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Eating disorders are about twice as common among young Canadian women
with diabetes as among their non-diabetic peers, shows a case-control
study by Jones et al on p 1563. They suspected that eating disorders
might be more common among young diabetic women because starting
insulin often produces weight gain; such disorders are also associated
with an earlier onset of diabetic complications such as retinopathy.
They found that both full blown and subthreshold eating disorders were
more common among the 356 teenagers with diabetes studied than among
1098 matched controls (10% v 4% and 14% v 8%
respectively). Insulin underdosing was a common means of weight loss,
and the diabetic subjects with eating disorders had higher haemoglobin
A1c concentrations than those without.