Lisa Day was diagnosed with type 1 diabetes when he was 14 years old. Therefore, it needed daily insulin injections and had to take care of the diet.
On 12 September last year, however, she died. After suffering years with diabulimia.
The term, which has not been recognized by the medical world, refers to diabetics who deliberately inject insulin with little, with the intention to lose weight.
The effects of the mismatch on the medication use can be devastating blindness, kidney disease, hair loss and as in the case of smooth, early death.
Katie Edwards, Lisa's older sister, gave the BBC diary excerpts written by the youngest, to warn about this little known disorder.
Lisa began writing the diary shortly after being diagnosed with diabetes, in September 2001.
See how she portrayed the disease and its difficulties in dealing with the very appearance problem that followed over a decade:
December 26, 2001
"I feel really fat. I want to lose weight. I think I weigh about 57 kilos."
January 1, 2002
"I have to inject myself (insulin) in a bit. I'll call Sam at night so we meet tomorrow. I just force myself to throw up twice."
While going through the pages of the diary, Katie describes Lisa. "She was my sister. Amused, had many friends. He loved life, but you could notice that something in the background seemed to disturb her. It was as if he had a sad shadow chasing her."
February 13, 2002
"One day out of uniform at school. I feel so GORDA. Everyone was good today, but me. I threw up my food today. I need to quickly do my duty for art class."
March 5, 2002
"I am very happy and feel very well. Not like chocolate is 4 days and 6 kg. Mike sent me a message tonight and all is well. I need to learn not to get red (shame). I'm weighing 55.8 kilograms." .
"I think I'm bulimic."
Katie explains that not realized how bad things were with her sister. It was only recently that she and mother found the diary.
"I'm not sure what started first, diabetes or feeding problems," says Katie BBC as you watch Lisa photos.
"But I know that before being diabetic, Lisa was completely happy. He ate what he wanted and had no problem with food. When diagnosed, they asked to write a diary in which register what he ate, and sugar levels in your blood".
March 14, 2002
"I'm forcing myself to throw up, because otherwise I feel guilty about what I ate."
March 15, 2002
"I feel so fat. I hate myself. Tomorrow I start working in a pet store. There is a disco at FC tomorrow. I'm going with Holly."
March 18, 2002
"I had a 'hypo' (hypoglycemia) terrible at lunch. She sat with Mike and his girlfriend. I do not think he thinks I'm in good shape."
Almost all people who have type 1 diabetes suffer from "hypo" en sometime. Hypoglycemia occurs when the level of glucose in the blood is reduced too. Among people who do not have diabetes, the correct amount is produced at the time indicated that glucose levels do not rise or download others.
But in those with type 1 diabetes, insulin, food and physical activity sometimes they are not well balanced, and glucose levels are affected.
April 30th
"I was dancing at school today. And there is time not provoke vomiting! I saw Mike again today. (It was) a very boring day."
At that moment, Lisa did not know he had diabulimia.
"Lisa has been changing with diabetes," says his sister. "Diabetics need to control a lot to eat, and I think Lisa ended up worrying too much."
"It got to the point of not eating no sauce or butter. When he ate, was only half of a baked potato or baked fish. She lost a lot of weight."
"I remember once that my mother gave him an ice cream and she was proud to have it eaten. But he felt bad, because the stomach rejected the ice cream, as Lisa came not eating enough," says the sister.
May 29, 2002
"I hate being diabetic. I can not eat when I want because I do not gain more weight."
Katie remembers how Lisa was changing their eating habits as time passed.
"In the beginning, she was smart - do not eat a lot -., But realized that if we do not take insulin, lose weight anyway and could eat things they should not."
August 15, 2002
"I have done exercises for the stomach and butt, going to the gym every day. I can not do more, or I shall die of exhaustion, but suddenly it would be good, because I'm so fat."
"Better to burn (calories as) my dinner doing jumping jacks. Please let me die."
At this point in 2002, Lisa's family had been given how bad of the situation was.
"Diabetics are in charge of their own care. They know how much insulin need," explains Kate.
"My family and I assumed she knew what he was doing. There was nothing we could do. She had her life in her own hands."
November 12, 2002
"I did not go to school today. I am writing this diary for a year."
"During the year pasado I was bulimic, but I'm improving."
"I lost 9 kilos. Now weight 47 kg."
December 4, 2002
"Joe and Tom sent messages. They told me that I am in good shape. BEAUTY, my weight loss is paying off."
Katie says her sister loved making cakes and Indian dishes and eat them without problems, since not take insulin.
"Over time, she realized that it could increase the sugar in your blood, do not take insulin, eat what you want and lose weight all the way.
She was not clogging dessert or soft drinks, but when it came to eating, eating literally what he wanted. "
However, this had terrible side effects, according to Katie as stomach problems and feet.
"See that your cheeks are very pink in this photo (below). This was one of the signs that she was not taking insulin."
"She developed a stomach problem and, when he ate, his stomach did not process the food. I had terrible carriers and was hospitalized a few times between January and April last year. The doctors said it was caused by the incorrect use of insulin, and it depressed. "
The note below was one of the last that Lisa did in the diary.
June 23, 2004
"I feel that I will be able to use my red dress again and lose six to nine kilos by September."
Doreen, Lisa's mother, still holds or dress by which the daughter had a obessão.
"Lisa said millions of times that the dress was a goal for her, which is very sad. She was dying to get back to wear it."
In the following years, according to Katie, Lisa lived a routine admissions. "Even when she smiled, we knew we had something going. I knew she had to take insulin, but not how dedicated she needed to be."
"And this thing diabulimia, I did not know that other people had This only came to light after she died is very sad sad:.. If Lisa had received help 10 years ago, she could still be with us, because it would be careful more".
Organizations like the British dwed (Diabetics with Eating Disorders) are campaigning for the diabulimia is officially recognized as an eating and psychological disorder.
An estimated one-third of young women diagnosed with type 1 diabetes suffer from eating disorders or bother with their own weight.
"No one knows how this problem is serious or how to diagnose it," says Khalida Ismail teacher, who leads the largest diabetes clinic and British mental disorders at the University King's College.
On Monday, the death of Lisa completed a year.
"It was the most horrible week of my life," recalls Katie.
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