Diabetes and eating disorders: an exploration of ‘Diabulimia’: Influence Statistics

Expert Impact

Concepts for which they have has direct influence: Eating disorder , Diabetes eating , Type 1 , 1 diabetes , Mellitus type , Healthcare professionals , Individuals type .

Key People For Eating Disorder

Top KOLs in the world
#1
Christopher G Fairburn
bulimia nervosa eating disorders psychological treatments
#2
Janet L Treasure
anorexia nervosa eating disorders type 1 diabetes
#3
Cynthia Marie Bulik
anorexia nervosa eating disorders suicide attempts
#4
James E Mitchell
bariatric surgery bulimia nervosa eating disorders
#5
Walter H Kaye
anorexia nervosa eating disorders impulse control
#6
Scott J Crow
bulimia nervosa binge eating negative affect

Diabetes and eating disorders: an exploration of ‘Diabulimia’

Abstract

. Background‘Diabulimia’ is the term given to the deliberate administration of insufficient insulin for the purpose of weight loss. Although Diabulimia can be life-threatening and prevalence rates in diabetes are high, there is a lack of research for how to effectively support people with the condition. This exploratory study aimed to provide much-needed information to healthcare professionals and guide the focus for future research.MethodsForty-five individuals with Type 1 diabetes mellitus (T1DM) and a history of insulin misuse completed an online questionnaire. This included an assessment of their eating disorder psychopathology with the Eating Disorder Examination Questionnaire (EDE-Q) and 16 open-ended questions exploring their experience of Diabulimia. The responses to the open-ended questions were analysed using thematic analysis.ResultsThe average global EDE-Q score was 3.96 (1.21), which is consistent with eating disorder populations. Common themes identified were concerns about weight, difficulty coping with diabetes, past trauma, and the importance of relationships. Experiences with health professionals were overwhelmingly negative. Most participants had experienced serious medical intervention due to Diabulimia and were fully aware of the consequences of insulin restriction.ConclusionsOverall, individuals believed that a greater awareness of Diabulimia and more training for healthcare professionals is needed. While education on insulin misuse may be a necessary first step in treatment, psychological support is crucial. To deliver effective treatment, clinicians should be aware of the specific issues facing those with Diabulimia. The current study identified themes that clinicians may find useful to consider.