The effects of psychoeducation on disturbed eating attitudes and behavior in young women with type 1 diabetes mellitus

2002 ◽  
Vol 32 (2) ◽  
pp. 230-239 ◽  
Author(s):  
Marion P. Olmsted ◽  
Denis Daneman ◽  
Anne C. Rydall ◽  
Margaret L. Lawson ◽  
Gary Rodin
Author(s):  
Konstantin Manolopoulos ◽  
Wieland Kiess ◽  
Geert A Braems ◽  
Efthimios Deligeoroglou ◽  
George Creatsas ◽  
...  

2020 ◽  
Vol 26 (11) ◽  
pp. 1269-1276
Author(s):  
Stavroula A. Paschou ◽  
Andromachi Vryonidou ◽  
Marina Melissourgou ◽  
Ioanna Kosteria ◽  
Dimitrios G. Goulis ◽  
...  

Objective: To investigate possible causes of menstrual disorders and androgen-related traits in young women with type 1 diabetes mellitus (T1DM). Methods: Fifty-three women with T1DM (duration 8.0 ± 5.6 years), 41 women with (polycystic ovary syndrome) PCOS, and 51 controls matched for age (19.4 ± 4.3 years vs. 21.2 ± 2.7 years vs. 20.8 ± 3.1 years; P>.05) and body mass index (BMI) (22.2 ± 2.7 kg/m2 vs. 21.9 ± 2.0 kg/m2 vs. 21.4 ± 1.9 kg/m2; P>.05) were prospectively recruited. Results: Two women (3.8%) in the T1DM group had not experienced menarche (at 15.5 and 16.6 years); of the rest, 23.5% had oligomenorrhea, 32.1% hirsutism, and 45.3% had acne. The age at menarche was delayed in the T1DM group compared to controls (12.7 ± 1.3 vs. 12.0 ± 1.0 years; P = .004), while no difference was observed with the polycystic ovary syndrome (PCOS) group (12.4 ± 1.2 years). There were no differences in total testosterone (0.43 ± 0.14 ng/mL vs. 0.39 ± 0.14 ng/mL; P>.05), dehydroepiandrosterone sulfate (DHEA-S) (269 ± 112 μg/dL vs. 238 ± 106 μg/dL; P>.05) or Δ4-androstenedione (2.4 ± 1.3 ng/mL vs. 1.9 ± 0.5 ng/mL; P>.05) concentrations between T1DM and controls. However, patients with T1DM had lower sex hormone binding globulin (SHBG) concentrations than controls (61 ± 17 nmol/L vs. 83 ± 18.1 nmol/L; P = .001), which were even lower in the PCOS group (39.5 ± 12.9 nmol/L; P = .001 compared with T1DM). The free androgen index (FAI) was higher in the PCOS group compared with both other groups (T1DM vs. PCOS vs. controls: 2.53 ± 0.54 vs. 7.88 ± 1.21 vs. 1.6 ± 0.68; P<.001). FAI was higher in patients with T1DM compared to controls as well ( P = .038). There was no difference in DHEA-S concentrations between T1DM and PCOS patients (269 ± 112 μg/dL vs. 297 ± 100 μg/dL; P>.05). Conclusion: Menstrual disorders and androgen-related traits in young women with T1DM may be attributed to an increase in androgen bioavailability due to decreased SHBG concentrations. Abbreviations: Δ4A = Δ4-androstenedione; BMI = body mass index; CI = confidence interval; CV = coefficient of variation; DHEA-S = dehydroepiandrosterone sulfate; FAI = free androgen index; HbA1c = glycated hemoglobin; PCOS = polycystic ovary syndrome; RIA = radioimmunoassay; SHBG = sex hormone binding globulin; T1DM = type 1 diabetes mellitus


Author(s):  
Claudiu Cobuz ◽  
Maricela Cobuz

Nocturnal Hypertension and Special - Period Hypertension in Type 1 Diabetes MellitusBackground: One of the unique aspects of continuous ambulatory arterial-tension monitoring is the ability of recording the diurnal variations. The patients suffering from Type 1 Diabetes Mellitus (T1DM) may present higher nocturnal values of arterial tension and this rise can be determined by hyperinsulinism. The first hours in the morning (6 a.m. - 9 a.m.), the so-called special period, is correlated with a rise in the incidence of cardiovascular events and a rise in plasmatic catecholamine and of platelet aggregability. The main goal of this study is to analyze the particularities of the tensional profile with regard to nocturnal behavior and behavior in the special period, reported to glycemic variations. Material and method: The study analysed 351 patients known with T1DM, who have been suffering from this disease for more than 10 years, who were in the records of the Center of Diabetes, Nutrition and Metabolic Diseases of Iaşi and Suceava. The patients were assesssed from a tensional and glycemic point of view, by continuous blood-tension (ABPM) and glycemia (CGMS) monitoring. Results: The occurrence of nocturnal hypertension in patients suffering T1DM is by 29.24 higher than in the case of hypertensive persons compared to the risk presented by the persons without blood hypertension. The continuous recording of blood hypertension during the asymptomatic hypoglycemia period showed increased values both for systolic blood tension and for diastolic one (p<0.05). The hypertension risk is by 3.24 higher during the hypoglycemia period compared to the normoglycemic one. Tension variations during the special period were noticed in 87 patients who have been suffering from diabetes mellitus for 19.75 ± 4.57 years. These tension values are higher than the nocturnal ones, but lower than the diurnal ones. Conclusions: Hypoglycemia duration and magnitude induces increased tension values which adds another hemodynamic stress factor to the patient suffering from T1DM. In T1DM, in the first morning hours, in particular conditions, we can notice increased tension values, higher in patients with blood hypertension, which induces a stressed cardiovascular risk. Tension value increase during the special period overlaps the morning hyperglycemias. Therefore, there appears an apparently invisible impact on the cardiovascular condition of diabetes mellitus.


2017 ◽  
Vol 61 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Rosane Kupfer ◽  
Manuella Rangel Larrúbia ◽  
Isabela Bussade ◽  
Joana Rodrigues Dantas Pereira ◽  
Giovanna A. Balarini Lima ◽  
...  

2002 ◽  
Vol 53 (4) ◽  
pp. 943-949 ◽  
Author(s):  
Gary Rodin ◽  
Marion P Olmsted ◽  
Anne C Rydall ◽  
Sherry I Maharaj ◽  
Patricia A Colton ◽  
...  

Author(s):  
Evin Ilter Bahadur ◽  
Şervan Özalkak ◽  
Asena Ayça Özdemir ◽  
Semra Çetinkaya ◽  
Elif Nursel Özmert

Abstract Objectives To examine sleep and behavior problems in children with type 1 Diabetes Mellitus (T1DM) compared to nondiabetic controls in a bridging country between east and west and to evaluate the interaction of sleep on behavior problems, maternal sleep, and maternal depressive symptoms. Methods The study included children with T1DM (4–12 years old) and age/sex-matched healthy controls. Parents completed the Children Sleep Habits Questionnaire (CSHQ), Children Behavior Checklist/4–18 (CBCL/4–18), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Inventory (BDI), and a study-specific sociodemographic questionnaire. Clinical parameters regarding T1DM were collated from medical records. Results Participants included 75 children with T1DM and 49 controls. Based on CSHQ results 65.3% of all participants in both groups had sleep problems. Children with T1DM slept less and had higher daytime sleepiness problems than controls (p=0.024, p=0.008, respectively). No association was found between CSHQ or sleep duration and mode of diabetes treatment (pump, multiple daily injections) or glycemic control. CSHQ correlated with maternal PSQI (r=0.336 p=0.004) and BDI (r=0.341 p=0.004) in children with T1DM, but there was no association amongst controls. Children with T1DM had higher internalizing problems compared to controls. CSHQ and BDI correlated with internalizing, externalizing, and the total scores of the CBCL/4–18 in children with T1DM (R2=0.260 p<0.001; R2=0.207 p<0.001, R2=0.381 p<0.001 respectively). In controls, only BDI was associated with internalizing, externalizing, and the total scores of the CBCL/4–18. Conclusions Children with T1DM should be evaluated for sleep pattern and quality at follow-up, to identify those at risk for behavior problems and improve maternal life quality. Large longitudinal studies are necessary to assess the effect of new diabetes treatment modalities on sleep.


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