Diabulimia: how eating disorders can affect adolescents with diabetes
Jennifer Davidson Staff nurse, children’s services, Nottingham Children’s Hospital, Queen’s Medical Centre, Nottingham
Adherence to self-management and medication regimens is required to achieve optimal blood glucose control in adolescents with type 1 diabetes mellitus. Non-adherence places adolescents at serious risk of short and long-term health complications. Adherence difficulties may be exacerbated by concurrent eating disorders. Diabulimia is a term used to describe the deliberate administration of insufficient insulin to maintain glycaemic control for the purpose of causing weight loss. This article explores the concept of diabulimia and the compounding complications of an eating disorder on maintaining self-management regimens in adolescents with diabetes.
Nursing Standard. 29, 2, 44-49. doi: 10.7748/ns.29.2.44.e7877Correspondence
This article has been subject to double blind peer review
Received: 14 May 2013
Accepted: 22 April 2014