Association of eating disorders with glycaemic control and insulin resistance in patients of type 2 diabetes mellitus.

International journal of biochemistry and molecular biology Pub Date : 2023-08-15 eCollection Date: 2023-01-01
Akshay Kumar, Sana Alam, Shazia Bano, Rashmi Prakash, Vineet Jain
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Abstract

Background: There is insufficient data on the prevalence and consequences of eating disorders in Type 2 diabetic patients.

Objective: To evaluate the presence of eating disorders (ED) and their association with glycaemic control and metabolic parameters in adult patients with type 2 diabetes mellitus (T2DM).

Materials and methods: A cross-sectional study on 145 patients was conducted in the medicine outpatient unit of HAHC Hospital, Jamia Hamdard tertiary care center. The Eating Attitudes Test (EAT-26) was used to screen for ED in adults with T2DM. The Score of less than 20 and more than 30 on EAT-26 questionnaire was defined as control for participants and relevant medical details like duration of treatment, glycaemic control, complications were recorded.

Results: A total of 145 diabetic individuals participated in this study. Out of these, 17.3% of individuals with T2DM screened positive for ED on EAT-26 scale and had a significant positive correlation in <20 groups and a significant negative correlation in >30 groups.

Conclusion: Our study reveals that eating disorders are not very common in our clinical population of T2DM, the prevalence rates of eating disorders are lower in patients with T2DM than those reported from developed western countries.

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2型糖尿病患者饮食失调与血糖控制和胰岛素抵抗的关系。
背景:关于2型糖尿病患者饮食失调的患病率和后果的数据不足。目的:评估成年2型糖尿病(T2DM)患者饮食障碍(ED)的存在及其与血糖控制和代谢参数的关系。材料和方法:在Jamia Hamdard三级护理中心HAHC医院的内科门诊部对145名患者进行了横断面研究。饮食态度测试(EAT-26)用于筛查成人T2DM患者的ED。EAT-26问卷的得分小于20和大于30被定义为参与者的对照,并记录相关的医疗细节,如治疗时间、血糖控制、并发症。结果:共有145名糖尿病患者参与了这项研究。其中,17.3%的T2DM患者在EAT-26量表上ED筛查呈阳性,在30组中呈显著正相关。结论:我们的研究表明,饮食障碍在我国T2DM临床人群中并不常见,T2DM患者的饮食障碍患病率低于西方发达国家。
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