1/3. Self-starvation in a diabetic adolescent.The case of a 14-year-old girl who began food refusal shortly after the development of diabetes mellitus is presented. Her dieting eliminated the need for insulin and urine testing and, as a result, allowed the patient to deny that she had diabetes. Although her course resembled that seen in primary anorexia nervosa, this patient was felt to have atypical anorexia nervosa, in this case an extreme form of illness denial probably associated with psychosis.- - - - - - - - - - ranking = 1keywords = diabetic (Clic here for more details about this article) |
2/3. serum lipids during starvation in obesity.The HDL-cholesterol level was found to decrease during the first week of therapeutic starvation in hyperlipoproteinaemic (hypertriglyceridaemic), diabetic (non-insulin dependent) patients. The possible causes of the finding are discussed, and the view is expressed that the fall in HDL given no cause for discontinuing the caloric restriction or starvation as the therapeutic measures in obesity.- - - - - - - - - - ranking = 0.25keywords = diabetic (Clic here for more details about this article) |
3/3. starvation diet and very-low-calorie diets may induce insulin resistance and overt diabetes mellitus.We have observed seven initially obese individuals who, during the course of a strenuous weight-reduction program, developed diabetes mellitus: non-insulin-dependent diabetes mellitus in five cases and insulin-dependent diabetes mellitus in two cases. None had any sign of prior diabetic symptoms. Although weight reduction is encouraged in obesity, crash diets without proper medical surveillance may have deleterious effects. This sequence of induction of diabetes has not previously been reported in the medical literature. The metabolic situation in extremely low-calorie diets may be comparable to that in starvation. An attempt is made to explain our observation concerning the induction of a diabetic state during such diets, on the basis of increased insulin resistance in states of starvation and anorexia nervosa, with a concomitant role in stress hormones.- - - - - - - - - - ranking = 0.5keywords = diabetic (Clic here for more details about this article) |