The combination of type 1 diabetes and eating disorder during pregnancy
The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1...
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| Format: | Article |
| Language: | English |
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Endocrinology Research Centre
2023-01-01
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| Series: | Сахарный диабет |
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| Online Access: | https://www.dia-endojournals.ru/jour/article/view/12818 |
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| author | A. E. Goldshmid N. A. Balakshina M. V. Amosova I. V. Poluboyarinova V. V. Fadeev |
| author_facet | A. E. Goldshmid N. A. Balakshina M. V. Amosova I. V. Poluboyarinova V. V. Fadeev |
| author_sort | A. E. Goldshmid |
| collection | DOAJ |
| description | The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease. |
| format | Article |
| id | doaj-art-3e487ca4bd754ead8548d9d3c5fa3a73 |
| institution | DOAJ |
| issn | 2072-0351 2072-0378 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Endocrinology Research Centre |
| record_format | Article |
| series | Сахарный диабет |
| spelling | doaj-art-3e487ca4bd754ead8548d9d3c5fa3a732025-08-20T03:09:03ZengEndocrinology Research CentreСахарный диабет2072-03512072-03782023-01-0125657057510.14341/DM1281810992The combination of type 1 diabetes and eating disorder during pregnancyA. E. Goldshmid0N. A. Balakshina1M. V. Amosova2I. V. Poluboyarinova3V. V. Fadeev4I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease.https://www.dia-endojournals.ru/jour/article/view/12818type 1 diabeteseating disordersanorexia nervosabulimia nervosapregnancy |
| spellingShingle | A. E. Goldshmid N. A. Balakshina M. V. Amosova I. V. Poluboyarinova V. V. Fadeev The combination of type 1 diabetes and eating disorder during pregnancy Сахарный диабет type 1 diabetes eating disorders anorexia nervosa bulimia nervosa pregnancy |
| title | The combination of type 1 diabetes and eating disorder during pregnancy |
| title_full | The combination of type 1 diabetes and eating disorder during pregnancy |
| title_fullStr | The combination of type 1 diabetes and eating disorder during pregnancy |
| title_full_unstemmed | The combination of type 1 diabetes and eating disorder during pregnancy |
| title_short | The combination of type 1 diabetes and eating disorder during pregnancy |
| title_sort | combination of type 1 diabetes and eating disorder during pregnancy |
| topic | type 1 diabetes eating disorders anorexia nervosa bulimia nervosa pregnancy |
| url | https://www.dia-endojournals.ru/jour/article/view/12818 |
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