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The combination of type 1 diabetes and eating disorder during pregnancy

https://doi.org/10.14341/DM12818

Abstract

The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.

In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.

Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease.

About the Authors

A. E. Goldshmid
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Anna E. Goldshmid, MD

Researcher ID: AAL-6672-2021; eLibrary SPIN: 9985-2541

1/1 Pogodinskaya street, 119435 Moscow


Competing Interests:

Автор декларирует отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.



N. A. Balakshina
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Nina A. Balakshina, clinical resident

Researcher ID: ABA-4135-2021

Moscow


Competing Interests:

Автор декларирует отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.



M. V. Amosova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Maria V. Amosova, MD, PhD

Researcher ID: AAP-1967-2021; eLibrary SPIN: 4780-9783

Moscow


Competing Interests:

Автор декларирует отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.



I. V. Poluboyarinova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Irina V. Poluboyarinova, MD, PhD

Researcher ID: AAL-6684-2021; eLibrary SPIN: 2571-2900

Moscow


Competing Interests:

Автор декларирует отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.



V. V. Fadeev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Valentin V. Fadeev, MD, PhD, Professor

Researcher ID: C-3017-2017; eLibrary SPIN: 6825-8417

Moscow


Competing Interests:

Автор декларирует отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.



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For citations:


Goldshmid A.E., Balakshina N.A., Amosova M.V., Poluboyarinova I.V., Fadeev V.V. The combination of type 1 diabetes and eating disorder during pregnancy. Diabetes mellitus. 2022;25(6):570-575. (In Russ.) https://doi.org/10.14341/DM12818

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