Marucci Simonetta, De Iaco Giulia, Lisco Giuseppe, Mariano Francesco, Giagulli Vito Angelo, Guastamacchia Edoardo, De Pergola Giovanni, Triggiani Vincenzo
Dip. "Scienze e Tecnologie per l'Uomo e l'ambiente", Università Campus Biomedico", Via Alvaro del Portillo 21, Roma, Italy.
Interdisciplinary Department of Medicine, Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases, School of Medicine, University of Bari, Piazza Giulio Cesare 11, Policlinico of Bari, Bari, Apulia, Italy.
Endocr Metab Immune Disord Drug Targets. 2022;22(13):1245-1251. doi: 10.2174/1871530321666211109152353.
Patients with type 1 diabetes (T1D) are at risk of clinical eating disorders (EDs) and disordered eating behaviors (DEBs) than the general population. This burden is related mainly to diabetes-related physical and psychosocial issues especially beginning during childhood. DEBs must be investigated carefully and promptly managed in case of suspicion, as they can evolve into severe clinical EDs over time and are strictly related to poor outcomes. The significant number of scientific articles dealing with the relationship between T1D and DEBs or EDs confirms the complexity of these problems and the difficulties in diagnosis and treatment. This paper examined current scientific literature related to this topic, emphasizing the epidemiological and clinical complexity of the phenomenon and briefly summarizing EDBs management strategy in T1D patients.
1型糖尿病（T1D）患者比普通人群有患临床饮食失调（EDs）和饮食紊乱行为（DEBs）的风险。这种负担主要与糖尿病相关的身体和心理社会问题有关，尤其是在儿童时期就开始出现。一旦怀疑有DEBs，就必须仔细调查并迅速处理，因为随着时间的推移，它们可能会演变成严重的临床EDs，并且与不良预后密切相关。大量关于T1D与DEBs或EDs之间关系的科学文章证实了这些问题的复杂性以及诊断和治疗的困难。本文研究了与该主题相关的当前科学文献，强调了这一现象的流行病学和临床复杂性，并简要总结了T1D患者EDBs的管理策略。
