Öz
Bu yazıda, gençlerde görülen erişkin tipi diyabet (MODY) tip 2 tanısı yerine konulması yanlışlıkla Tip 1 Diabetes Mellitus tanısı konulan sonrasında yüksek karbonhidratlı gıdalardan kaçınma nedeniyle ciddi beslenme bozukluğu (BMI=11,25 m<sup>2</sup>/kg) yaşayan ve Anoreksiya Nervoza (AN) ile sonuçlanan 15 yaşında bir kız olgu sunulmuştur. Rapor, farklı düzensiz yeme türleri ve yeme bozuklukları (YB) arasındaki olası geçişleri incelemeyi ve özellikle günlük beslenme alışkanlıklarının önemli ölçüde etkilenebileceği durumlarda, kronik hastalığı olan hastalara daha fazla danışmanlık verilmesinin önemini vurgulamayı amaçlamaktadır.
Anahtar Kelimeler: Anahtar kelimeler: Ergen, vaka sunumu, bozulmuş yeme, gençlerde görülen erişkin tipi diyabet, anoreksiya nervoza
Kaynakça
Awuchi CG, Echeta CK, Igwe VS. Diabetes and the nutrition and diets for its prevention and treatment: a systematic review and dietetic perspective. Health Sciences Research. 2020;6:5-19.
Weinger K, Lee J. Psychosocial and psychiatric challenges of diabetes mellitus. Nurs Clin North Am. 2006;41:667-80.
H Ibrahim SM, Shahat EA, Amer LA, Aljohani AK. The impact of using carbohydrate counting on managing diabetic patients: a review. Cureus. 2023;15:e48998.
Sami W, Ansari T, Butt NS, Hamid MRA. Effect of diet on type 2 diabetes mellitus: a review. Int J Health Sci (Qassim). 2017;11:65-71.
Dziewa M, Bańka B, Herbet M, Piątkowska-Chmiel I. Eating disorders and diabetes: facing the dual challenge. Nutrients. 2023;15:3955.
Young V, Eiser C, Johnson B, Brierley S, Epton T, Elliott J, Heller S. Eating problems in adolescents with type 1 diabetes: a systematic review with meta-analysis. Diabet Med. 2013;30:189-98.
Grammatikopoulou MG, Gkiouras K, Polychronidou G, Kaparounaki C, Gkouskou KK, Magkos F, et al. Obsessed with healthy eating: a systematic review of observational studies assessing orthorexia nervosa in patients with diabetes Mellitus. Nutrients. 2021;13:3823.
Moroze RM, Dunn TM, Craig Holland J, Yager J, Weintraub P. Microthinking about micronutrients: a case of transition from obsessions about healthy eating to near-fatal “orthorexia nervosa” and proposed diagnostic criteria. Psychosomatics. 2015;56:397-403.
Dunn TM, Bratman S. On orthorexia nervosa: a review of the literature and proposed diagnostic criteria. Eat Behav. 2016;21:11-7.
Strahler J. The dark side of healthy eating: links between orthorexic eating and mental health. Nutrients. 2020;12:3662.
Park SW, Kim JY, Go GJ, Jeon ES, Pyo HJ, Kwon YJ. Orthorexia nervosa with hyponatremia, subcutaneous emphysema, pneumomediastimum, pneumothorax, and pancytopenia. Electrolyte Blood Press. 2011;9:32-7.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 5th ed.; American Psychiatric Association: Washinton, DC, USA, 2013.
Cena H, Barthels F, Cuzzolaro M, Bratman S, Brytek-Matera A, Dunn T, et al. Definition and diagnostic criteria for orthorexia nervosa: a narrative review of the literature. Eat Weight Disord. 2019;24:209-46.
Koven NS, Abry AW. The clinical basis of orthorexia nervosa: emerging perspectives. Neuropsychiatr Dis Treat. 2015;11:385-94.
Fidan T, Ertekin V, Işikay S, Kirpinar I. Prevalence of orthorexia among medical students in Erzurum, Turkey. Compr Psychiatry. 2010;51:49-54.
Horovitz O, Argyrides M. Orthorexia and orthorexia nervosa: a comprehensive examination of prevalence, risk factors, diagnosis, and treatment. Nutrients. 2023;15:3851.
Bishay RH, Greenfield JR. A review of maturity onset diabetes of the young (MODY) and challenges in the management of glucokinase-MODY. Medical journal of Australia. 2016;205:480-5.
Giuffrida FM, Reis AF. Genetic and clinical characteristics of maturity-onset diabetes of the young. Diabetes Obes Metab. 2005;7:318-26.
Toni G, Berioli MG, Cerquiglini L, Ceccarini G, Grohmann U, Principi N, Esposito S. Eating disorders and disordered eating symptoms in adolescents with type 1 diabetes. Nutrients. 2017;9:906.
Mateo K, Greenberg B, Valenzuela J. Disordered eating behaviors and eating disorders in youth with type 2 diabetes: a systematic review. Diabetes Spectr. 2022;37:342-8.
Atchison AE, Zickgraf HF. Orthorexia nervosa and eating disorder behaviors: a systematic review of the literature. Appetite. 2022;177:106134.
Mehler PS, Brown C. Anorexia nervosa - medical complications. J Eat Disord. 2015;3:11.
Pehlivantürk Kızılkan M, Kanbur N, Akgül S, Alikaşifoğlu A. An adolescent boy with comorbid anorexia nervosa and hashimoto thyroiditis. J Clin Res Pediatr Endocrinol. 2016;8:92-5.
Raevuori A, Haukka J, Vaarala O, Suvisaari JM, Gissler M, Grainger M, et al. The increased risk for autoimmune diseases in patients with eating disorders. PLoS One. 2014;9:e104845.
