Diabulimia, a Type I diabetes mellitus-specific eating disorder

Kınık, Mehmet Fatih; Gönüllü, Ferda Volkan; Vatansever, Zeynep; Karakaya, İşık

doi:10.5152/turkpediatriars.2017.2366

Cited by 19 publications

(9 citation statements)

References 10 publications

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“…Diabulimia is the combination of "diabetes" and "bulimia". It is an eating related condition specific to patients with diabetes characterized by limiting and/or skipping insulin dosing due to concerns over their body weight and/or shape (Kınık et al, 2017). Diabulimia is not a recognised medical condition (Wilson, 2012) but it is a common term in the diabetes community.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Using real-time fMRI brain-computer interfacing to treat eating disorders

Sokunbi

2018

Journal of the Neurological Sciences

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Section: Accepted Manuscriptmentioning

confidence: 99%

Using real-time fMRI brain-computer interfacing to treat eating disorders

Sokunbi

2018

Journal of the Neurological Sciences

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“…Диабулимия -это расстройство пищевого поведения, свойственное пациентам с СД1, для которого характерно сознательное снижение дозы или отсутствие введения инсулина с целью снижения массы тела [11]. В ходе четырехлетнего наблюдательного исследования, в котором оценивалось отношение к еде у 91 пациентки с СД1 в возрасте от 12 до 18 лет, компульсивное переедание было обнаружено у 45% пациентов, а рвота -у 8% [5].…”

Section: актуальностьunclassified

The combination of type 1 diabetes and eating disorder during pregnancy

et al. 2022

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The problem of eating disorders currently holds a special place in clinical practice. Bulimia nervosa is one of the main forms of eating disorders, characterized by the difficulty in its treatment and a long, recurrent course. Eating disorders are common in patients with type 1 diabetes mellitus (T1D), especially in adolescent girls.In this article, we present a clinical case of a patient with T1D and bulimia nervosa, which developed before the manifestation of T1D and progressed against its background. The patient is overly concerned with controlling body weight, specifically restricted the intake of carbohydrates, forcibly caused vomiting. During pregnancy fasting ketonuria («low-carb ketone») was repeatedly detected. The minimum weight was 37 kg (BMI 15.2 kg/m2). Particular interest of this case is the course of pregnancy, which ended in the antenatal death. The possible cause could be the restriction on carbohydrate food and prolonged stay in ketosis, that might lead to the development of pregnancy pathology. Additional examination also revealed multiple complications of diabetes and recurrent depressive disorder, which requires conjoint monitoring by an endocrinologist and a psychiatrist.Combination of T1D and eating disorder in a pregnant patient should be considered as an atypical course of the disease.

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“…Furthermore, case studies of young people with T1D, girls in particular, are beginning to emerge (e.g. Kinik et al, 2017 ), suggesting that persistent IO for the purpose of weight loss is a prevalent behaviour among children and adolescents, as well as adults. A number of the risk factors of IO explored in this review are also seen as having greater prevalence among young people, suggesting that children and young people who have T1D, alongside one or more of these risk factors, will be at significant risk of engaging in IO as a weight loss method.…”

Section: Introductionmentioning

confidence: 99%

A review of risk factors associated with insulin omission for weight loss in type 1 diabetes

Hall

Keeble

Sünram-Lea

et al. 2021

Clin Child Psychol Psychiatry

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Research suggests that as many as 60% of people with type 1 diabetes (T1D) admit to misusing insulin. Insulin omission (IO) for the purpose of weight loss, often referred to as diabulimia, is a behaviour becoming increasingly recognised, not least since prolonged engagement can lead to serious vascular complications and mortality. Several risk factors appear to be relevant to the development of IO, most notably gender, anxiety and depression and increased weight concerns and body dissatisfaction. Evidence suggests that women, especially young girls, are more likely to omit insulin as a method of weight loss compared to men. Mental health conditions such as anxiety and depression are increasingly prevalent in people with T1D compared to their peers, and appear to contribute to the risk of IO. Increased weight concerns and body dissatisfaction are further prominent risk factors, especially given increases in weight which often occur following diagnosis and the monitoring of weight by diabetes teams. This review presents evidence examining these risk factors which increase the likelihood of a person with T1D engaging in IO and highlights the complications associated with prolongment of the behaviour. Further research looking at the comorbidities of these risk factors, alongside other factors, would provide greater insight into understanding IO in people with T1D.

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Diabulimia, a Type I diabetes mellitus-specific eating disorder

Cited by 19 publications

References 10 publications

Using real-time fMRI brain-computer interfacing to treat eating disorders

Using real-time fMRI brain-computer interfacing to treat eating disorders

The combination of type 1 diabetes and eating disorder during pregnancy

A review of risk factors associated with insulin omission for weight loss in type 1 diabetes

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