Brief report: disordered eating and psychosocial factors in adolescent females with type 1 diabetes mellitus.
OBJECTIVE
To evaluate whether insulin pump therapy [continuous subcutaneous insulin infusion (CSII)] is associated with a lower frequency of disordered eating, better glycemic control, and improved quality of life and self-efficacy compared to multiple daily injections (MDI) in adolescent females with type 1 diabetes mellitus (T1DM).


METHODS
This cross-sectional study included 22 adolescent females using CSII and 47 adolescent females using MDI who completed standardized questionnaires measuring disordered eating, quality of life, and self-efficacy. Most recent glycosylated hemoglobin (HbA1(c)) and measures of personal characteristics were drawn from medical records.


RESULTS
The CSII group exhibited better glycemic control and reported higher quality of life and more self-efficacy. However, the groups did not differ significantly on disordered eating behaviors and attitudes.


CONCLUSIONS
Insulin pump therapy may provide a means for improving glycemic control, quality of life, and self-efficacy in adolescent females with type 1 diabetes.
Battaglia
Marissa R
MR
Rosalind Franklin University of Medicine and Science, North Chicago, Illinois 60064, USA. marissa.battaglia@students.rosalindfranklin.edu
Alemzadeh
Ramin
R
Katte
Heidi
H
Hall
Pamela L
PL
Perlmuter
Lawrence C
LC
D000293:Adolescent; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000628:therapy; D002149:Energy Intake; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007332:Insulin Infusion Systems; D011584:Psychology; D011788:Quality of Life / Q000523:psychology*