When Do You Call It An Eating Disorder?
And when is it diabetes?
January 2010 — I want to expand on a recent dLife Update | Newsletter topic (February 26, 2010, Vol.6 No. 8). "In The Spotlight" featured a survey on the possibility of having an eating disorder. Eating disorders have been on my mind lately, but not in the traditional diabulimia/bulimia/anorexia ways that often jump into focus when someone sees or hears about "an eating disorder".
When I think of an eating disorder, my mind automatically jumps to young girls, typically teenage or young adult, and the mental image that tags along is that of someone much too thin. In that split-second mental reflex, that too-skinny young girl thinks she is overweight and is using dangerous behavior to lose weight.
Forgive me. I know my associations are stereotypical, mostly inaccurate, and very unfair. I know very little about eating disorders.
I am male, in my mid-thirties, overweight, and have lived with type 1 diabetes for almost 30 years. Type 1 diabetes has set me up to fail in my relationship with food. It's never talked about, and I think it's probably more common than any of us might think.
I grew up using Regular and NPH insulin. These two types of insulin had some pretty nasty and awkwardly timed peaks that forced me to eat at certain times of the day, rather than when I was hungry.
Growing up like that hurt me. Think about it: I had to battle my natural instincts to not eat when I wasn't hungry. I had to purposefully deaden my urges to stop eating or not eat. It didn't matter what my body wanted to do.
I'm glad that today we have insulin types that allow for more flexibility. I hope that kids growing up with type 1 diabetes these days will be allowed to naturally find their food balance.
But even with these newer insulin types, we have other eating issues that work against us. Within the past couple of years I've learned about another hormone that plays a big role in this complicated food relationship I fight with. Amylin.
Amylin is another hormone that is created in my broken beta cells. It is usually created and secreted right alongside insulin, both in a constant background (basal) flow and surges (bolus) when I eat something. Amylin has two jobs that really affect my broken relationship with food. One, it slows gastric emptying, which is a fancy way of saying that it slows digestion. Two, it triggers a feeling of satisfaction in the brain. In other words, it makes me feel satisfied, often times with much less food.
Pickled Crab and Melon Salad Fancy-Ham Wrapped Fruit Summer Fruit Salsa Wake-Up Smoothie Sweet and Sassy Party Mix Spicy Peanut Butter Dip Banana Peanut Chocolate Smoothie Sweet and Spicy Turkey Skillet Grilled Chicken Sandwich Easy Chocolate Caramel Brownies
I no longer wear an insulin pump. Nor do I wear a CGM. I wish the latter were different, as I think a CGM would be quite useful, but the welts that it leaves on my skin - in spite of multiple efforts to fight that welts - are just unacceptable. I am, however, still interested in when people remove their pumps and why. I've seen some recent discussion around folks being asked to remove their pump for mammogram procedure, so I figured I'd ask around the hospital I work to...