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25 Apr 2024 (Vol 47 , Iss 04 )

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30 Apr 2024 (Vol 47 , Iss 04 )

Journal ID : TMJ-10-02-2022-11107
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Title : Diabulimia, the associations, and management: A narrative review

Abstract :

The diagnosis of diabetes is a very hard experience and need psychological adaptation, frustration and denial is the result because adaptation is difficult. Disturbed body image, eating disorders, anxiety, and depression are common among patients with type 1 diabetes. Patients may restrict or omit insulin deliberately to reduce weight. Insulin restriction tripled the mortality in patients with type 1 diabetes, the increased death is from both acute and chronic diabetes complications. The current review aimed to assess diabulimia and associated factors. The current review assessed the size of diabulimia, its association with depression and anxiety, and the available weight management including the novel hypoglycemic medications and bariatric surgery. A multi-disciplinary approach is vital for screening, early detection, and management. Less flexible diabetes management and education may alleviate stress and anxiety. Sodium-glucose co-transporter inhibitors and bariatric surgery are promising but are not free from acute complications especially ketoacidosis.

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