text: <unk>  (a portmanteau of diabetes and bulimia) refers to people with Type 1 diabetes who omit their insulin injections for the purpose of weight loss. Without the insulin injections, blood sugar levels rise as the cells cannot take in glucose. The body, in an attempt to lower the blood sugar, spills excess glucose into the urine.
  Prior to a diagnosis of Type 1 diabetes there is a weight loss but, upon diagnosis, a person with Type 1 diabetes is put on insulin injections, a more controlled diet, and several blood sugar checks a day. The weight that was lost is quickly gained back. However, someone who realizes that omitting or severely reducing insulin dosages leads to weight loss may be tempted to do so, especially if the individual believes they are overweight. Omitting insulin injections does have the effect of losing weight, even though appetite and thirst increase, as well as urine volume.
  Often, people with Type 1 diabetes who omit insulin injections will have already been diagnosed with an eating disorder such as anorexia nervosa, bulimia nervosa and/or compulsive eating. In cases where a person with Type 1 diabetes has another eating disorder, there is a tendency to discuss the other eating disorders more openly than they do about<unk>  as many people with diabetes are not happy that they have lost control of their diabetes. These individuals are often not aware that<unk>  is more common than what they think and is also very difficult to overcome. Unlike anorexia and bulimia,<unk>  only sometimes requires the afflicted individual to stop caring for a medical condition. Unlike vomiting or starving, there is sometimes no action or willpower involved.<unk>  may be more appealing to individuals who want to lose weight and do not want to feel hungry, or to not engage in vomiting in order to purge. Often there is an obsessive compulsive urge to engage in this activity for the purpose of emotional disassociation or a need to satisfy feelings of 'control'.
  This condition can be triggered or exacerbated by the need for constant vigilance in regard to food, weight and glycemic control. In adolescents "the need for parental control over the young Diabetic's life, and the increased weight gain that insulin treatment can cause, may all play roles in the increased risk for onset of Anorexia and/or Bulimia." (Something Fishy website) The frustration of hard to control blood sugars and their subsequent effects on weight and self perception (altered by dealing with a chronic illness) can also be damaging to self esteem and body image.
  A person with<unk> , especially if not caught and treated early, is likely to suffer the extent of diabetes earlier than a person with diabetes who is maintaining their diabetes in a healthy manner. The extent of diabetes include renal failure, blindness and diabetic neuropathy. With<unk>  there is an increased chance of fatality. Diabetic ketoacidosis (DKA) is very common in persons with Type 1 diabetes that have<unk> . This is due to the reduction in the amount of insulin and an increase in blood sugars levels. DKA is a very serious condition that occurs without enough insulin and without treatment causes death.
  Most commonly<unk>  appears to start in adolescence and is more likely to occur in women than men.<unk>  can be identified in a patient if there are unexplainable spikes in their Hemaglobin A1c, weight loss, lack of marks from finger sticks, lack of prescription refills for diabetes medications, and records that do not match the HbA1c.
option_0: Diabulimia
option_1: Bulimia nervosa
option_2: Night eating syndrome
option_3: Orthorexia nervosa
option_4: Binge eating disorder
option_5: Exercise bulimia
option_6: Familial partial lipodystrophy type 1
option_7: Anorexia nervosa