Eating disorders as a special problem for persons with insulin-dependent diabetes mellitus.

Diabetes and eating disorders can be a deadly combination. Patients may omit or reduce their insulin dosages, which will induce glycosuria. Counseling and behavior modification are essential to prevent the development of complications such as DKA, frequent hypoglycemia, and the early onset of chronic complications. Diabetes education and insulin regulation must be combined with an interdisciplinary team approach to correct maladaptive coping mechanisms.