Islets of Hope  disorders associated with diabetes

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Article disclaimer

Article by Lahle Wolfe

Sources:

Something Fishy - Eating disorders and diabetes

Anorexia Nervosa and Related Eating Disorders, Inc. (ANRED)

Eating disorders in adolescents with type 1 diabetes; Robert P. Hoffman, MD.

Women's Health Matters: Eating disorders in women with diabetes

American Diabetes Assn. - Diabetes Spectrum; Diabetes and Eating Disorders


Section 1
An Overview of Eating
     Disorders
Bulimia:  The Feelings
     
Disorder
(Bingeing,
     Purging)

Serious Complications Are
     
Associated w/Eating
     
Disorders
Insulin:  Misuse Can Be
     
Addictive
Diabetes Management
     
vs. Eating Disorders:
    
 Much in Common

Section 2
Diagnostic Criteria for
     
Anorexia Nervosa
Diagnostic Criteria for
     
Bulimia Nervosa
Diagnostic Criteria for
     
Binge Eating Disorder
Control Issues:  The
     Heart of the Matter
How Parents Can Help
     
Prevent Eating
     Disorders


Fast Links to Disorders Often Associated with
Diabetes

Addison's Disease
Asthma and Allergies
Celiac Disease (Sprue)
Cyclic Vomiting Syndrome
Cystic Fibrosis 
Eating Disorders
Fibromyalgia Syndrome
Frozen Shoulder
Hashimoto's Thyroiditis
Hemochromatosis
  (Iron Overload)
Infertility
Irritable Bowel Syndrome
Polycystic Ovarian 
    
Syndrome 
Weight Gain
Weight Loss


Fast Click to Problems Associated with
Diabetes

Acanthosis Nigricans (AN)
Acne
Alopecia Areata (AA)
Gum Disease
Hirsutism
Honeymooning
Skin Tags
Yeast Infections


DrugDigest.org reports:

"A recent study published in the April 2005 American Journal of Psychiatry showed how frequently a person crosses over from anorexia nervosa to bulimia nervosa and vice versa. This small study showed that patients with anorexia nervosa switched to bulimia nervosa 36% percent of the time within 15 years, while persons with bulimia nervosa developed anorexia nervosa 27% of the time. This new information may shed some light on possible reasons for treatment failure and how to improve outcomes in these patients. As of now, more studies with more patients are needed to truly understood how interconnected these two conditions are. "


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Anorexia Nervosa and Related Eating Disorders, Inc. (ANRED)
A great information and support site that helped me when I began struggling years ago with an eating disorder. If you need information, this is a good site to start with and begin to understand the complex and serious nature of eating disorders.

Lahle, IOH Founder


From ANRED's Site:

Research studies and clinical trials

The ANRED forum
(Poems, recovery stories and inspirational thoughts written by people with personal experience of an eating disorder .)

Prevention strategies for parents

National Eating Disorders Association
(NEDA) is the largest not-for-profit organization in the United States working to prevent eating disorders and provide treatment referrals to those suffering from eating disorders.


 

Diabetes Medical Library                                   main Disorders page
Disorders Associated with Diabetes                                                            main Complications page
Symptoms, Risks, Causes, Treatment & Prevention

Eating Disorders - Section 3                               print this article
Anorexia Nervosa, Bulimia, Binge Eating


Mini Site Index                                                                                          Famous People with Eating Disorders

Section 1
Section 2

Section 3
Treatment Begins with Acceptance
Treatment
Eating Disorder Glossary (Simplified)
Recovery Programs
(Links to Resources)

Treatment Begins With Acceptance

Remember how hard it was accepting your (or your child’s) diagnosis?  There was no denying the diagnosis because the symptoms were self-evident; eating disorders are not as easily discovered and diagnosed.  You have to come to acceptance that you, or someone you may know, could have an eating disorder.  You may not want to believe it, but if you have reason to suspect someone with diabetes is suffering from an ED they need your help because they usually are unable to help themselves.

The earlier an ED is detected the easier it is to overcome.  There is hope for everyone, never think that it is too late to get help, but the longer the disordered eating behavior has been in place, the harder the work to overcome it.   

    


Treatment for Eating Disorders

Treatment for eating disorders involves diagnosis by a medical doctor or mental health professional and development of an individual treatment plan.  (Interest note:  because EDs can cause tooth enamel erosion, dental professionals are often the first to notice when a person has an eating disorder.) Different people respond to different treatment options available and there is no "one size fits all" for ED treatment therapy.  But it is clear that few people are able to overcome eating disorders without professional help and ongoing support.

There are many types of therapies available for individuals and families (eating disorders, like diabetes, affect the entire family). One of the better web resources I have found on eating disorder treatment is on Drug Digest.com.  They seem to insinuate that medication (in combination with other treatment) is standard protocol.  Not so.  There are many persons with eating disorders that respond well to therapy and behavioral modification without drugs -- but this is not something that you should decide for yourself.  Still, I will refer you to their site for thorough information about different treatment approaches, at what stages different approaches are taken, and when hospitalization may be necessary.  Drug Digest Eating Disorder Treatment Information Page.

How effective any treatment program is depends upon patient motivation, their support system, and how carefully the treatment program was tailored to match their individual needs.  It is important to understand that  eating disorders are not really "cured."  New coping skills, nutritional, and behavioral modification are taught and a person enters into "recovery" from their eating disorder. Follow-up support is key to the successful outcome of a person with an ED because the danger for relapse will exist for life.

Anorexia Nervosa.  Treatment programs vary, but generally, studies seem to show that anorexia responds to therapy, home support, certain types of medications, and often requires hospitalization and/or residential treatment programs to stabilize the patient.  It is a challenge to overcome anorexia, but it can be overcome.  Anorexia is not something you can treat yourself -- it always requires professional help.

Bulimia and Binge Eating Disorders.  Bulimia and binge eating also require counseling and sometimes residential treatment may be beneficial.  Studies have shown that some people with these conditions respond just as favorably with the right counseling (and no medication) and support as do patients who also receive medications to relieve the compulsive behaviors.  These disorders are learned behaviors and not classified as a mental illness but you need professional evaluation and determination as to what an individual's treatment needs are:  therapy alone, or combined treatment of therapy and medication.

Ongoing support for anyone with an ED is critical.  Support groups and follow-up counseling sessions are an important part of overcoming an ED.  Once a person has an ED they will be at risk for the rest of their life for relapse unless they learn new coping skills and have adequate support – but again, it must be said, they can overcome!

Once a person reaches "recovery" (when they are no longer practicing the behavior), they still need support. Those who are most successful at long-term recovery are those who continue with counseling, therapy, or become active in recovery or support groups (like Overeaters Anonymous).

Overeaters Anonymous (OA) - Is not a diet group.  It is a 12-step program for people with eating addictions and disorders.  The program is similar to alcoholics anonymous but tailored towards disordered eating.  Meetings are held all over the USA and Canada and OA also has online support groups.  See sidebar for more information about OA

Support from Islets of Hope.  The IOH also has a support group for anyone battling with an eating disorder (diagnosed or undiagnosed).  The list is open to those in recovery, relapse, or still in denial.   The "ED" list is completely anonymous and fully moderated by a woman who has battled and overcome anorexia and bulimia successfully.  She has mentored (not treated) hundreds of persons affected by EDs over the past 7 years.  If you wish to join, visit our Discussion Groups information page.

    


Eating Disorder Glossary (Simplified)

Anorexia Nervosa – An eating disorder where the person restricts food to the point of starvation.  Those with anorexia may also use purging behaviors to avoid weight gain.  Anorexia is usually diagnosed when a person is 15% or more below a normal body weight.  As with all eating disorders, anorexia affects children and adults of both sexes.  (Singer Karen Carpenter died prematurely from complications related to anorexia.)

Annies – Slang term referring to those with anorexia.

Billies – Slang term referring to those with bulimia.

Binge – The act of eating large quantities of food usually in rapid succession over a short period of time.  However, bingeing sessions can also last for hours.  One determining factor that differentiates a true binge from simply overeating is that the person bingeing usually feels anxious, and a sense of being out of control.  Bingers usually feast on certain food categories, the most common being high-fat, high carbohydrate (often processed) foods.  Binge eaters tend to be overweight.  Persons who binge and then purge, as in the case of bulimia, tend to be at or near a normal body weight.

Binge Eating Disorder – A person who is binges.  They may sometimes use purging methods but not at a frequency sufficient to be diagnosed as true bulimia.  A person with this disorder may turn to food to cope emotionally, and often feels out of control while bingeing.

Bulimia – Sometimes referred to as bulimirexia or bulimia nervosa, this eating disorder is identified by cycles of bingeing followed by purging.  Most persons with bulimia at close to a normal body weight. (Princess Diana of Whales suffered from bulimia for many years.)

Purging – Any act that counters caloric intake.  Purging includes periods of fasting for 24 hours or longer, forced vomiting, excessive exercise, and inappropriate use of laxatives, enemas, and diuretics.  Warning!  Some persons will use syrup of epicac to induce vomiting.  This is extremely dangerous and can lead to cardiac arrest.  If you find hidden bottles of this over the counter medication get help for your child immediately.

Restricting – Refers to eating behavior that avoids certain foods or entire food groups (i.e., all fruit) or categories of food (i.e., all fats or carbohydrates).  Also refers to severely limiting total caloric intake.

Stuffing – The act of over eating as in a binge, to shove or “stuff” feelings of anxiety, fear, loss, even positive emotions that are overpowering, down inside a person.  The feelings may later be “purged” for a temporary sense of release.

    


Recovery Programs (Links to Resources)

Important Disclaimer:  Islets of Hope does not advertise for, receive compensation from, nor intends to promote or endorse any of the program facilities listed below.  IOH has compiled a list of resources for information purposes only.  IOH strongly recommends that you talk with your personal physician or therapist before undergoing treatment for any eating disorder.

  • Acoria Eating Disorders Treatment Program - A WEIGH OUT is not a diet website. Instead, it’s designed for people who want to find a way out of the self-defeating cycle of diets and out-of-control eating.
  • Aloha Retreats - Holistic Healing Center using Hypnotherapy, Reiki, Acupuncture, Massage, alternative workshops, food combining and renewal of spirit to heal.
  • Avalon Eating Disorder Treatment Center -Avalon is committed to providing a state of the art program of specialized treatment for the purpose of helping those suffering with Anorexia Nervosa, Bulimia Nervosa or Atypical Eating Disorders.
  • Brookhaven Hospital - We specialize in the treatment of eating and related disorders including sexual abuse. It is our mission to help save the lives of those suffering from eating disorders. Tulsa, Oklahoma.
  • Canopy Cove Eating Disorder Center - An Eating Disorder Treatment Center in Tallahassee, Florida dedicated to helping Women and adolescent Girls who struggle with Anorexia, Bulimia and Binge eating.
  • Castlewood Treatment Center - A residential treatment center for women suffering from chronic eating disorders such as compulsive binge purge behavior.
  • Center For Discovery - The Center for Discovery's Eating Disorder Program is the first comprehensive residential treatment program in California dedicated solely to the treatment of adolescent eating disorders.
  • Center for Eating Disorder Recovery - (CEDaR) If you're struggling to have a voice and you want more than anything to let go of your eating disorder, we're here to listen; we're here to help. Since 1993, the experienced and compassionate
  • Center for the Treatment of Eating Disorders - Specialized individual, group and family psychotherapy, nutritional counseling, psychiatric evaluations, prevention and education programs for persons with eating disorders.
  • Diets Don't Work: Eating Disorder Treatment - Structured program created by recovered therapists, counselors, and dietitians to heal overeating, bulimia, binge eating, anorexia, and yo-yo dieting. Southern California.
  • Eating Disorder Center at Rogers Memorial Hospital – A residential treatment for male and female patients in need of assistance for eating disorders including Anorexia and Bulimia. Therapy includes group, individual and family sessions, nutritional counseling, journaling and art.
  • Eating Disorder Center of California- Intensive day treatment and outpatient program for eating disorders.
  • Eating Disorder Center of Denver - Partial Hospitalization Program and Outpatient Services for the Treatment of Anorexia, Bulimia, and Related Disorders.
  • Eating Disorder Recovery Center- Educational and supportive environment for recovery. Provides references, charts, tools and personal help if needed.
  • Eating Disorders--Solutions Program for Eating Disorders - Eating Disorders -- Solutions offers answers for emotional eaters, binge eaters, compulsive eaters and yo-yo dieters.
  • Fairwinds Treatment Center - For eating disorders, substance abuse, dual diagnosis, addictions, and mental health care. Clearwater, Florida
  • Family Behavioral Center - 12 step based program treating anorexia, bulimia and compulsive over-eating. Located in South Florida.
  • HopeStone Centre - McCarroll & Associates -  Calgary's only outpatient treatment centre for overweight eating disordered individuals "The Last Resort."
  • Judith Ruskay Rabinor, Ph.D. - The American Eating Disorders Center of Long Island works with patients dealing with anorexia, bulimia, compulsive eating, obesity, and body image issues.
  • Kristie Pfaff LCSW - Outpatient individual therapy for eating disorders, substance abuse, and mood disorders.
  • La Que Sabe - Offers people suffering with eating disorders a unique program to alleviate problem eating behaviors and body image obsessions. Our team of therapists and dieticians has over 50 years of combined experience.
  • Laureate Eating Disorders Program - Our program is as unique as the women we treat. Laureate offers five distinct levels of care: inpatient, residential, partial, group home and outpatient. Tulsa, Oklahoma 74156
  • Laurel Hill Inn - Residential Eating Disorder Treatment  - Laurel Hill Inn is a residential program for the treatment of eating disorders, located in the greater Boston area. The setting has the welcoming feeling of an old New England Inn.
  • McCallum Place on the Park  - A residential treatment center for women suffering from chronic eating disorders such as anorexia, bulimia, and compulsive binge purge behavior.
  • Milestones In Recovery - Milestones In Recovery provides residential and intensive outpatient programs for individuals suffering with Compulsive Overeating, Bulimia, Anorexia, and related disorders.
  • Mirasol - Residential treatment center providing private, intensive residential care for women who suffer from eating disorders including bulimia, anorexia nervosa and binge eating.
  • Monte Nido - A Residential Treatment Center designed by Recovered professionals to heal women suffering from Anorexia, Bulimia and Exercise Addiction.  Malibu, California
  • Montecatini - Montecatini - Residential Treatment for Women With Eating Disorders and Other Addictions - Anorexia and Bulimia.
  • National Eating Disorders Association - The National Eating Disorders Association (NEDA) is the largest not-for-profit organization in the United States working to prevent eating disorders and provide treatment referrals to those suffering from eating disorders.
  • Oceanaire - We are dedicated in providing a safe and compassionate environment, allowing individuals to build a healthy relationship with food and their bodies and to experience the freedom that recovery brings.
  • Rader Programs - Rader Programs has been providing the highest quality eating disorders treatment for over 20 years. It is our mission to help save the lives of those suffering from these devastating disorders.
  • Remuda Ranch - Remuda Ranch provides intensive inpatient programs for women and girls suffering from anorexia and bulimia. Our Biblically based programs offer Hope and Healing to patients of all faiths. Arizona
  • Remuda Ranch Programs for Anorexia and Bulimia - A treatment system designed for women and adolescent girls struggling with anorexia, bulimia and related issues. Residential program in Wickenburg, Arizona.
  • River Centre Clinic - Intensive Day Treatment Program (partial hospitalization level of care) is a specialized and cost-effective program designed to meet the specific needs of individuals. Sylvania, Ohio
  • Rosewood Ranch - Eating disorder center dedicated to the treatment of women suffering from eating disorders and related problems. Arizona
  • Sheppard Pratt Health System-Eating Disorders - Sheppard Pratt Health System's services include psychiatric inpatient hospitalization, day hospitals, outpatient counseling centers, community rehabilitation and housing programs, special education programs.
  • Solutions 4 Recovery - We provide compassionate and individualized treatment of dual diagnosis and eating disorders that offers our clients a route to recovery that is specifically tailored to their needs.
  • The Center Inc. - The Center for information about eating disorder treatment, eating disorders, located in Puget Sound-Seattle, Washington
  • The Renfrew Center - Treatment of Eating Disorders and Women's Issues  Philadelphia, PA New York, NY Long Island, NY Coconut Creek, Southern FL Allendale, N
  • The Renfrew Center - The country's first residential eating disorder treatment facility, The Renfrew Center is a women's mental health center with seven East Coast locations and a nationwide professional resource network.
  • The Victorian - Eating disorders, anorexia and bulimia treatment programs for women at the Victorian of Newport Beach, an 8-bed residential treatment facility in Orange County California.
  • Westwind - Westwind eating disorder recovery centre: specializing in the treatment of anorexia and bulimia.

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Page Updated 04/01/2006