Komorbodita poruch příjmu potravy a diabetes mellitus 1. typu // SOLEN

Pediatria pre prax 6/2002

Komorbodita poruch příjmu potravy a diabetes mellitus 1. typu

Comorbidite of eating disorders Disturbances and Type 1 Diabetes Mellitus The problem of co-morbidity of food intake disturbance and diabetes mellitus type 1 is discussed, a review of the literature is presented and the Czech research on this subject is introduced in this article. Continuous monitoring of food intake is typical for the management of patients with type 1 diabetes. This excessive attention to food and weight control by both medical personnel and patients themselves could present a risk factor for the development of serious eating difficulties resulting in food intake disturbances. The combination of a food intake disorder and type 1 diabetes is associated with severe health risks and complications in therapy. Weight-losing diets, vomiting, abuse of laxatives and diuretics, reduction in insulin level for fear of putting weight on, as well as overeating, interfere with metabolic control. Co-morbidity of these two disorders is believed to increase significantly the risk of late-onset diabetic complications. Key words: food intake disturbances, mental anorexia, mental bulimia, prevalence, diabetes mellitus type 1, late complications of diabetes.