ECE2023 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (355 abstracts)
National Institute of Nutrition of Tunis, C, Tunis, Tunisia.
Introduction: Eating disorders (ED) are common in type 1 diabetes (T1D). The aim of our study was to determine the frequency of eating disorders in a T1D population.
Methods: This was a descriptive prospective study conducted in Department C of the National Institute of Nutrition in Tunis, including 52 patients with T1D. We evaluated the prevalence of eating disorders using the Eating Disorder screening DEPS-R Scale. A score > 20 indicates an ED. Clinico-metabolic characteristics were collected from medical records. Glycemic imbalance was defined by an HbA1C>7%.
Results: The average age was 28±12 years. The sex ratio was 0.57. The body mass index (BMI) was between 16.72 and 29.6 kg/m2. 10.1% of patients were overweight. The average duration of diabetes was 10±6 years. 48% of patients were treated with insulin analogues. Micro and macro vascular degenerative complications were frequent at 40.3% and 7.6% respectively. Diabetes was unbalanced in 76.9% of cases with an average HbA1C of 10.3%. ED were frequent by 80.7%. In patients with an ED, diabetes was unbalanced in 72% of cases. We did not show a significant association between BMI and ED. However, glycemic imbalance and ED were significantly associated (P<10−3).
Conclusion: ED could disrupt glycemic control in patients with T1D. Thus, their systematic screening is essential.