocrinologic disorder affecting pediatric patients. Diet regimen adaptations in patients with diabetes may result in focusing on only diet and weight control, which causes eating disorders more often in these patients. Diabulimia is an eating disorder specific to patients with diabetes characterized by limiting and/or skipping insulin dosing. It is well observed that diet management and insulin treatment are withheld for body appearence and social acceptance issues, especially in patients whose disease is diagnosed during adolescence. We hereby present a patient who was diagnosed as having diabetes at the age of 12 years and skipped insulin doses in order to control weight and was subsequently diagnosed as having diabulimia.
1型糖尿病是影响儿科患者最常见的内分泌疾病。糖尿病患者的饮食方案调整可能导致只关注饮食和体重控制,这使得这些患者更常出现饮食失调。糖尿病贪食症是糖尿病患者特有的一种饮食失调,其特征是限制和/或跳过胰岛素剂量。人们清楚地观察到,为了身体外观和社会接受问题而停止饮食管理和胰岛素治疗,尤其是在青春期被诊断出患有该疾病的患者中。我们在此介绍一名12岁被诊断患有糖尿病的患者,他为了控制体重而跳过胰岛素剂量,随后被诊断患有糖尿病贪食症。