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.
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Sarah S. Jaser is supported by an award from the National Institute of Diabetes and Digestive and Kidney Diseases (K23 NK088454).
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Margo E. Hanlan declares that she has no conflicts of interest. Julie Griffith declares that she has no conflicts of interest. Niral Patel declares that he has no conflicts of interest. Sarah S. Jaser declares that she has no conflicts of interest.
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Hanlan, M.E., Griffith, J., Patel, N. et al. Eating Disorders and Disordered Eating in Type 1 Diabetes: Prevalence, Screening, and Treatment Options. Curr Diab Rep 13, 909–916 (2013). https://doi.org/10.1007/s11892-013-0418-4