What is diabulimia and what are the implications for practice?

  title={What is diabulimia and what are the implications for practice?},
  author={Sonya Chelvanayagam and Janet James},
  journal={British journal of nursing},
  volume={27 17},
Diabulimia has become a common term used to describe a condition when a person with type 1 diabetes has an eating disorder. The individual may omit or restrict their insulin dose to lose/control weight. Evidence suggests that as many as 20% of women with type 1 diabetes may have this condition. The serious acute and long-term complications of hyperglycaemia are well documented. Detection of this condition is challenging and health professionals need to be vigilant in assessing reasons for… 

Terminology matters: ‘diabulimia’ is insufficient to describe eating disorders in individuals with Type 1 diabetes

  • L. WistingF. Snoek
  • Medicine
    Diabetic medicine : a journal of the British Diabetic Association
  • 2019
Eating disorders deserve full attention, given the evidence that they are two to three times more common among individuals with Type 1 diabetes compared with the general population, and subthreshold disturbed eating behaviours are reported in up 60% of females with Type 2 diabetes.

The psychosocial effects of living with type 1 diabetes : A literature review

A large number of people with the diagnosis of type 1 diabetes mellitus have type 2 diabetes, and around 10% of these have type 1 Diabetes mellitus, which is increasing globally.



Fifteen-minute consultation: Diabulimia and disordered eating in childhood diabetes

Joint working between diabetes and mental health teams has challenges but is essential to ensure all needs are met during treatment and recovery.

Diabulimia: how eating disorders can affect adolescents with diabetes.

  • J. Davidson
  • Medicine
    Nursing standard (Royal College of Nursing (Great Britain) : 1987)
  • 2014
The concept of diabulimia and the compounding complications of an eating disorder on maintaining self-management regimens in adolescents with type 1 diabetes mellitus are explored.

Disordered eating behaviors in type 1 diabetic patients.

A high index of suspicion of the presence of an eating disturbance, particularly among those patients with persistent poor metabolic control, repeated episodes of ketoacidosis and/or weight and shape concerns are recommended in the initial stage of diabetes treatment, especially in young women.

Eating disorders in adolescents with type 1 diabetes: Challenges in diagnosis and treatment.

The comorbidity of ED in type 1 diabetes mellitus patients is associated with poorer glycemic control and consequently higher rates of diabetes complications, and early recognition and adequate treatment ofED in T1DM is essential.

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Effective interventions build on teens' internal and external supports (family, technology, and internal motivation) in order to simplify their management of diabetes and provide opportunities for the teens to share the burdens of care.

Diabetes, eating disorders and body image in young adults: an exploratory study about “diabulimia”

It is essential to give more attention to insulin omission as a compensatory behavior that is inappropriate and harmful to health in the population with diabetes.

The Effect of Intensive Treatment of Diabetes on the Development and Progression of Long‐Term Complications in Insulin‐Dependent Diabetes Mellitus

Intensive therapy effectively delays the onset and slows the progression of diabetic retinopathy, nephropathy, and neuropathy in patients with IDDM.

Disordered Eating Behaviors in Emerging Adults With Type 1 Diabetes: A Common Problem for Both Men and Women.

Brief Screening Tool for Disordered Eating in Diabetes

The revised 16-item DEPS (DEPS-R) demonstrated excellent internal consistency, construct validity, and external validity in this contemporary sample of youth with type 1 diabetes, and should be used to identify high-risk populations for prevention of and early intervention for disordered eating behaviors.