Recognising and managing type 1 disordered eating in children and young people with diabetes
Intended for healthcare professionals
Evidence and practice    

Recognising and managing type 1 disordered eating in children and young people with diabetes

Amanda Cainer Paediatric diabetes specialist nurse, North Manchester General Hospital, Manchester University NHS Foundation Trust, Manchester, England

Why you should read this article:
  • To enhance your knowledge of the pathophysiology, signs and symptoms, and risks associated with type 1 disordered eating (T1DE)

  • To familiarise yourself with the psychological support and physical treatment that should be provided for children and young people with T1DE

  • To understand the role of children’s nurses and other members of the multidisciplinary team in supporting those with T1DE

Type 1 disordered eating (T1DE), also referred to as diabulimia, is a serious eating disorder that can occur in children and young people with type 1 diabetes when they deliberately reduce or restrict their insulin doses to lose weight. It is highly dangerous and can cause serious short-term conditions such as diabetic ketoacidosis, as well as various long-term comorbidities. T1DE is challenging to identify, and diagnosis is based on a range of emotional, behavioural and physical signs and symptoms. There is also a lack of research on how to support children and young people with the condition. This article aims to increase awareness of T1DE among children’s nurses and to explain the role of the multidisciplinary team in diagnosis and treatment. It outlines the pathophysiology and signs and symptoms of T1DE and discusses how healthcare professionals, including nurses, can support children and young people with the condition.

Nursing Children and Young People. doi: 10.7748/ncyp.2022.e1396

Peer review

This article has been subject to open peer review and checked for plagiarism using automated software

@AmandaCainer

Correspondence

amanda.cainer@pat.nhs.uk

Conflict of interest

None declared

Cainer A (2022) Recognising and managing type 1 disordered eating in children and young people with diabetes. Nursing Children and Young People. doi: 10.7748/ncyp.2022.e1396

Acknowledgements

The author would like to thank Birmingham City University and the LBR7587 Children and Young People’s Diabetes Care Module

Published online: 17 January 2022

Want to read more?

Already subscribed? Log in

OR

Unlock full access to RCNi Plus today

Save over 50% on your first 3 months

Your subscription package includes:
  • Unlimited online access to all 10 RCNi Journals and their archives
  • Customisable dashboard featuring 200+ topics
  • RCNi Learning featuring 180+ RCN accredited learning modules
  • RCNi Portfolio to build evidence for revalidation
  • Personalised newsletters tailored to your interests
Subscribe
RCN student member? Try Nursing Standard Student

Alternatively, you can purchase access to this article for the next seven days. Buy now

Or