DOI: https://doi.org/10.36347/sjmcr.2024.v12i10.016

Pages: 1683-1687

Eating disorders (ED) are a growing concern among young individuals with type 1 diabetes (T1D), with a prevalence significantly higher than that observed in the general adolescent population. Studies indicate that adolescents with diabetes are 2 to 3 times more likely to develop ED compared to their non-diabetic peers. This increased prevalence is partly attributed to several risk factors unique to this population. Adolescence itself is a major risk factor for ED, characterized by hormonal fluctuations, rising concerns about body image, and experimental eating behaviors. However, for young people with T1D, these risks are exacerbated by additional challenges. Daily diabetes management, which involves rigorous monitoring of blood glucose levels and precise control of dietary intake, can contribute to increased stress and excessive preoccupation with weight and body shape. Furthermore, social expectations and pressures related to glycemic control can reinforce problematic eating behaviors. ED in young diabetics can have severe consequences on diabetes management and overall health. Restrictive eating or purging behaviors can lead to glycemic imbalances, poor diabetes control, and increased risk of associated complications. This can also worsen psychological difficulties, such as anxiety and depression, thereby amplifying the cycle of deteriorating mental and physical health. Effective management of ED in young diabetics requires a multidisciplinary approach. It is crucial to integrate interventions that address not only nutritional and psychological aspects but also the specific challenges related to managing T1D. Early detection and treatment of ED can improve clinical outcomes and promote a better balance between diabetes management and the mental health of patients.