Disturbed eating behaviors and eating disorders in type 1 diabetes: Clinical significance and treatment recommendations
- Ann E. Goebel-Fabbri
- … show all 1 hide
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Girls and women with type 1 diabetes have increased rates of disturbed eating behaviors and clinically significant eating disorders than their nondiabetic peers. Type 1 diabetes is strongly associated with several empirically supported eating disorder risk factors (eg, higher body mass index, increased body weight and shape dissatisfaction, low self-esteem and depression, and dietary restraint). It may be that specific aspects of diabetes treatment increase the risk for developing disordered eating. Disturbed eating behaviors and clinical eating disorders predispose women with diabetes to many complex medical risks and increase risk of morbidity and mortality. For this reason, it is critical that diabetes clinicians understand more about eating disorders to improve the likelihood of early risk detection and access to appropriate treatment. This article presents a review of the current scientific literature on eating disturbances in type 1 diabetes and synthesizes the existent findings into recommendations for screening and treatment.
- Colton, P., Olmsted, M., Daneman, D. (2004) Disturbed eating behavior and eating disorders in preteen and early teenage girls with type 1 diabetes: a case-controlled study. Diabetes Care 27: pp. 1654-1659 CrossRef
- Olmsted, M.P., Colton, P.A., Daneman, D. (2008) Prediction of the onset of disturbed eating behavior in adolescent girls with type 1 diabetes. Diabetes Care 31: pp. 1978-1982 CrossRef
- Peveler, R.C., Bryden, K.S., Neil, H.A. (2005) The relationship of disordered eating habits and attitudes to clinical outcomes in young adult females with type 1 diabetes. Diabetes Care 28: pp. 84-88 CrossRef
- Jones, J.M., Lawson, M.L., Daneman, D. (2000) Eating disorders in adolescent females with and without type 1 diabetes: cross sectional study. BMJ 320: pp. 1563-1566 CrossRef
- Cooper, Z. The development and maintenance of eating disorders. In: Brownell, K., Fairburn, C.G. eds. (1995) Eating Disorders and Obesity: A Comprehensive Handbook. Guilford Press, New York, pp. 199-206
- Striegel-Moore, R.H., Bulik, C.M. (2007) Risk factors for eating disorders. Am Psychol 62: pp. 181-198 CrossRef
- Groot, M., Anderson, R., Freedland, K.E. (2001) Association of depression and diabetes complications: a meta-analysis. Psychosom Med 63: pp. 619-630
- Domargard, A., Sarnblad, S., Kroon, M. (1999) Increased prevalence of overweight in adolescent girls with type 1 diabetes mellitus. Acta Paediatr 88: pp. 1223-1228 CrossRef
- The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. The Diabetes Control and Complications Trial Research Group [no authors listed]. N Engl J Med 1993, 329:977–986.
- Weight gain associated with intensive therapy in the diabetes control and complications trial. The DCCT Research Group [no authors listed]. Diabetes Care 1988, 11:567–573.
- Influence of intensive diabetes treatment on body weight and composition of adults with type 1 diabetes in the Diabetes Control and Complications Trial [no authors listed]. Diabetes Care 2001, 24:1711–1721.
- Thompson, C.J., Cummings, J.F., Chalmers, J. (1996) How have patients reacted to the implications of the DCCT?. Diabetes Care 19: pp. 876-879 CrossRef
- Daneman, D., Olmsted, M., Rydall, A. (1998) Eating disorders in young women with type 1 diabetes. Prevalence, problems and prevention. Horm Res 50: pp. 79-86 CrossRef
- Colton, P.A., Olmsted, M.P., Daneman, D. (2007) Natural history and predictors of disturbed eating behaviour in girls with type 1 diabetes. Diabet Med 24: pp. 424-429 CrossRef
- Goebel-Fabbri, A.E., Fikkan, J., Connell, A. (2002) Identification and treatment of eating disorders in women with type 1 diabetes mellitus. Treat Endocrinol 1: pp. 155-162 CrossRef
- Diagnostic and Statistical Manual of Mental Disorders DSM IV. American Psychiatric Association, Washington, DC
- Kahn, C.R. eds. (1994) Joslin’s Diabetes Mellitus. Lea & Febiger, Malvern, PA
- Polonsky, W.H., Anderson, B.J., Lohrer, P.A. (1994) Insulin omission in women with IDDM. Diabetes Care 17: pp. 1178-1185 CrossRef
- Rydall, A.C., Rodin, G.M., Olmsted, M.P. (1997) Disordered eating behavior and microvascular complications in young women with insulin-dependent diabetes mellitus. N Engl J Med 336: pp. 1849-1854 CrossRef
- Bryden, K.S., Neil, A., Mayou, R.A. (1999) Eating habits, body weight, and insulin misuse. A longitudinal study of teenagers and young adults with type 1 diabetes. Diabetes Care 22: pp. 1956-1960 CrossRef
- Verrotti, A., Catino, M., Luca, F.A. (1999) Eating disorders in adolescents with type 1 diabetes mellitus. Acta Diabetol 36: pp. 21-25 CrossRef
- Goebel-Fabbri, A.E., Franko, D.L., Pearson, K. (2008) Insulin restriction and associated morbidity and mortality in women with type 1 diabetes. Diabetes Care 31: pp. 415-419 CrossRef
- Nansel TR, Anderson BJ, Laffel LM, et al.: A multisite trial of a clinic-integrated intervention for promoting family management of pediatric type 1 diabetes: feasibility and design. Pediatr Diabetes 2008 Aug 20 (Epub ahead of print).
- Mitchell, J., Pomeroy, C., Adson, D.E. Managing medical complications. In: Garner, D., Garfinkel, P.E. eds. (1997) Handbook for Treatment of Eating Disorders. Guilford Press, New York, pp. 383-393
- Hamdy, O., Carver, C. (2008) The Why WAIT program: improving clinical outcomes through weight management in type 2 diabetes. Curr Diab Rep 8: pp. 413-420 CrossRef
- Bantle, J.P., Wylie-Rosett, J., Albright, A.L. (2008) Nutrition recommendations and interventions for diabetes: a position statement of the American Diabetes Association. Diabetes Care 31: pp. S61-S78
- Wolpert, H.A., Anderson, B.J. (2001) Metabolic control matters: why is the message lost in the translation? The need for realistic goalsetting in diabetes care. Diabetes Care 24: pp. 1301-1303 CrossRef
- Striegel-Moore, R. Etiology of binge eating: a developmental perspective. In: Fairburn, C., Wilson, G.T. eds. (1993) Binge Eating: Nature, Assessment, and Treatment. Guilford Press, New York, pp. 144-172
- Polivy, J., Herman, C.P. (1985) Dieting and binging: a causal analysis. Am Psychol 40: pp. 193-201 CrossRef
- Lustman, P.J., Anderson, R.J., Freedland, K.E. (2000) Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes Care 23: pp. 934-942 CrossRef
- Disturbed eating behaviors and eating disorders in type 1 diabetes: Clinical significance and treatment recommendations
Current Diabetes Reports
Volume 9, Issue 2 , pp 133-139
- Cover Date
- Print ISSN
- Online ISSN
- Current Science Inc.
- Additional Links
- Industry Sectors
- Author Affiliations
- 1. Behavioral and Mental Health Unit, Joslin Diabetes Center, 1 Joslin Place, Boston, MA, 02215, USA