What is diabulimia and what are the implications for practice?

@article{Chelvanayagam2018WhatID,
  title={What is diabulimia and what are the implications for practice?},
  author={Sonya Chelvanayagam and Janet James},
  journal={British journal of nursing},
  year={2018},
  volume={27 17},
  pages={
          980-986
        }
}
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.

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

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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.

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