Healthcare professional awareness of eating disorders in people with type 1 diabetes: a staff survey
DOI:
https://doi.org/10.15277/bjd.2020.268Keywords:
type 1 diabetes, eating disorders, diabulimia, insulin omission, healthcare professionalsAbstract
Background: People with type 1 diabetes are at increased risk of eating disorders. ‘Diabulimia’, ‘Syndrome of Insulin Omission’ and ‘Type 1 diabetes and Disordered Eating’ (T1DE) are all terms used to describe the omission or restriction of insulin in type 1 diabetes for fear of weight gain. For consistency, Type 1 diabetes and Disordered Eating (T1DE) is used throughout this article. The condition is associated with a significant increase in morbidity and mortality but is not yet recognised as a unique entity.
Aim: To determine healthcare professional awareness and knowledge of eating disorders in type 1 diabetes.
Methods: A short, cross-sectional, online healthcare professional survey across primary, secondary and community settings.
Results: Healthcare professional confidence is low when it comes to recognising and supporting people with T1DE, but there is an interest in learning more.
Conclusion: The findings from this study support strategies to improve healthcare professional awareness of T1DE.
References
Jones JM, Lawson ML, Daneman D, Olmsted MP, Rodin G. Eating disorders in adolescent females with and without type 1 diabetes: cross sectional study. BMJ 2000;320(7249):1563–6.
Colton P, Olmsted M, Daneman D, Rydall A, Rodin G. Disturbed eating behavior and eating disorders in preteen and early teenage girls with type 1 diabetes. Diabetes Care 2004;27(7):1654–9. https://doi.org/10.2337/diacare.27.7.1654
Colton PA, Olmsted MP, Daneman D, et al. Eating disorders in girls and women with type 1 diabetes: a longitudinal study of prevalence, onset, remission, and recurrence. Diabetes Care 2015;38(7):1212–17. https://doi.org/10.2337/dc14-2646
Bryden KS, Neil A, Mayou RA, Peveler RC, Fairburn CG, Dunger DB. Eating habits, body weight, and insulin misuse. A longitudinal study of teenagers and young adults with type 1 diabetes. Diabetes Care 1999;22(12):1956–60. https://doi.org/10.2337/diacare.22.12.1956
Rydall AC, Rodin GM, Olmsted MP, Devenyi RG, Daneman D. Disordered eating behavior and microvascular complications in young women with insulin-dependent diabetes mellitus. N Engl J Med 1997;336(26):1849–54. https://doi.org/10.1056/NEJM199706263362601
Mannucci E, Rotella F, Ricca V, Moretti S, Placidi GF, Rotella CM. Eating disorders in patients with type 1 diabetes: a meta-analysis. J Endocrinol Investig 2005;28(5):417–9. https://doi.org/10.1007/BF03347221
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):415–19. https://doi.org/10.2337/dc07-2026
Hampshire County Council. 2011 Census: Equality and Diversity Profile- Hampshire County Council Area 2013. Available from: https://documents.hants.gov.uk/EqualityandDiversityFactsheet-HampshireCountyCouncilArea.pdf
Dorset Council. Topic Data. 2020. Available from: https://apps.geowessex.com/insights/Topics
Hampshire County Council. The 2019 Index of Multiple Deprivation. 2019. Available from: https://documents.hants.gov.uk/Economy/IndexofMultipleDeprivation.pdf
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