The combination of type 1 diabetes and eating disorder during pregnancy

The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease

Факторы риска элонгации шейки матки и опущения внутренних половых органов

We studied importance the factors of risk for elongation of neck of uterus, incomplete and complete prolapsus of internal female genital organs. In distinguish groups reliable important: connective tissue dysplasia with pathological level of urine oxyproline, childbirth, traumatic childbirth, manipulations on the neck of uterus.Изучена значимость факторов риска для элонгации шейки матки, неполного и полного опущения внутренних половых органов. Во всех группах на первом месте по значимости были дисплазия соединительной ткани умеренной степени выраженности c патологическим уровнем оксипролина, роды, родовой травматизм, диатермоэлектрокоагуляция, раздельное диагностическое выскабливание

The factors of risk elongation of neck of uterus and genital prolapsed

We studied importance the factors of risk for elongation of neck of uterus, incomplete and complete prolapsus of internal female genital organs. In distinguish groups reliable important: connective tissue dysplasia with pathological level of urine oxyproline, childbirth, traumatic childbirth, manipulations on the neck of uterus