title: Diabulimia: how eating disorders can affect adolescents with diabetes.
abstract: 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.
authors.affiliation: Queen's Medical Centre, Nottingham.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Davidson
mesh_terms: D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D001068:Feeding and Eating Disorders / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D012648:Self Care / Q000379:methods / Q000592:standards; D006113:United Kingdom; D015431:Weight Loss
chemical_list: D007004:Hypoglycemic Agents; D007328:Insulin
keywords: Adolescents; blood glucose control; blood glucose monitoring; diabetes; diabulimia; eating disorders; glycaemic control; insulin administration; type 1 diabetes; weight loss