An integrated inpatient therapy for type 1 diabetic females with bulimia nervosa

Eating Disorders and Diabetes: Introduction and Overview

“…There are few treatment studies in this population, although a small, uncontrolled study of cognitive behavioral therapy for eating disorders in women with type 1 diabetes 17 suggested that treatment may be more difficult in women with diabetes than in those without diabetes. A small study of "integrated inpatient treatment" of individuals with type 1 diabetes and an eating disorder showed promising reductions in eating disorder symptoms 55 maintained at the 3-year follow-up. However, validation of these results would require a study with a larger sample and the inclusion of a control group.…”

Deep Brain Stimulation for Autism Spectrum Disorder: Current and Future Uses

“…Two papers by the same authors based in Japan described a new intervention, IIT, which had been designed for the treatment of those with T1DM and an ED [65,66]. IIT has three main stages; recovery for the mind and body, modification of behaviours and cognitions and restoration of family relationships and is designed to address both the ED and the T1DM through removing control of both and then phasing it back in [65,66].…”

“…IIT has three main stages; recovery for the mind and body, modification of behaviours and cognitions and restoration of family relationships and is designed to address both the ED and the T1DM through removing control of both and then phasing it back in [65,66]. The earlier paper [66] looked at the effectiveness of IIT on females with T1DM and BN or BED, whilst the latter only explored the impact on BN [65]. In both papers participants were allocated into groups dependent on their ED type and then whether they attended Banting, Randle-Phillips inpatient following a one off outpatient session [65,66].…”

“…The earlier paper [66] looked at the effectiveness of IIT on females with T1DM and BN or BED, whilst the latter only explored the impact on BN [65]. In both papers participants were allocated into groups dependent on their ED type and then whether they attended Banting, Randle-Phillips inpatient following a one off outpatient session [65,66]. The one-off appointment is designed to relieve stress and promote self-care without a specially prescribed diet.…”

“…The one-off appointment is designed to relieve stress and promote self-care without a specially prescribed diet. If a reduction in HbA1c levels over the next 6-12 months was not noted then they were encouraged to receive IIT [65,66]. BN inpatients showed a significant reduction on scores on EDI, State-Trait Anxiety Inventory (STAI) and the Zung Self-Rating Depression Scale (SDS), as well as the frequency and amount of binge episodes at discharge and 36 months post discharge [65,66].…”