What is diabulimia and what are the implications for practice?

British Journal of Nursing : BJN
Sonya Chelvanayagam, Janet James

Abstract

Diabulimia has become a common term used to describe a condition when a person with type 1 diabetes has an eating disorder. The individual may omit or restrict their insulin dose to lose/control weight. Evidence suggests that as many as 20% of women with type 1 diabetes may have this condition. The serious acute and long-term complications of hyperglycaemia are well documented. Detection of this condition is challenging and health professionals need to be vigilant in assessing reasons for variable glycaemic control and weight changes. Management requires a collaborative response from the specialist diabetes team in conjunction with the mental health team. Nurses must ensure that they are aware that the condition may be possible in all patients with type 1 diabetes but especially younger female patients. These patients require timely intervention to prevent any severe acute or long-term complications.

References

Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Dec 12, 2007·Diabetes Care·Ann E Goebel-FabbriKatie Weinger
May 22, 2010·Current Opinion in Pediatrics·Joshua S Borus, Lori Laffel
Nov 17, 2011·World Journal of Diabetes·Alejandra LarrañagaRicardo V García-Mayor
Aug 24, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·V YoungS Heller
Sep 11, 2014·Nursing Standard·Jennifer Davidson
Apr 17, 2015·BMC Public Health·Gicele Costa MintemBernardo Lessa Horta
Apr 22, 2015·World Journal of Diabetes·Orit Pinhas-HamielYael Levy-Shraga
Nov 16, 2016·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Elizabeth A DoyleAnia M Jastreboff
Feb 20, 2017·Diabetes Research and Clinical Practice·Karl E MingesMargaret Grey
Jun 10, 2017·Eating and Weight Disorders : EWD·Maria Ana Falcão, Rita Francisco
Oct 29, 2017·Archives of Disease in Childhood. Education and Practice Edition·Toby CandlerJohn W Gregory

❮ Previous
Next ❯

Citations

Aug 17, 2019·Diabetic Medicine : a Journal of the British Diabetic Association·L Wisting, F Snoek
Jan 18, 2022·Nursing Children and Young People·Amanda Cainer

❮ Previous
Next ❯

Software Mentioned

R
DEPS

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.

Related Papers

Experimental and Clinical Endocrinology & Diabetes : Official Journal, German Society of Endocrinology [and] German Diabetes Association
Stephan A Schreiber, Anika Russmann
The Journal of School Health
Julie HaskenMegan Temme
© 2022 Meta ULC. All rights reserved