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Amylophagia presenting as gestational diabetes.
Arch Fam Med 2000; 9(7):649-52AF

Abstract

Amylophagia, or the practice of consuming purified starch, is a particular expression of the more general phenomenon of pica. This compulsive dietary aberration, observed in many pregnant patients worldwide, is common among rural African American women in the southern United States. The effect this practice has on the course of gestational diabetes has not been examined. We report 2 cases of gestational diabetes, refractory to initial dietary management, in which the patients were consuming one-half to 1 box of cornstarch per day. Following cessation of amylophagia, the gestational hyperglycemia spontaneously resolved. Amylophagia is a complex behavioral phenomenon arising from the interplay of biochemical, hematological, psychological, and cultural factors. In some patient populations, it may represent an often overlooked etiologic or exacerbating factor in the condition of gestational diabetes. Family physicians practicing obstetrics should inquire about amylophagia in patients who are at risk for this behavior and in patients who present with gestational hyperglycemia.

Authors+Show Affiliations

Department of Family Medicine, University of Tennessee, Memphis, USA.No affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10910314

Citation

Jackson, W C., and J P. Martin. "Amylophagia Presenting as Gestational Diabetes." Archives of Family Medicine, vol. 9, no. 7, 2000, pp. 649-52.
Jackson WC, Martin JP. Amylophagia presenting as gestational diabetes. Arch Fam Med. 2000;9(7):649-52.
Jackson, W. C., & Martin, J. P. (2000). Amylophagia presenting as gestational diabetes. Archives of Family Medicine, 9(7), pp. 649-52.
Jackson WC, Martin JP. Amylophagia Presenting as Gestational Diabetes. Arch Fam Med. 2000;9(7):649-52. PubMed PMID: 10910314.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Amylophagia presenting as gestational diabetes. AU - Jackson,W C, AU - Martin,J P, PY - 2000/7/26/pubmed PY - 2000/8/12/medline PY - 2000/7/26/entrez SP - 649 EP - 52 JF - Archives of family medicine JO - Arch Fam Med VL - 9 IS - 7 N2 - Amylophagia, or the practice of consuming purified starch, is a particular expression of the more general phenomenon of pica. This compulsive dietary aberration, observed in many pregnant patients worldwide, is common among rural African American women in the southern United States. The effect this practice has on the course of gestational diabetes has not been examined. We report 2 cases of gestational diabetes, refractory to initial dietary management, in which the patients were consuming one-half to 1 box of cornstarch per day. Following cessation of amylophagia, the gestational hyperglycemia spontaneously resolved. Amylophagia is a complex behavioral phenomenon arising from the interplay of biochemical, hematological, psychological, and cultural factors. In some patient populations, it may represent an often overlooked etiologic or exacerbating factor in the condition of gestational diabetes. Family physicians practicing obstetrics should inquire about amylophagia in patients who are at risk for this behavior and in patients who present with gestational hyperglycemia. SN - 1063-3987 UR - https://www.unboundmedicine.com/medline/citation/10910314/Amylophagia_presenting_as_gestational_diabetes L2 - http://www.diseaseinfosearch.org/result/2236 DB - PRIME DP - Unbound Medicine ER -