Endocrine Abstracts

Disordered eating is more common amongst people with type 1 diabetes than their peers without this condition. Anorexia nervosa, bulimia, eating disorder not otherwise specified (EDNOS) and deliberate insulin omission are more common in type 1 diabetes. Binge eating disorder is more prevalent in type 2 diabetes. These disorders present difficulties and dilemmas in personal diabetes management on a daily basis, and significantly increase risk of diabetes complications, particularly diabetic ketoacidosis (DKA) and retinopathy.

The necessary focus on food choices, counting carbs and monitoring their effects on blood glucose may precipitate disordered eating in vulnerable patients. Identifying those at high risk, use of screening tools and sensitive conversations about weight issues can facilitate early interventions. An interdisciplinary approach is most constructive to manage these complex patients and their relationships with food.