Current Diabetes Reports

, Volume 13, Issue 6, pp 909–916

Eating Disorders and Disordered Eating in Type 1 Diabetes: Prevalence, Screening, and Treatment Options

  • Margo E. Hanlan
  • Julie Griffith
  • Niral Patel
  • Sarah S. Jaser
Psychosocial Aspects (KK Hood, Section Editor)


This review is focused on the prevalence of eating disorders and disordered eating behaviors in individuals with type 1 diabetes. Recent research indicates higher prevalence rates of eating disorders among people with type 1 diabetes compared with their peers without diabetes. Eating disorders and disordered eating behaviors—especially insulin omission—are associated with poorer glycemic control and serious risk for increased morbidity and mortality. Screening should begin in pre-adolescence and continue through early adulthood, as many disordered eating behaviors begin during the transition to adolescence and may persist for years. Available screening tools and treatment options are reviewed. Given the complexity of diabetes management in combination with eating disorder treatment, it is imperative to screen early and often, in order to identify those most vulnerable and begin appropriate treatment in a timely manner.


Adolescents Adolescence Type 1 diabetes Diabetes mellitus Eating disorder Disordered eating Anorexia nervosa Bulimia nervosa Disordered eating behavior Screening tool Treatment Glycemic control Insulin Prevalence 


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Margo E. Hanlan
    • 1
  • Julie Griffith
    • 2
  • Niral Patel
    • 3
  • Sarah S. Jaser
    • 3
  1. 1.Preferred PediatricsFredericksburgUSA
  2. 2.Joslin Diabetes CenterBostonUSA
  3. 3.Department of PediatricsVanderbilt UniversityNashvilleUSA

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