XXXX and glycemic control in adolescents with type I diabetes.

@entity1 @entity4051 @entity6 @entity6426 @entity1278 @entity1277
Several recent case reports have shown that @entity1278 and @entity6426 negatively affect glycemic control in @entity6 @entity1 . However, there have been no systematic studies to assess the prevalence of clinical or subclinical @entity1277 among @entity6 @entity1 or to determine the impact of such disturbances on glycemic control. This study reports a survey of 202 adolescents, aged 12-18 yr, seen in the @entity6 , @entity1 's Hospital of Pittsburgh, who were asked to complete the Binge Eating Scale (BES) and the EAT-26 questionnaire. Responses of @entity6 @entity1 to the EAT-26 questionnaire were compared with those of a nondiabetic control group and were related to measures of glycemic control. @entity6 subjects scored higher on the total EAT-26 than nondiabetic control subjects, ordinarily indicative of more eating pathology. However, @entity6 subjects scored higher only on the dieting subscale of this questionnaire, probably reflecting adherence to the @entity6 dietary regimen. Subjects with @entity6 scored lower, or did not differ significantly, from nondiabetic control subjects on measures of oral control and @entity6426 . Among @entity6 subjects, self-reported bulimic behaviors were related to poorer glycemic control. @entity1 with the highest scores on the BES had an average @entity4051 of 13.1% compared with 11.8% for age- and sex-matched @entity1 at the 50th percentile, and 10.8% for @entity1 in the lowest 10th percentile. Further studies are needed to determine whether modification of these eating behaviors would improve glycemic control.
