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Eating Disorder in Individuals with Type 1 Diabetes Mellitus: Diabulimia

Yıl 2025, Sayı: 25, 375 - 390, 29.04.2025

Nevin Şanlıer , Zeynep Bengisu Ejder , Esra Irmak

https://doi.org/10.38079/igusabder.1540428

Öz

Diabulimia is an eating disorder seen in patients with T1DM, has drawn the media’s attention by the troubles it causes. T1DM, which is mostly seen in adolescents and children, requires individuals to follow a medical nutrition plan. This situation can challenge patients psycologically resulting in some eating disorder behaviors like binge eating, skipping meals and skipping insulin shots. It is critical to detect eating disorder behaviors early in order to prevent undesirable clinical features such as weight loss, poor glycemic control, diabetes complications, etc. Likewise, it is very important that the patient is treated and monitored by a multidisciplinary team. A better understanding and treatment of diabulimia will significantly improve the quality of life of individuals desired by this condition.

Anahtar Kelimeler

Diabulimia glycemic control type 1 diabetes mellitus eating disorder

Kaynakça

  • 1. DiMeglio LA, Evans-Molina C, Oram RA. Type 1 diabetes. The Lancet. 2018;391(10138):2449-2462. doi: 10.1016/S0140-6736(18)31320-5.
  • 2. Mobasseri M, Shirmohammadi M, Amiri T, Vahed N, Fard HH, Ghojazadeh M. Prevalence and incidence of type 1 diabetes in the world: A systematic review and meta-analysis. Health Promotion Perspectives. 2020;10(2):98. doi: 10.34172/hpp.2020.18.
  • 3. Katsarou A, Gudbjörnsdottir S, Rawshani A, et al. Type 1 diabetes mellitus. Nature Reviews Disease Primers. 2017;3(1):1-17.
  • 4. Atkinson MA, Eisenbarth GS, Michels AW. Type 1 diabetes. The Lancet. 2014;383(9911):69-82. doi: 10.1016/S0140-6736(13)60591-7.
  • 5. Dennedy MC, Dinneen SF. Management of type 1 diabetes mellitus. Medicine. 2010;38(11):610-617.
  • 6. Rani KS, Bhadada SK. Medical nutrition therapy in type 1 diabetes mellitus. The Indian Journal of Endocrinology and Metabolism. 2017;21(5):649.
  • 7. Colton P, Rodin G, Bergenstal R, Parkin C. Eating disorders and diabetes: Introduction and overview. Diabetes Spectrum. 2009;22(3):138-142.
  • 8. Larrañaga A, Docet MF, García-Mayor RV. Disordered eating behaviors in type 1 diabetic patients. World Journal of Diabetes. 2011;2(11):189. doi: 10.4239/wjd.v2.i11.189.
  • 9. Coleman SE, Caswell N. Diabetes and eating disorders: An exploration of ‘Diabulimia’. BMC Psychology. 2020;8:101. doi: 10.1186/s40359-020-00468-4.
  • 10. Poos S, Faerovitch M, Pinto C, et al. The role of diabetes distress in Diabulimia. Journal of Eating Disorders. 2023;11(1):213. doi: 10.1186/s40337-023-00924-7.
  • 11. King's College London. King's researchers awarded £1.25 million to design healthcare for potentially fatal eating disorder. Available at: https://www.kcl.ac.uk/news/kings-researchers-awarded-125-million-to-design-healthcare-for-potentially-fatal-eating-disorder-1. Last accessed: 24th May 2020.
  • 12. National Institute for Health and Care Excellence. Eating disorders: Recognition and treatment. Available at: https://www.nice.org.uk/guidance/ng69/chapter/Recommendations#physical-and-mental-health-comorbidities. Last Accessed: 24th May 2020.
  • 13. Allan J. Diabetes and eating disorders: Update to the NICE guideline. Journal of Diabetes Nursing. 2017;21(3):103–107.
  • 14. Lorettu L, Pes GM, Dore MP, Milia P, Nivoli A. Eating disorders and diabetes: Behavioural patterns and psychopathology. Two case reports. Rivista di Psichiatria. 2020;55(4):240-4.
  • 15. Mafi R, Naqvi A, Jeschke J, Kucharska K. Therapeutic traps in management of diabulimia in acute setting: A case report. Postępy Psychiatrii i Neurologii. 2016;25(2):124-128.
  • 16. Torjesen I. Diabulimia: the world's most dangerous eating disorder. BMJ. 2019;364:l982.
  • 17. Doyle EA, Quinn SM, Ambrosino JM, Weyman K, Tamborlane WV, Jastreboff AM. Disordered eating behaviors in emerging adults with type 1 diabetes: A common problem for both men and women. Journal of Pediatric Health Care. 2017;31(3):327-333.
  • 18. Kınık MF, Gönüllü FV, Vatansever Z, Karakaya I. Diabulimia, a Type I diabetes mellitus-specific eating disorder. Turkish Archives of Pediatrics. 2017;52(1):46.
  • 19. Wisting L, Snoek F. Terminology matters: 'diabulimia' is insufficient to describe eating disorders in individuals with Type 1 diabetes. Diabetic Medicine. 2020;37(6):1075-1076.
  • 20. Nip AS, Reboussin BA, Dabelea D, et al. Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy: The SEARCH for Diabetes in Youth Study. Diabetes Care. 2019;42(5):859-866. doi: 10.2337/dc18-2420.
  • 21. Pokrajac-Bulian A, Kukić M, Bašić-Marković N. Quality of life as a mediator in the association between body mass index and negative emotionality in overweight and obese non-clinical sample. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 2015;20(4):473-481. doi: 10.1007/s40519-015-0208-x.
  • 22. Neumark-Sztainer D, Patterson J, Mellin A, et al. Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: Associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes. Diabetes Care. 2002;25(8):1289-1296. doi: 10.2337/diacare.25.8.1289.
  • 23. Rydall AC, Rodin GM, Olmsted MP, Devenyi RG, Daneman D. Disordered eating behavior and microvascular complications in young women with insulin-dependent diabetes mellitus. The New England Journal of Medicine. 1997;336(26):1849-1854.
  • 24. Falcão MA, Francisco R. Diabetes, eating disorders and body image in young adults: An exploratory study about “diabulimia”. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 2017;22(4):675–682. doi: 10.1007/s40519-017-0406-9.
  • 25. Hanlan ME, Griffith J, Patel N, Jaser SS. Eating disorders and disordered eating in type 1 diabetes: Prevalence, screening, and treatment options. Current Diabetes Reports. 2013;13(6):909-916. doi: 10.1007/s11892-013-0418-4.
  • 26. Pinhas-Hamiel O, Levy-Shraga Y. Eating disorders in adolescents with type 2 and type 1 diabetes. Current Diabetes Reports. 2013;13(2):289-297.
  • 27. Nouwen A, Adriaanse MC, van Dam K, Iversen MM, Viechtbauer W, Peyrot M, European Depression in Diabetes (EDID) Research Consortium. Longitudinal associations between depression and diabetes complications: A systematic review and meta-analysis. Diabetic Medicine. 2019;36(12):1562-1572. doi: 10.1111/dme.14054.
  • 28. Striegel-Moore RH, Bulik CM. Risk factors for eating disorders. American Psychologist. 2007;62(3):181. doi: 10.1037/0003-066X.62.3.181.
  • 29. Neumark-Sztainer D, Larson NI, Fulkerson JA, Eisenberg ME, Story M. Family meals and adolescents: What have we learned from Project EAT (Eating Among Teens)?. Public Health Nutrition. 2010;13(7):1113-1121. doi: 10.1017/S1368980010000169.
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  • 32. Nilsson F, Madsen JOB, Jensen AK, Olsen BS, Johannesen J. High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes. Pediatric Diabetes. 2020;21(6):1043-1049. doi: 10.1111/pedi.13043.
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Tip 1 Diyabet Mellituslu Bireylerde Yeme Bozukluğu: Diabulimia

Yıl 2025, Sayı: 25, 375 - 390, 29.04.2025

Nevin Şanlıer , Zeynep Bengisu Ejder , Esra Irmak

https://doi.org/10.38079/igusabder.1540428

Öz

Diabulimia, T1DM hastalarında görülen bir yeme bozukluğudur ve neden olduğu sıkıntılarla medyanın dikkatini çekmiştir. Çoğunlukla ergenlerde ve çocuklarda görülen T1DM, bireylerin tıbbi bir beslenme planını takip etmesini gerektirir. Bu durum, hastaları psikolojik olarak zorlayabilir ve aşırı yeme, öğün atlama ve insülin enjeksiyonlarını atlama gibi bazı yeme bozukluğu davranışlarına neden olabilir. Vücut ağırlığı kaybı, zayıf glisemik kontrol, diyabet komplikasyonları vb. gibi istenmeyen klinik özellikleri önlemek için yeme bozukluğu davranışlarını erken tespit etmek kritik öneme sahiptir. Aynı şekilde, hastanın multidisipliner bir ekip tarafından tedavi edilmesi ve izlenmesi çok önemlidir. Diabulimianın daha iyi anlaşılması ve tedavisi, bu durumun arzu ettiği bireylerin yaşam kalitesini önemli ölçüde iyileştirecektir.

Anahtar Kelimeler

Diabulimia glisemik kontrol tip 1 diyabet mellitus yeme bozukluğu

Kaynakça

  • 1. DiMeglio LA, Evans-Molina C, Oram RA. Type 1 diabetes. The Lancet. 2018;391(10138):2449-2462. doi: 10.1016/S0140-6736(18)31320-5.
  • 2. Mobasseri M, Shirmohammadi M, Amiri T, Vahed N, Fard HH, Ghojazadeh M. Prevalence and incidence of type 1 diabetes in the world: A systematic review and meta-analysis. Health Promotion Perspectives. 2020;10(2):98. doi: 10.34172/hpp.2020.18.
  • 3. Katsarou A, Gudbjörnsdottir S, Rawshani A, et al. Type 1 diabetes mellitus. Nature Reviews Disease Primers. 2017;3(1):1-17.
  • 4. Atkinson MA, Eisenbarth GS, Michels AW. Type 1 diabetes. The Lancet. 2014;383(9911):69-82. doi: 10.1016/S0140-6736(13)60591-7.
  • 5. Dennedy MC, Dinneen SF. Management of type 1 diabetes mellitus. Medicine. 2010;38(11):610-617.
  • 6. Rani KS, Bhadada SK. Medical nutrition therapy in type 1 diabetes mellitus. The Indian Journal of Endocrinology and Metabolism. 2017;21(5):649.
  • 7. Colton P, Rodin G, Bergenstal R, Parkin C. Eating disorders and diabetes: Introduction and overview. Diabetes Spectrum. 2009;22(3):138-142.
  • 8. Larrañaga A, Docet MF, García-Mayor RV. Disordered eating behaviors in type 1 diabetic patients. World Journal of Diabetes. 2011;2(11):189. doi: 10.4239/wjd.v2.i11.189.
  • 9. Coleman SE, Caswell N. Diabetes and eating disorders: An exploration of ‘Diabulimia’. BMC Psychology. 2020;8:101. doi: 10.1186/s40359-020-00468-4.
  • 10. Poos S, Faerovitch M, Pinto C, et al. The role of diabetes distress in Diabulimia. Journal of Eating Disorders. 2023;11(1):213. doi: 10.1186/s40337-023-00924-7.
  • 11. King's College London. King's researchers awarded £1.25 million to design healthcare for potentially fatal eating disorder. Available at: https://www.kcl.ac.uk/news/kings-researchers-awarded-125-million-to-design-healthcare-for-potentially-fatal-eating-disorder-1. Last accessed: 24th May 2020.
  • 12. National Institute for Health and Care Excellence. Eating disorders: Recognition and treatment. Available at: https://www.nice.org.uk/guidance/ng69/chapter/Recommendations#physical-and-mental-health-comorbidities. Last Accessed: 24th May 2020.
  • 13. Allan J. Diabetes and eating disorders: Update to the NICE guideline. Journal of Diabetes Nursing. 2017;21(3):103–107.
  • 14. Lorettu L, Pes GM, Dore MP, Milia P, Nivoli A. Eating disorders and diabetes: Behavioural patterns and psychopathology. Two case reports. Rivista di Psichiatria. 2020;55(4):240-4.
  • 15. Mafi R, Naqvi A, Jeschke J, Kucharska K. Therapeutic traps in management of diabulimia in acute setting: A case report. Postępy Psychiatrii i Neurologii. 2016;25(2):124-128.
  • 16. Torjesen I. Diabulimia: the world's most dangerous eating disorder. BMJ. 2019;364:l982.
  • 17. Doyle EA, Quinn SM, Ambrosino JM, Weyman K, Tamborlane WV, Jastreboff AM. Disordered eating behaviors in emerging adults with type 1 diabetes: A common problem for both men and women. Journal of Pediatric Health Care. 2017;31(3):327-333.
  • 18. Kınık MF, Gönüllü FV, Vatansever Z, Karakaya I. Diabulimia, a Type I diabetes mellitus-specific eating disorder. Turkish Archives of Pediatrics. 2017;52(1):46.
  • 19. Wisting L, Snoek F. Terminology matters: 'diabulimia' is insufficient to describe eating disorders in individuals with Type 1 diabetes. Diabetic Medicine. 2020;37(6):1075-1076.
  • 20. Nip AS, Reboussin BA, Dabelea D, et al. Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy: The SEARCH for Diabetes in Youth Study. Diabetes Care. 2019;42(5):859-866. doi: 10.2337/dc18-2420.
  • 21. Pokrajac-Bulian A, Kukić M, Bašić-Marković N. Quality of life as a mediator in the association between body mass index and negative emotionality in overweight and obese non-clinical sample. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 2015;20(4):473-481. doi: 10.1007/s40519-015-0208-x.
  • 22. Neumark-Sztainer D, Patterson J, Mellin A, et al. Weight control practices and disordered eating behaviors among adolescent females and males with type 1 diabetes: Associations with sociodemographics, weight concerns, familial factors, and metabolic outcomes. Diabetes Care. 2002;25(8):1289-1296. doi: 10.2337/diacare.25.8.1289.
  • 23. Rydall AC, Rodin GM, Olmsted MP, Devenyi RG, Daneman D. Disordered eating behavior and microvascular complications in young women with insulin-dependent diabetes mellitus. The New England Journal of Medicine. 1997;336(26):1849-1854.
  • 24. Falcão MA, Francisco R. Diabetes, eating disorders and body image in young adults: An exploratory study about “diabulimia”. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 2017;22(4):675–682. doi: 10.1007/s40519-017-0406-9.
  • 25. Hanlan ME, Griffith J, Patel N, Jaser SS. Eating disorders and disordered eating in type 1 diabetes: Prevalence, screening, and treatment options. Current Diabetes Reports. 2013;13(6):909-916. doi: 10.1007/s11892-013-0418-4.
  • 26. Pinhas-Hamiel O, Levy-Shraga Y. Eating disorders in adolescents with type 2 and type 1 diabetes. Current Diabetes Reports. 2013;13(2):289-297.
  • 27. Nouwen A, Adriaanse MC, van Dam K, Iversen MM, Viechtbauer W, Peyrot M, European Depression in Diabetes (EDID) Research Consortium. Longitudinal associations between depression and diabetes complications: A systematic review and meta-analysis. Diabetic Medicine. 2019;36(12):1562-1572. doi: 10.1111/dme.14054.
  • 28. Striegel-Moore RH, Bulik CM. Risk factors for eating disorders. American Psychologist. 2007;62(3):181. doi: 10.1037/0003-066X.62.3.181.
  • 29. Neumark-Sztainer D, Larson NI, Fulkerson JA, Eisenberg ME, Story M. Family meals and adolescents: What have we learned from Project EAT (Eating Among Teens)?. Public Health Nutrition. 2010;13(7):1113-1121. doi: 10.1017/S1368980010000169.
  • 30. Troncone A, Cascella C, Chianese A, et al. Changes in body image and onset of disordered eating behaviors in youth with type 1 diabetes over a five-year longitudinal follow-up. Journal of Psychosomatic Research. 2018;109:44-50. doi: 10.1016/j.jpsycho.
  • 31. Ip EJ, Doroudgar S, Salehi A, Salehi, F, Najmi M. Diabulimia: A risky trend among adults with type 1 diabetes mellitus. Endocrine Practice. 2023;29(11):849-854.
  • 32. Nilsson F, Madsen JOB, Jensen AK, Olsen BS, Johannesen J. High prevalence of disordered eating behavior in Danish children and adolescents with type 1 diabetes. Pediatric Diabetes. 2020;21(6):1043-1049. doi: 10.1111/pedi.13043.
  • 33. Talwar V, Talwar G, Talwar S, Kapoor R. Assessment of disturbed eating behaviors using DEPS-R and its relationship with glycemic control in young Indian type 1 DM patients. Endocrine Practice Supplement. 2019;25:92.
  • 34. Araia E, Hendrieckx C, Skinner T, Pouwer F, Speight J, King RM. Gender differences in disordered eating behaviors and body dissatisfaction among adolescents with type 1 diabetes: results from Diabetes MILES Youth—Australia. International Journal of Eating Disorders. 2017;50(10):1183-1193. doi: 10.1002/eat.22746.
  • 35. Hall R, Keeble L, Sünram-Lea SI, To M. A review of risk factors associated with insulin omission for weight loss in type 1 diabetes. Clinical Child Psychology and Psychiatry. 2021;26(3):606-616. doi: 10.1177/13591045211026142.
  • 36. Çelik G, Öztürk İ. Tip 1 diyabetli adölesanlarda diyete uyum durumu ile diyabulimia riskinin HbA1c düzeyine etkisi. Akademik Geriatri Dergisi. 2023;9(3):296-301.
  • 37. Colton PA, Olmsted MP, Daneman D, Rydall AC, Rodin GM. Natural history and predictors of disturbed eating behaviour in girls with type 1 diabetes. Diabetic Medicine. 2007;24(4):424-429. doi: 10.1111/j.1464-5491.2007.02099.x.
  • 38. Mellin AE, Neumark-Sztainer D, Patterson J, Sockalosky J. Unhealthy weight management behavior among adolescent girls with type 1 diabetes mellitus: The role of familial eating patterns and weight-related concerns. Journal of Adolescent Health. 2004;35(4):278-289.
  • 39. Young V, Eiser C, Johnson B, et al. Eating problems in adolescents with Type 1 diabetes: a systematic review with meta-analysis. Diabetic Medicine. 2013;30(2):189-198.
  • 40. Tse J, Nansel TR, Haynie DL, Mehta SN, Laffel LM. Disordered eating behaviors are associated with poorer diet quality in adolescents with type 1 diabetes. J Acad Nutr Diet. 2012;112(11):1810-1814. doi: 10.1016/j.jand.2012.06.359.
  • 41. Wisting L, Bang L, Skrivarhaug T, Dahl-Jørgensen K, Rø Ø. Adolescents with type 1 diabetes–The impact of gender, age, and health-related functioning on eating disorder psychopathology. PLoS One. 2015;10(11):e0141386. doi: 10.1371/journal.pone.0141386.
  • 42. Goebel-Fabbri AE, Fikkan J, Franko DL, Pearson K, Anderson BJ, Weinger K. Insulin restriction and associated morbidity and mortality in women with type 1 diabetes. Diabetes Care. 2008;31(3):415-419. doi: 10.2337/dc07-2026.
  • 43. Troncone A, Chianese A, Zanfardino A, et al. Disordered eating behaviors in youths with type 1 diabetes during COVID-19 lockdown: An exploratory study. Journal of Eating Disorders. 2020;8(1):1-12. doi: 10.1186/s40337-020-00353-w.
  • 44. Scheuing N, Bartus B, Berger G, et al. Clinical characteristics and outcome of 467 patients with a clinically recognized eating disorder identified among 52,215 patients with type 1 diabetes: A multicenter german/austrian study. Diabetes Care. 2014;37(6):1581-1589.
  • 45. Cecilia‐Costa R, Volkening LK, Laffel LM. Factors associated with disordered eating behaviours in adolescents with Type 1 diabetes. Diabetic Medicine. 2019;36(8):1020-1027.
  • 46. Cherubini V, Skrami E, Iannilli A, et al. Disordered eating behaviors in adolescents with type 1 diabetes: A cross‐sectional population‐based study in Italy. International Journal of Eating Disorders. 2018;51(8):890-898. doi: 10.1002/eat.22889.
  • 47. Troncone A, Cascella C, Chianese A, et al. Body image problems and disordered eating behaviors in Italian adolescents with and without type 1 diabetes: An examination with a gender-specific body image measure. Frontiers In Psychology. 2020;11:2547.
  • 48. Wisting L, Frøisland DH, Skrivarhaug T, Dahl-Jørgensen K, Rø Ø. Disturbed eating behavior and omission of insulin in adolescents receiving intensified insulin treatment: A nationwide population-based study. Diabetes Care. 2013;36(11):3382-3387.
  • 49. Luyckx K, Verschueren M, Palmeroni N, Goethals ER, Weets I, Claes L. Disturbed eating behaviors in adolescents and emerging adults with type 1 diabetes: A one-year prospective study. Diabetes Care. 2019;42(9):1637-1644. doi: 10.2337/dc19-0445.
  • 50. Eisenberg Colman MH, Quick VM, Lipsky LM, et al. Disordered eating behaviors are not increased by an intervention to improve diet quality but are associated with poorer glycemic control among youth with type 1 diabetes. Diabetes Care. 2018;41(4):869-875.
  • 51. Reinehr T, Dieris B, Galler A, et al. Worse metabolic control and dynamics of weight status in adolescent girls point to eating disorders in the first years after manifestation of type 1 diabetes mellitus: Findings from the Diabetes Patienten Verlaufsdokumentation registry. The Journal of Pediatrics. 2019;207:205-212. doi: 10.1016/j.jpeds.2018.11.037.
  • 52. Troncone A, Cascella C, Chianese A, et al. Parental assessment of disordered eating behaviors in their children with type 1 diabetes: A controlled study. Journal of Psychosomatic Research. 2019;119:20-25. doi: 10.1016/j.jpsychores.2019.02.003.
  • 53. Caccavale LJ. Nansel TR, Quick V, Lipsky LM, Laffel LM, Mehta SN. Associations of disordered eating behavior with the family diabetes environment in adolescents with type 1 diabetes. Journal of Developmental & Behavioral Pediatrics. 2015;36(1):8.
  • 54. Merwin RM, Dmitrieva NO, Honeycutt LK, et al. Momentary predictors of insulin restriction among adults with type 1 diabetes and eating disorder symptomatology. Diabetes Care. 2015;38(11):2025-2032. doi: 10.2337/dc15-0753.
  • 55. Chelvanayagam S, James J. What is diabulimia and what are the implications for practice?. British Journal of Nursing. 2018;27(17):980-986.
  • 56. Gonçalves S, Barros V, Gomes AR. Eating-disordered behaviour in adolescents with type 1 diabetes. Canadian Journal of Diabetes. 2016;40(2):152-157.
  • 57. Franco RF, de Lorenzo AG, Castro AG. Diabulimia: An updated perspective. Enfermería Clínica. 2021;31(6):396-397. doi: 10.1016/j.enfcle.2021.02.003.
  • 58. Pursey KM, Hart M, Jenkins L, McEvoy M, Smart CE. Screening and identification of disordered eating in people with type 1 diabetes: a systematic review. Journal of Diabetes and its Complications. 2020;34(4):107522. doi: 10.1016/j.jdiacomp.2020.107522.
  • 59. Altınok YA, Özgür S, Meseri R, Özen S, Darcan Ş, Gökşen D. Reliability and validity of the diabetes eating problem survey in Turkish children and adolescents with type 1 diabetes mellitus. Journal of Clinical Research in Pediatric Endocrinology. 2017;9(4):323.
  • 60. Kutz AM, Marsh AG, Gunderson CG, Maguen S, Masheb RM. Eating disorder screening: A systematic review and meta-analysis of diagnostic test characteristics of the SCOFF. Journal of General Internal Medicine. 2020;35(3):885-893.
  • 61. Baechle C, Hoyer A, Stahl-Pehe A, et al. Course of disordered eating behavior in young people with early-onset type ı diabetes: prevalence, symptoms, and transition probabilities. Journal of Adolescent Health. 2019;65(5):681-689.
  • 62. Calcaterra V, Mazzoni C, Ballardini D, et al. Disturbed eating behaviors in youth with type 1 diabetes: An exploratory study about challenges in diagnosis. Diagnostics. 2020;10(12):1044. doi: 10.3390/diagnostics10121044.
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  • 66. d'Emden H, Holden L, McDermott B, et al. Disturbed eating behaviours and thoughts in A ustralian adolescents with type 1 diabetes. Journal of Paediatrics and Child Health. 2013;49(4):317-23. doi: 10.1111/jpc.12014.
  • 67. Powers MA, Richter S, Ackard D, Critchley S, Meier M, Criego A. Determining the influence of type 1 diabetes on two common eating disorder questionnaires. The Diabetes Educator. 2013;39(3):387-96. doi: 10.1177/0145721713482737.
  • 68. d’Emden H, Holden L, McDermott B, et al. Concurrent validity of self‐report measures of eating disorders in adolescents with type 1 diabetes. Acta Paediatrica. 2012;101(9):973-78.
  • 69. Clery P, Stahl D, Ismail K, Treasure J, Kan C. Systematic review and meta‐analysis of the efficacy of interventions for people with Type 1 diabetes mellitus and disordered eating. Diabetic Medicine. 2017;34(12):1667-75. doi: 10.1111/dme.13509.
  • 70. Merwin RM, Moskovich AA, Babyak M, et al. An open trial of app-assisted acceptance and commitment therapy (i ACT) for eating disorders in type 1 diabetes. Journal of Eating Disorders. 2021;9(1):1-13. doi: 10.1186/s40337-020-00357-6.
  • 71. Boggiss AL, Consedine NS, Jefferies C, Bluth K, Hofman PL, Serlachius AS. Protocol for a feasibility study: A brief self-compassion intervention for adolescents with type 1 diabetes and disordered eating. BMJ Open. 2020;10(2). doi: 10.1136/bmjopen-2019-034452.
  • 72. Eisenberg MH, Lipsky LM, Dempster KW, Liu A, Nansel TR. I should but I can't: Controlled motivation and self-efficacy are related to disordered eating behaviors in adolescents with type 1 diabetes. Journal of Adolescent Health. 2016;59(5):537-542.
  • 73. Ferrey A, Ashworth G, Cabling M, Rundblad G, Ismail K. A thematic analysis of YouTube comments on a television documentary titled 'Diabulimia: The World's most dangerous eating disorder'. Diabetic Medicine. 2023;40(5):e15025. doi: 10.1111/dme.15025.
  • 74. Kara A, Gerçek HG, Özkan Y, Çelikkol Sadıç Ç, Koca SB. Depression, anxiety, eating problems, and diabulimia risk in adolescents with type 1 diabetes: a case-control study. Journal of Pediatric Endocrinology & Metabolism:JPEM. 2023;36(10):957-65.
Toplam 74 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Beslenme Bilimi, Halk Sağlığı Beslenmesi, Klinik Beslenme
Bölüm Makaleler
Yazarlar

Nevin Şanlıer 0000-0001-5937-0485

Zeynep Bengisu Ejder 0000-0001-7231-8497

Esra Irmak 0000-0001-5602-9468

Erken Görünüm Tarihi 29 Nisan 2025
Yayımlanma Tarihi 29 Nisan 2025
Gönderilme Tarihi 29 Ağustos 2024
Kabul Tarihi 17 Mart 2025
Yayımlandığı Sayı Yıl 2025 Sayı: 25

Kaynak Göster

JAMA Şanlıer N, Ejder ZB, Irmak E. Eating Disorder in Individuals with Type 1 Diabetes Mellitus: Diabulimia. IGUSABDER. 2025;:375–390.
 Kapak Resmi İndir

 Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)