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Eating Disorder Awareness Week 2018, February 1-7

 

During Eating Disorder Awareness Week, public buildings, bridges and towers will be turning their lights purple. The message this year is One Size DOESN'T Fit All, to shine a light on the fact that Eating Disorders can and do affect individuals of all genders, ages, races and ethnic identities, sexual orientations and socio-economic backgrounds.

 

According to Canadian statistics, 1 to 10% of all women will be affected by eating disorders at some point in their lifetime. Girls and women with type 1 diabetes have more than twice the risk.   More recent evidence suggests that there is also a higher incidence of eating disorders with male adolescents with type 1 diabetes compared to their peers without diabetes.


The term ‘Eating Disorders’ may include a number of terms:

  • anorexia nervosa (AN)
  • bulimia (BN),
  • binge eating disorder (BEN) 
  • eating disorder - not otherwise specified (ED-NOS) 

In type 1 diabetes there are also several terms:  

  • diabulimia
  • eating disorder and Type 1 diabetes (ED-DMT1)

Diabulimia refers to persons skipping or altering their insulin dose in order to control their weight.  By not taking insulin, their body is not able to use the calories from their food, so they put themselves in starvation mode.  The result of this is high blood sugars, resulting in weight loss.  ED-DMT1 is a more inclusive term including diabulimia. 


In addition to  experiencing weight loss, there are more severe consequences for individuals with type 1 diabetes. Initially high blood sugars can cause fatigue, frequent urination, dehydration, mood changes, and reduced mental and physical capabilities. If insulin is totally omitted, diabetic ketoacidosis (DKA)  can develop quickly and if left untreated, can result in  death.  Early onset of microvascular complications can also occur from recurrent DKA.

 

Warning signs of an eating disorder and diabetes can include:

  • Changes in eating habits or secretive eating habits
  • Unexplained weight loss
  • Unexplained high blood sugars
  • Strict calorie counting
  • Discarding food
  • Lack of blood glucose testing
  • Frequent weighing
  • Recurrent DKA
  • Excessive/compulsive exercise 

 

Treatment requires the expertise of both the diabetes team and additional team members skilled in dealing with eating disorders. As with many conditions, early diagnosis and treatment has been shown to be beneficial. If you have concerns, talk to a member of your diabetes team or your health care provider. 

 

 

Services Available in Waterloo Wellington

 

Canadian Mental Health Association, Waterloo-Wellington-Dufferin Regional Eating Disorders Service (CMHA-WWD)

 

CMHA-WWD is a community-based team that includes social workers, dietitians,  nurse practitioners,  therapists and a consulting psychiatrist.  They help individuals and families dealing with eating disorders such as anorexia nervosa, bulimia nervosa and binge eating disorder. They provide treatment for children, youth and adults in Waterloo Region and Wellington County.

 
   

To contact them or to make a referral:

 

Call HERE24SEVEN at 1-844-437-3247

 

Service Locations:

  • Kitchener:  130 Weber Street W., Suite 202, Kitchener, ON, N2H 4A2
  • Guelph: 147 Delhi Street, Guelph, Ontario, N1E 4J3
  • Cambridge: (at Langs) 1145 Concession Road Cambridge, ON N3H 4L5

If you have other questions, the National Eating Disorder Information Centre (NEDIC) Helpline may be able to provide you with answers or direct you appropriately. They can be reached at 1-866-633-4220.

 

Diabulimia helpline:  www.diabulimiahelpline.org

 

Check out these other links you might find helpful and informative:

 

 

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