Night-Eating Syndrome Complicates Diabetes Care

Researchers recommend screening and treating patients for maladaptive eating patterns

WEDNESDAY, Aug. 30 (HealthDay News) -- In patients with diabetes, night-eating syndrome may lead to adverse outcomes, according to a report published in the August issue of Diabetes Care.

Shereen A. Morse, M.D., of the University of Washington School of Medicine in Seattle, and colleagues studied 714 patients with type 1 or type 2 diabetes, 69 (9.7 percent) of whom reported consuming more than 25 percent of their daily calories after their usual suppertime.

The researchers found that patients with night-eating syndrome were less likely than those without it to adhere to diet, exercise and glucose-monitoring regimens, and more likely to be depressed and eat when feeling angry, sad or lonely. They also found that those with night-eating syndrome were more likely to be obese (odds ratio 2.6), to have A1C values greater than 7 percent (odds ratio 2.2) and to have two or more diabetes complications (odds ratio 2.6).

"We believe patients who screen positive to the single item used in this current study may benefit from further comprehensive assessment of night-eating syndrome criteria as well as assessment of related eating disorders (e.g., bulimia or binge eating) and depression and anxiety symptoms," the authors write. "Treatment of comorbid psychiatric disorders through psychotherapeutic or pharmacotherapeutic means may not only be helpful but also may be essential in appropriately addressing maladaptive eating patterns."

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