Navigation Links
'Diabulimia' Triples Risk of Death Among Women With Diabetes
Date:2/27/2008

Restricting insulin doses to lose weight increases chances of complications, study finds

WEDNESDAY, Feb. 27 (HealthDay News) -- Women with type 1 diabetes who take less insulin than they should to try to lose weight triple their risk of dying compared to women who do not skip insulin doses, a new study finds.

"This is a very important women's health issue in diabetes," said Ann E. Goebel-Fabbri, lead author of a study in the March issue of Diabetes Care. "It happens at shockingly high rates, and, if we can detect this problem sooner and earlier, one would hope that we could direct patients to effective treatment."

Insulin treatment has been linked to weight gain; this practice of restricting insulin is referred to as "diabulimia," and is a dangerous way to shed pounds quickly. Previous studies have shown that women with diabetes are almost 2.5 times more likely to develop an eating disorder than women without diabetes. Research also suggests that diabulimia can increase the risk of complications such as foot and vision problems, along with kidney damage, but there has been little research on mortality.

People with type 1 diabetes have completely lost the ability to produce their own insulin, the hormone necessary to usher glucose into cells, where it is stored for energy. Regular injections of insulin essentially replace what the body used to produce naturally.

But shortchanging insulin doses means glucose levels are not controlled and, as the landmark Diabetes Control and Complications Trial established, persistently high blood glucose levels lead to serious complications, including eye and kidney trouble, and even death.

"Insulin is the hormone that allows the transport of glucose from the bloodstream into cells for use, so either the sugar gets used then and there for energy or it gets stored for later use," explained Goebel-Fabbri, a psychologist and investigator in the Section on Behavioral and Mental Health at Joslin Diabetes Center and an instructor at Harvard Medical School. "So, if you're not taking enough insulin, sugar increases in concentration in the blood, the body needs to find a way of excreting it, and the calories from that sugar get excreted in the urine."

Unfortunately, half of adult diabetics do not maintain recommended glycemic levels.

This study included a total of 234 women, mean age 45, who were followed for 11 years. Participants had had diabetes for a mean of 28 years by the end of the follow-up.

Almost one-third of women reported taking less insulin than they should.

These women tripled their risk of dying compared with women who did not restrict their insulin. They also died younger (45 versus 58) and had higher rates of kidney and foot problems.

Women in the two groups did not differ when it came to depression, anxiety, fear of hypoglycemia (low blood sugar), or general psychiatric symptoms. This left an eating disorder, rather than general psychological issues, as the likely culprit.

"We need to start including this kind of screening for diabetes practice," Goebel-Fabbri said.

More information

Visit the American Diabetes Association for more on type 1 diabetes.



SOURCES: Ann E. Goebel-Fabbri, Ph.D., psychologist and investigator, Section on Behavioral and Mental Health, Joslin Diabetes Center, and instructor, Harvard Medical School, Boston; March 2008, Diabetes Care


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Hypertension Triples Womens Diabetes Risk
2. Drugs used for cancer-associated anemia linked with increased risk of blood clots, death
3. Drug for anemic cancer patients raises risk of death
4. Anemia Drugs for Cancer Patients Increase Death Risk
5. Drugs, Doctors and Death: Heath Ledger Becomes Another Victim
6. Heart Disease Deaths Over-Reported in New York City
7. Clarity for Consumers on Botox Complication and Death Reports
8. In-Hospital Stroke Deaths Rise on Nights, Weekends
9. Cancer Death Rates Still Declining
10. Report says half a million cancer deaths have been averted since death rate drop
11. US cancer deaths down but far too few Americans screened for colon cancer
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
'Diabulimia' Triples Risk of Death Among Women With Diabetes
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... W.S. ... products, has been honored with a 2016 When Work Works Award for its use ... part of the national When Work Works project administered by the Families and Work ...
(Date:5/26/2016)... ... , ... Connor Sports, through its Connor Cares initiative, will continue ... Catchings Legacy Tour that will commemorate the Indiana Fever legend’s hall-of-fame career and ... forms and levels of the game, Connor Sports has committed to a significantly increased ...
(Date:5/26/2016)... ... May 26, 2016 , ... There are nearly 14.5 million people living with ... worldwide. On Sunday, June 5, 2016, communities around the world will gather to recognize ... , National Cancer Survivors Day® is an annual worldwide Celebration of Life that is ...
(Date:5/26/2016)... ... May 26, 2016 , ... An April Gallup survey found rising health care ... of Sun Health Senior Living (SHSL) may not share those same worries ... prescription copays for the year, while holding the line on increasing their contributions, including ...
(Date:5/26/2016)... ... 26, 2016 , ... Eating Recovery Center, Washington ... a brand new child and adolescent residential treatment center on June 1. The ... more specialized eating disorder treatment and access to life-saving care. , To celebrate, ...
Breaking Medicine News(10 mins):
(Date:5/24/2016)... 24, 2016 Cirujanos holandeses han ... a los médicos a compartir sus mejores prácticas por ... mundial. Profesionales médicos de Europa, África, Asia ... a la aplicación, que combina la transmisión en vivo ... seguro. Educación   "Imagine un médico ...
(Date:5/24/2016)... 2016   , Study ... overall bowel cleansing and superiority in , ... of the ascending colon ... Norgine B.V. today announced new positive data from the ... bowel preparation) versus standard 2 litre PEG with ascorbate. The study ...
(Date:5/24/2016)... New Zealand , May 24, 2016 ... and informatics solutions for the healthcare sector, has been named ... New Zealand Hi-Tech Awards 2016. Dr Bruce ... fantastic acknowledgement for our team.  It,s really good to be ... burden healthcare internationally. Our products are used in 35 countries ...
Breaking Medicine Technology: