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Düşünen Adam. 2008; 21(1): 24-31


Eating Disorders and Disordered Eating Behavior in Type 1 and Type 2 Diyabetes Mellitus Patients

Z. Sacide Üstünsoy Çobanoğlu, Yükesl Altuntaş, K. Oğuz Karamustafalıoğlu, Ahmet Şengül, Necati Çobanoğlu.

Abstract
Objective: Disorders in eating attitude and behavior of diyabetes mellitus patients have important impact on morbidity and mortality. The aim of this study is determining the rate of eating disorder in diyabetic patients who were followed-up in our hospital and investigating the effect of eating disorder rate on body mass index, glucose control, treatment and diet compliance. On the other hand, it is aimed to search the effect of diyabetes mellitus type and duration on disordered eating behavior and to lead the diyabetics to psychiatric treatment. Method: In this study, 65 females out of 110 patients were involved and questionnaires which examined the sociodemographic data and eating disorder and Eating Attitudes Test were applied. Data were analyzed by SPSS program. Results: Disordered eating behavior was found as 59.1 %. One of the patients was identified as anorexia nervosa, 1 as bulimia nervosa, 9 were unidentified and 43 were identified as disordered eating behaviour. No statistical relations were found type of DM, onset of DM, rate on body mass index, using insulin, using oral antidiyabetics with eating disorders and disordered eating behavior. There were found statistically significant relations frequency of hypoglisemic epizodes (p=0,006) and compliance of diet (p=0,005). Conclusion: Multidisciplinary approach should be considered by general practitioner, family doctor, endocrine specialist, dietician and psychiatrists in order to be successful in treatment of diyabetic patients. Besides the typical scales for determining eating disorder, another improved test may be required for diyabetics.

Key words: Diyabetes mellitus, eating disorders, anorexia nervosa, bulimia nervosa



Article Language: Turkish English


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