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Diabulimia is a Life-Threatening Disorder for Some Teens by Jean Enderson

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Posted on April 29, 2013 at 10:15 PM

Updated yesterday at 11:30 PM

It was Cassady Kinter's little secret.
"I was 14 so I was going into high school which I think is a really common time for people to start messing with that stuff," she said.
Cassady has Type 1 Diabetes. What she "messed with" was her insulin, skipping doses.  It's not so rare, according to Seattle Children's Doctor Yolanda Evans.
"Diabulimia is a term for kids who have diabetes who use insulin, but they'll withhold their insulin in order to lose weight," Dr. Evans said.
Trouble is it works better than any diet. That's why got Cassady hooked.
"You can lose like 10 pounds in two days which is really appealing to a young kid who doesn't really care about consequences later on."
Those consequences would come much sooner than Cassady ever expected. At age 16, she developed cataracts. That's not the only danger of diabulimia.
Dr. Evans says it can be life-threatening. "A diabetic who doesn't take their insulin can have really elevated levels of sugar in their blood and can actually lead to coma, even death."
None of that registered with Cassady. She only cared about being thin.
"You lose weight very quickly and people notice and give you all kinds of compliments, of course," she said.
Then came the extreme fatigue, hair loss and other side effects. Yes, the pounds were coming off, but not in the way she expected.
 If somebody has diabulimia a lot of times the body shape will be kind of this potato with toothpicks, spindly arms and legs," Cassady said.
The compliments stopped. So did the friendships. Cassady was the only one left playing the game of pretend.
"I thought I  was fooling people but I wasn't."
Finally she got tired of feeling awful, but even then, it wasn't easy to stop. She got treatment but later relapsed before finally getting back on track again.
Cassady says the best thing parents can to do is look for the signs; be direct but not judgmental. Red flags include: unexplained weight loss, extreme fatigue, frequent urination and high blood sugar readings.
These days, Cassady is back in school, taking graduate courses to become a counselor to help others who go down the same dangerous path that she did.
Diabulimia has been seen in patients as young as 13 and in women as old as 60.

Resources

http://www.diabulimiahelpline.org/

ADHD Teens at Risk of Eating Disorders By Chris Iliades, MD Medically reviewed by Pat F. Bass III, MD, MPH

Teen eating disorders are on the rise — and they're becoming more prevalent in kids with ADHD. Experts explain why.

ADHD: My Son Nathan
One to 2 percent of students in America struggle with an eating disorder — and according to studies, eating disorders are significantly more common in teenage girls with ADHD than in girls without ADHD.

A possible explanation: Eating disorder behaviors like binge eating may be a way of self-medicating for ADHD teens. "The key link between eating disorders and ADHD is the impulsive need for stimulation,” explains Eric Hollander, MD, professor of psychiatry and behavioral medicine and director of the Compulsive, Impulsive, and Autism Spectrum Disorders Program at Albert Einstein College of Medicine and Montefiore Medical Center in Bronx, New York.

“ADHD in teens may cause symptoms of boredom and restlessness that are temporarily relieved by compulsive or addictive eating behaviors. Overeating or binge eating may stimulate the dopamine reward system and dopamine pathways in the brain.”

Dopamine is a brain chemical that tends to be low in people with ADHD. Dopamine is also important in appetite regulation and some compulsive eating behaviors have been shown to activate dopamine pathways.

Adolescent girls with ADHD also frequently develop dissatisfaction with their body image, which can lead to repeated bouts of binge eating and bulimia, notes Hollander.

ADHD usually begins in childhood, but girls are more likely to reach their teens being undiagnosed and untreated for their ADHD. Untreated teen ADHD increases the risk for compulsive eating and other eating disorders like bulimia or binge eating.”

Here are some ADHD symptoms kids and parents should be aware of:

Difficulty paying attention and staying focused
Problems at school
Constantly losing things or making careless mistakes
Restlessness and impatience
Parents who know or suspect that their teen has ADHD should also be aware of the warning signs of a possible eating disorder:

Dramatic change in weight
Excessive concern over diet
Being depressed about body image
Use of laxatives, diuretics, or enemas
Avoidance of family meals
ADHD in Teens and Eating Disorder Treatment

Parents and teens need to learn as much as they can about these disorders and take an active role in treatment. ADHD and eating disorders are both treatable. Teen ADHD can be controlled through a combination of medication and behavioral therapy. Teen eating disorder treatment often involves both individual and family therapy and education about healthful eating. Treatment of ADHD symptoms may also help symptoms of eating disorders.

The key is to recognize the problem and take action. Teen ADHD and eating disorders that go unrecognized and untreated can cause lasting damage to both mind and body.

Ramey Nutrition Taking New Day Program Patients!

Providing eating disorder treatment that leads efficiently to full recovery was the guiding principal on which Ramey Nutrition was founded. Eating disorders are frequently “treated” in the field of nutrition counseling; however we focus on empowering our patients to be recovered in order to move on with lives that are meaningful to them. By avoiding a focus on education and meal plans, we are able to respect the knowledge our patients already have. As they feel safe in knowing this, we are in a better position to simply remind them of the power they have to heal their issues; the nutrition naturally follows their healing.
Www.rameynutrition.com

"A mother who radiates self-love and self-acceptance vaccinates her daughter against low self-esteem." -Naomi Wolf

Ramey Nutrition's First Referring Doctor Killed in an Avalanche

The woman who died after she was buried in an avalanche near Snoqualmie Pass has been identified as Bellevue naturopathic physician Dr. Joy Yu. The search for a man caught in a second slide has been suspended.

The woman who died after she was buried in an avalanche Saturday on Red Mountain has been identified as Dr. Joy Yu, a naturopathic physician.
Yu worked at the Creekside Center for Integrative Medicine in Bellevue, according to a billing receptionist at the office who was too upset to provide additional details. She said Yu’s relatives were on their way to town after learning of the accident.
Yu has a blog that identifies her as an active Northwest hiker and dog lover.
Yu was one of two people hit by an avalanche in separate incidents Saturday near Snoqualmie Pass. A man who’s been missing in an avalanche on Granite Mountain has been identified as 61-year-old Mitch Hungate, a Renton dentist, according to KING 5 news, a Seattle Times news partner.
The search for Hungate has been suspended indefinitely, as rescuers believe the conditions on Granite Mountain nare too dangerous.
Two other men were carried along with Hungate in the Granite Mountain avalanche, but they have been located. A GPS device worn by one of the men showed they tumbled down the slope more than 1,200 feet in less than one minute, according to the King County Sheriff’s Office.
Hungate did not emerge from the snow slide. Described as an experienced outdoorsman, Hungate was “always out hiking and climbing,” according to Bruce Kolpack, who has climbed with him. “He stays in really good shape.”
Hungate’s wife and sister are on the mountain awaiting news.
“All of us stayed up here in the hope against hope that there would be a rescue,” Hungate’s wife, Marilynn, told KING 5. “I really didn’t want to leave him. I want to be with him until he can be here with us.”
Yu was pronounced dead after rescuers transported her down from Red Mountain at about midnight . The Sheriff’s Office said she had a pulse when she was dug from the snow. Rescuers, who hiked nearly three hours to reach her, spent six hours carrying her on a sled off the mountain, but she did not survive.
Other snowshoers located Yu about 45 minutes after an avalanche hit and found her face down in about 5 feet of snow. Her dog, a black-and-white border collie/sheltie mix named Blue, showed up unaccompanied, alerting them that the woman was missing.
The search for Hungate was suspended about 8 p.m. Saturday and did not resume Sunday.
“It’s so unstable, we don’t want to risk our search-and-rescue members’ lives,” said Cindi West, of the Sheriff’s Office.
The Sheriff’s Office is warning the public to stay away from the area, she added.
About 50 rescuers with dog teams searched for Hungate on Saturday but battled “horrible” conditions, according to Katie Larson, of the Sheriff’s Office. Overnight, the mountain got another “big dump of snow,” making the conditions too dangerous to send in searchers, she said.
His two companions suffered non-life-threatening shoulder and hamstring injuries, the Sheriff’s Office said.
The Granite Mountain avalanche occurred first, at about noon Saturday, near Interstate 90s exit 47. The Red Mountain slide hit about a half-hour later, a few miles east near the Alpental ski area.
In all, more than 100 members of search-and-rescue teams from Seattle, Everett, Pierce County and Yakima participated in searches at the two avalanche scenes.
At the Red Mountain site, Yu had been snowshoeing with her dog behind a group of 12 other snowshoers when the avalanche struck.
The group of 12 was split up by the avalanche, with four making it off the mountain on their own by 5 p.m.
The remaining eight snowshoers, who were at about 4,800 feet, realized Yu was missing when the dog came up to them afterward. They were able to find Yu and dig her out. They tried to keep her warm as they waited about 2½ hours for rescuers to reach them. The rescue party did not reach the parking lot until about midnight Saturday, and by that time Yu had died.
The last avalanche fatalities in this area occurred in February 2012 when four people were killed at Stevens Pass and near the Summit at Snoqualmie, Larson said.
She said avalanches can be common this time of year.
“Whenever you have warm weather and then cold weather and snow, it can be bad,” she said.
Paul Baugher, director of the Northwest Avalanche Institute, which offers avalanche consulting and safety training, said the forecast for avalanches at Snoqualmie was “high” on Saturday.
“Because of the cold temperatures, the snow underneath is relatively well frozen and stable,” he said. “But there’s a poor bond between the new snow coming down and old snow, which is very hard and slippery. That produces soft slabs of very sensitive snow.”

Not A Sketch: The Most Creative Anti-ED Message We've Seen Yet

Don Draper and Peggy have their talents, but these days, advertisers can get really creative. From viral videos and imagery to the creative use of Photoshop, there's always another envelope to be pushed when it comes to getting the consumer's attention. This latest ad is a little bit of both, with a heavy dose of shock value, and thankfully, it's for a good cause.

Brazilian modeling agency Star Models has recently released an eating disorder awareness campaign featuring your typical fashion sketch on the left, and models photoshopped to look like a human version of the same on the right. And as you can see, it's quite disturbing. If you're familiar with fashion illustration, you know this sort of impossibly long-legged, waify figure is absolutely standard practice for almost all designers. It's an art, and we personally appreciate it as a beautiful step in the design process. But has it gone too far?

As many of you pointed out in the comments on this article, we have to give women enough credit not to take media imagery too literally. Barbie is a doll, not a person; these are fashion sketches, not a recommendation for what you should look like — right? Well, we're not so sure. While obviously adult women have the sense to differentiate between an artistic sketch and an actual human form, we can say from personal experience that there's a level of subconscious conditioning that affects girls and women when they see this type of imagery. It's the same effect as when you see a dress on display in a shop with the waist cinched in to create an extreme hourglass effect. The dress looks lovely like that, and hangs perfectly. But what happens when you go and try it on, and no amount of cinching will create the same effect, no matter how skinny you are? Maybe you won't buy the dress. And maybe you'll leave the shop thinking, hey, I could do to lose a few pounds.


It's a two-way street, and fashion can't be 100% responsible for your self image. You've got to work on loving your own body and differentiating between artistic forms and, well, life forms — for your own reasons. But at the same time, these images underscore another facet of the discussion on eating disorders. Our conception of beauty today involves imagery found not just in the media and on the runway, it also begins early in the design process. If designers are creating clothing based on sketches that look like that, it's not a big surprise that they select models that resemble the sketch. Sometimes that just means long legs and a slightly more slender frame, but sometimes, it gets taken to the extreme.

We're reluctant to give too much credit to what's clearly a highly stylized, almost cartoon-ish, form of drawing. And we have too much respect for fashion designers and their vision to dismiss the traditional, widely-used sketch at the drop of a hat. But these ads do make you wonder: At what point do designers themselves have a responsibility, as artists but also as creators of consumer products, to help foster a more body-positive society?


Images: Courtesy of Star Models.